Att vårdas vaken med respirator: patienters och närståendes upplevelser från en intensivvårdsavdelning

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: WFRF:(Bergbom Ingegerd Professor) > Att vårdas vaken me...

Karlsson, Veronika,1972-Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Anesthesia and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden. (Äldre och långvariga hälsoproblem, Older Adults and Long-Term Health Problems),Institutionen för vårdvetenskap och hälsa, Sahlgrenska akademin vid Göteborgs Universitet ; IVA/Postop Skaraborgs sjukhus Skövde ; FoU Skaraborgs sjukhus ; Skaraborgsinstitutet, Skövde (författare)

Att vårdas vaken med respirator : patienters och närståendes upplevelser från en intensivvårdsavdelning

BokSvenska2012

Förlag, utgivningsår, omfång ...

Göteborg :Institutionen för vårdvetenskap och hälsa vid Sahlgrenska akademin, Göteborgs universitet,2012
82 s.
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:his-24388
ISBN:9789162883584
2077/27823hdl
https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-24388URI
https://gup.ub.gu.se/publication/181173URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-10097URI

Kompletterande språkuppgifter

Språk:svenska
Sammanfattning på:engelska

Ingår i deldatabas

SwePubSwePub

Klassifikation

Ämneskategori:vet swepub-contenttype
Ämneskategori:dok swepub-publicationtype

Varianttitlar

Being conscious during mechanical ventilator treatment :Patients' and relatives' experiences

Anmärkningar

In recent years, light or no sedation has become a common approach in patients who require mechanical ventilation (MV) when cared for in an intensive care unit (ICU). This new approach has resulted in medical advantages as well as a shorter time on MV and in the ICU. Aim: The overall objective of the thesis was to describe, illuminate and interpret patients' and relatives' experiences of caring and communication in connection with MV while the patient is conscious. Methods: The data collection methods were inductive and included interviews and observations, both audiotaped and video-recorded. The study group consisted of patients and relatives; fourteen patients in paper I, twelve in paper II and nineteen in paper III as well as ten relatives in paper IV. In paper I, the video-recorded interviews were analysed using content analysis and hermeneutics. The text in paper II was analysed using the phenomenological-hermeneutic method inspired by Ricoeur. The observations in paper III were analysed by means of a hermeneutic approach based on Gadamer's philosophy. In paper IV, relatives were interviewed on two occasions. The text from these interviews was also analysed using a hermeneutic method inspired by Gadamer. Results: The patients experienced an overall sense of being breathless. While conscious, they were aware of the mechanical ventilator as a life saver. Besides being breathless, being voiceless was considered the worst aspect. Communication was difficult and awkward as it demanded all their will power. Patients' communication patterns varied but there were commonalities; they also developed an individual style of communication. Being subjected to someone else's will and direction meant being painfully aware of one's dependency. Despite this, the patients struggled for independence in various ways as part of the recovery process. Being conscious while receiving MV demands caring communication, which in turn requires proximity, presence and constant attention by a nurse who is "standing by" and prepared to take care of the patient whatever happens. The patients' non-verbal communication through their gaze and facial expression was interpreted as sadness and sorrow, understood as expressions of unuttered suffering. The overall struggle and primary existential aim of relatives in the ICU is to be in contact with the patient, a need which overshadows everything else. Conclusion: Being conscious during MV means being painfully aware of one's dependency while voiceless and helpless. It is possible to endure this situation when the caregivers are "standing by", attentive to the patients' expressions, prepared to act to make sure that the patients are feeling better and do not leave them unattended. Caring for a conscious patient on MV presupposes nurses' ability to understand and be able to "standing by". If this approach is not possible, consciousness might be too painful and sedation should be considered.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
intensive care
mechanical ventilation
conscious
patient communication
relatives
experiences
standing by
hermeneutics
phenomenological-hermeneutics
content analysis
Vårdvetenskap
Nursing science
intensive care
mechanical ventilation
conscious
patient
communication
relatives
experiences
standing by
hermeneutics
phenomenological-hermeneutics
content analysis

Biuppslag (personer, institutioner, konferenser, titlar ...)

Bergbom, Ingegerd (preses)
Forsberg, Anna (preses)
Nåden, Dagfinn,professorHøgskolen i Oslo og Akershus, Norge (opponent)
Göteborgs universitetInstitutionen för vårdvetenskap och hälsa (creator_code:org_t)

Internetlänk

http://hdl.handle.net/2077/27823Avhandlingen på Göteborgs universitet
https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-24388
https://gup.ub.gu.se/publication/181173
https://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-10097

Hitta via bibliotek

Att vårdas vaken med respirator patienters och närståendes upplevelser från en i... (Sök publikationen i LIBRIS)

Till lärosätets databas

Hitta mer i SwePub

Av författaren/redakt...: Karlsson, Veroni ...; Bergbom, Ingeger ...; Forsberg, Anna; Nåden, Dagfinn, ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap

Av lärosätet: Högskolan i Skövde; Göteborgs universitet; Högskolan Väst

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se