Creating a Healing Environment: Nurse-to-Nurse Caring in the Critical Care Unit

Byers, Dina; Kearney, Barbara; Myatt,, Sharon U.

doi:10.20467/1091-5710.15.1.44

Cited by 9 publications

(11 citation statements)

References 8 publications

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“…An empowering process requires engagement combined with nourishing and interactive relationships built on mutual trust and respect . Acknowledgement and encouragement are essential components in an empowering relationship, as are authenticity, sensitive communication, active listening, and equality, which means that everyone's experiences and feelings are important and of equal value . The possibility and support to express feelings, explore problems and develop solutions are facilitated within a positive, warm and supportive atmosphere with room for a caring spirit, joy and humour .…”

Section: Resultsmentioning

confidence: 99%

Empowerment in critical care – a concept analysis

Wåhlin

2016

Scandinavian Caring Sciences

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Scand J Caring Sci; 2017; 31; 164-174 Empowerment in critical care -a concept analysisObjective: The purpose of this paper was to analyse how the concept of empowerment is defined in the scientific literature in relation to critical care. As empowerment is a mutual process affecting all individuals involved, the perspectives of not only patients and next of kin but also staff were sought. Method: A literature review and a concept analysis based on Walker and Avant's analysis procedure were used to identify the basic elements of empowerment in critical care. Twenty-two articles with a focus on critical care were discovered and included in the investigation. Findings: A mutual and supportive relationship, knowledge, skills, power within oneself and self-determination were found to be the common attributes of empowerment in critical care. The results could be adapted and used for all parties involved in critical carewhether patients, next of kin or staff -as these defining attributes are assumed to be universal to all three groups, even if the more specific content of each attribute varies between groups and individuals. Conclusion: Even if empowerment is only sparsely used in relation to critical care, it appears to be a very useful concept in this context. The benefits of improving empowerment are extensive: decreased levels of distress and strain, increased sense of coherence and control over situation, and personal and/or professional development and growth, together with increased comfort and inner satisfaction.

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Section: Resultsmentioning

confidence: 99%

Empowerment in critical care – a concept analysis

Wåhlin

2016

Scandinavian Caring Sciences

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“…France et al. ( 2011 ) suggested that trust, mutual respect, mentoring, collegiality and camaraderie are necessary for creating a healing and supportive environment. Similar findings were yielded in this study, as Ps spoke of and were observed to live the values of support for each other, assist colleagues struggling with workloads, experiencing stressful moments or feeling overwhelmed, and working alongside new staff to ensure appropriate orientation to the unit.…”

Section: Discussionmentioning

confidence: 99%

A focused ethnography of the culture of inclusive caring practice in the intensive care unit

Al-Shamaly¹

2021

Nursing Open

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The concept "caring" is complex. Numerous theoretical and operational perspectives of caring within the context of nursing have emerged. The ongoing discussion about what constitutes caring within nursing practice domains is nowhere more evident than in the adult ICU specialization, where humanistic caring is juxtaposed with advanced technology. Caring in ICU has been discussed in terms of one entity as the patient (Cutler et al., 2013), their family (Mackie et al., 2017), nurses (Hales et al., 2018), health professionals (Handberg & Voss, 2018) or a couple of entities such as patients and nurses (Happ et al., 2014). However, ICU is not limited to caring for patients, their families and nursing staff. This study examines the multidimensional inclusive nature of caring in ICU. | BACKG ROU N DSeveral authors discussed different caring ICU entities from various perspectives, including patients' perspectives and experiences of care (Cutler et al., 2013), patients' descriptions of the art of nursing (Gramling, 2004), and patients' perceptions of nursing care qual-

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“…Nurses therefore need to care for each other. A suggested approach is nurse‐to‐nurse caring, which can create a healing environment in critical care where the empowerment and autonomy gained can actually counteract burnout and staff turnover (France, Byers, Kearney, & Myatt, ). In addition, it is recommended that orientation programs for novice critical care nurses focus on technological confidence (Despins, ) but this must be balanced in the concept of caring.…”

Section: Discussionmentioning

confidence: 99%

Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis

Crilly

Dowling

Delaunois

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To synthesise the available body of qualitative evidence relating to nurses' perceptions and experiences of care provision in adult critical care environments. Methods The study adhered to ENTREQ (Confidence in Evidence of Reviews of Qualitative Research) guidelines. See Appendix S1. A systematic search of the literature in nine databases was undertaken: CINAHL, Web of Science, MEDLINE, EMBASE, PsycINFO, Campbell Collaboration, ProQuest A & I, DART and Lenus. Blind screening to select relevant studies was undertaken, and each selected study was assessed for quality using the Critical Appraisal Skills Programme framework. Guided by Thomas and Harden's three‐stage approach to thematic analysis, line‐by‐line coding of participants' verbatim accounts and the researchers' interpretations in the selected studies' findings was undertaken and then organised into higher order analytical themes. Confidence in the findings was reviewed using GRADE‐CERQual. Results Twelve studies reported in thirteen papers, including 122 nurses, were selected in the final sample for synthesis. Three analytical themes were identified: (a) sometimes machines get all the attention, (b) with experience the patient becomes the focus and (c) technology can't save everybody. Conclusions Providing care for adult patients in a highly technological environment is challenging particularly for novice nurses, who face the potential of technology drawing all their attention. Experienced critical care nurses learn to keep technology in abeyance and deliver person‐centred care within the bounds of a technological environment. Relevance to clinical practice The review supports Locsin's theory of technological competence and highlights that providing care in critical care requires nurses to actively balance attention for the person while managing machines. Experienced nurses achieve this balance and can offer support to novice nurses. Critical care nurse orientation programmes should be underpinned by a holistic approach which addresses the dualism of technology and care.

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Creating a Healing Environment: Nurse-to-Nurse Caring in the Critical Care Unit

Cited by 9 publications

References 8 publications

Empowerment in critical care – a concept analysis

Empowerment in critical care – a concept analysis

A focused ethnography of the culture of inclusive caring practice in the intensive care unit

Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis

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