Patient’s dignity in intensive care unit: A critical ethnography
Autor: | Farimah Shirani Bidabadi, Ahmadreza Yazdannik, Ali Zargham-Boroujeni |
---|---|
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
media_common.quotation_subject Iran 0603 philosophy ethics and religion law.invention Interviews as Topic Personhood 03 medical and health sciences Dignity Nursing law Intensive care medicine Humans Military medical ethics Anthropology Cultural Qualitative Research media_common 030504 nursing Nursing ethics business.industry Professional-Patient Relations 06 humanities and the arts Intensive care unit Self Efficacy Therapeutic relationship Intensive Care Units Issues ethics and legal aspects Critical ethnography Professional ethics 060301 applied ethics 0305 other medical science business |
Zdroj: | Nursing Ethics. 26:738-752 |
ISSN: | 1477-0989 0969-7330 |
Popis: | Background:Maintaining patient’s dignity in intensive care units is difficult because of the unique conditions of both critically-ill patients and intensive care units.Objectives:The aim of this study was to uncover the cultural factors that impeded maintaining patients’ dignity in the cardiac surgery intensive care unit.Research Design:The study was conducted using a critical ethnographic method proposed by Carspecken.Participants and research context:Participants included all physicians, nurses and staffs working in the study setting (two cardiac surgery intensive care units). Data collection methods included participant observations, formal and informal interviews, and documents assessment. In total, 200 hours of observation and 30 interviews were performed. Data were analyzed to uncover tacit cultural knowledge and to help healthcare providers to reconstruct the culture of their workplace.Ethical Consideration:Ethical approval for the study from Ethics committee of Isfahan University of Medical Sciences was obtained.Findings:The findings of the study fell into the following main themes: “Presence: the guarantee for giving enough attention to patients’ self-esteem”, “Instrumental and objectified attitudes”, “Adherence to the human equality principle: value-action gap”, “Paternalistic conduct”, “Improper language”, and “Non-interactive communication”. The final assertion was “Reductionism as a major barrier to the maintaining of patient’s dignity”.Discussion:The prevailing atmosphere in subculture of the CSICU was reductionism and paternalism. This key finding is part of the biomedical discourse. As a matter of fact, it is in contrast with dignified care because the latter necessitate holistic attitudes and approaches.Conclusion:Changing an ICU culture is not easy; but through increasing awareness and critical self-reflections, the nurses, physicians and other healthcare providers, may be able to reaffirm dignified care and cure in their therapeutic relationships. |
Databáze: | OpenAIRE |
Externí odkaz: |