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Barriers in achieving patient participation in the critical care unit
Karolinska University Hospital;Karolinska Institutet.
Karolinska University Hospital;Karolinska Institutet.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2019 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 51, p. 15-19Article in journal (Refereed) Published
Abstract [en]

Objectives: Patient participation in healthcare is important for optimizing treatment outcomes and for ensuring satisfaction with care. Therefore, this study aims to identify barriers to patient participation in the critical care unit, as identified by critical care nurses. Design and settings: Qualitative data were collected in four focus group interviews with 17 nurses from two separate hospitals. The interviews were analyzed using qualitative content analysis. Findings: The results show three main categories: nurse's attitude toward caring, the organization of the critical care unit and the patient's health condition. Conclusion: Barriers for patient participation in the ICU were found and this lead to a power imbalance between patient and nurse. In contrast to other care settings, this imbalance could be a consequence of the critical care organization and its degree of highly specialized care. The clinical application of our results is that these barriers should be considered when implementing patient participation in such a highly technological care situation as a critical care unit. (C) 2018 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 51, p. 15-19
Keywords [en]
Barrier, Critical care, Patient participation, Qualitative, Nurse
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-81222DOI: 10.1016/j.iccn.2018.11.008ISI: 000460338700003PubMedID: 30600141Scopus ID: 2-s2.0-85059180219OAI: oai:DiVA.org:lnu-81222DiVA, id: diva2:1298097
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2019-08-29Bibliographically approved

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Frank, Catharina

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf