| Autor: |
Nygaard AM; Department of Health and Care Sciences, 60482UiT, The Arctic University of Norway, Tromso, Norway., Haugdahl HS; Department of Public Health and Nursing, Levanger Hospital, 60500Nord-Trøndelag Hospital Trust and NTNU Norwegian University of Science and Technology, Levanger, Norway., Laholt H; Department of Health and Care Sciences, UiT The Arctic University of Norway, Troms, Norway., Brinchmann BS; Nord University and Nordland Hospital Trust, Norway., Lind R; Department of Health and Care Sciences, UiT The Arctic University of Norway and Research Nurse at Intensive Care Unit, University Hospital of North Norway, Harstad, Norway. |
| Jazyk: |
angličtina |
| Zdroj: |
Nursing ethics [Nurs Ethics] 2022 Jun; Vol. 29 (4), pp. 885-898. Date of Electronic Publication: 2022 Feb 24. |
| DOI: |
10.1177/09697330211050995 |
| Abstrakt: |
Background: ICU patients' family members are in a new, uncertain, and vulnerable situation due to the patient's critical illness and complete dependence on the ICU nurses and physicians. Family members' feeling of being cared for is closely linked to clinicians' attitudes and behavior. Aim: To explore ICU nurses' and physicians' bedside interaction with critically ill ICU patients´ families and discuss this in light of the ethics of care. Research design: A qualitative study using participant observation, focus groups, and thematic narrative analysis. Participants and research context: Data were gathered from July 2017 to August 2019, in four ICUs in Norway through 270 h of fieldwork and seven focus groups with ICU nurses and physicians. Ethical considerations: The Regional Committee for Medical and Health Research Ethics and the Norwegian Centre for Research Data approved the study. Findings: Quality of ICU family care depends on nurses' and physicians' attitudes, behavior, and personality traits. Three main themes were identified: being attentive , an active approach, and degree of tolerance . Discussion: The findings are discussed in light of the ethics of care and empirical research from the intensive care environment. Conclusions: This study shows that attentive, active, and tolerant clinicians represent a culture of ethical care that gives families greater freedom of action and active participation in patient care. Clinicians must not bear sole responsibility for this culture; it must have a firm basis in the hospital and ICU and be established through training, interprofessional reflection, and support of clinicians. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
