Visits in an intensive care unit—An observational hermeneutic study

Eriksson, Thomas; Lindahl, Berit; Bergbom, Ingegerd

doi:10.1016/j.iccn.2009.09.005

Cited by 27 publications

(46 citation statements)

References 25 publications

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“…An earlier observations study by Eriksson et al (2010) showed that family-patient interplay is initially problematic when the patient is sedated or even unconscious. Our interpretation of this finding was that the patient was trapped by his/her body and the family was unable to interplay with their loved one, because they were unable to understand the new signals (Eriksson et al, 2010). Both the patient and the family described this problem, but for the patients the biggest problem was to remember their stay in the ICU at all.…”

Section: Discussionmentioning

confidence: 99%

“…Both Gadamer (1989) and Løgstrup (1962) describe texts as a dimension of art; texts create scenes, allowing us to observe from the outside in the same way as in a theatre. This concept was used in the analysis in an earlier hermeneutic observational study by Eriksson et al (2010) and was considered to be very useful in interpreting observational data. This study aims to continue the development of this method for the interpretation of interview data obtained from patients cared for in an ICU and their relatives.…”

Section: Methodsmentioning

confidence: 99%

“…Both patients and visitors were interviewed to gain insight into and understanding of the meaning of ''visiting''. An earlier study by Eriksson et al (2010) had focused on the interplay between patients and their visitors and those findings prompted questions about ''visiting'' in the present study.…”

Section: Participants and Settingmentioning

confidence: 95%

“…The present study is the third part of a major project aimed at gaining a deeper understanding of hospital visits from the perspective of patients in an intensive care unit (ICU) and those close to them (Eriksson and Bergbom, 2007;Eriksson et al, 2010). Current research has accumulated a growing body of evidence concerning the importance of visiting the ICU and the patient seen from a family perspective.…”

Section: Introductionmentioning

confidence: 99%

“…The patient and family feel best if the interplay between them is as normal as possible. The professionals have a critical role in this interplay, as shown in several studies, as they set the rules governing the interplay in the room, give information about which visitors would be appropriate and how many family members should be in the room at any one time (Almerud et al, 2007;Eriksson and Bergbom, 2007;Eriksson et al, 2010;Söderström et al, 2006;Takman and Severinsson, 2005).…”

Section: Introductionmentioning

confidence: 99%

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The experiences of patients and their families of visiting whilst in an intensive care unit – A hermeneutic interview study

Eriksson

Bergbom

Lindahl

2011

Intensive and Critical Care Nursing

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SummaryAim: The aim of this study was to interpret and understand the meanings of the lived experiences of visiting of patients in an ICU and their families. Method: The research design was hermeneutic, based on interviews. This study includes 12 interviews with seven patients and five relatives who had been in an ICU. The interview text was interpreted in a Gadamerian manner as different plays with actors and plots. Findings: Patients' narratives could be divided into two parts; recall of real life and unreal life experiences, the unreal being more common. Relatives' narratives are described as being on stage and being backstage, i.e. in the room with the patient and outside it. Conclusion: The final interpretation elucidated the experience of visiting as the sudden shift between being present in real life vs. being present in the real life of unreality. It was a process whereby the patient and the family build a new understanding of life that creates a new form of interplay within the family. The pre-critical illness life is no longer there -a new life has begun. To support patients and their families in this process of change a family-centred care perspective is necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Participants and Settingmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The experiences of patients and their families of visiting whilst in an intensive care unit – A hermeneutic interview study

Eriksson

Bergbom

Lindahl

2011

Intensive and Critical Care Nursing

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Family members' perceptions of counselling during visits to loved ones in an adult ICU

et al. 2023

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Aims The study's aims were to (1) assess family members' perceptions of the quality of the counselling they received while visiting a loved one in an adult ICU and (2) identify factors that influence family members' perceptions of counselling quality. Design A cross‐sectional survey of visiting family members of adult ICU patients. Methods Family members (n = 55) at eight ICUs across five Finnish university hospitals completed a cross‐sectional survey. Results Family members assessed the quality of counselling in adult ICUs to be good. Factors associated with the quality of counselling were knowledge, family‐centred counselling, and interaction. Family members' ability to live normally was associated with understanding of the loved one's situation (ρ = 0.715, p < 0.001). Interaction was associated with understanding (ρ = 0.715, p < 0.001). Family members felt that intensive care professionals did not adequately ensure that they understood counselling‐related issues and that they lacked opportunities to give feedback, in 29% of cases, staff asked the family members whether they understood the counselling and 43% of family members had opportunities to offer feedback. However, the family members felt that the counselling they received during ICU visits was beneficial.

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Flexible visiting positively impacted on patients, families and staff in an Australian Intensive Care Unit: A before-after mixed method study

Mitchell

Aitken

2017

Australian Critical Care

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Patients, families and ICU staff positively evaluated flexible visiting hours in this ICU. Although only a minority of families took advantage of the increased hours they indicated appreciation for the additional opportunities. Junior staff may benefit from peer-support to develop family inclusion skills. More flexible visiting times can be incorporated into usual ICU practice in a manner that is viewed positively by all stakeholders.

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Visits in an intensive care unit—An observational hermeneutic study

Cited by 27 publications

References 25 publications

The experiences of patients and their families of visiting whilst in an intensive care unit – A hermeneutic interview study

The experiences of patients and their families of visiting whilst in an intensive care unit – A hermeneutic interview study

Family members' perceptions of counselling during visits to loved ones in an adult ICU

Flexible visiting positively impacted on patients, families and staff in an Australian Intensive Care Unit: A before-after mixed method study

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