Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital

The patient experience of intensive care: a meta-synthesis of Nordic studies

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Trends and recommendations for critical care nursing research in the Nordic countries: Triangulation of review and survey data

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Long-term patient-important outcomes after septic shock: a protocol for 1-year follow-up of the CLASSIC-trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. International perspectives on the pediatric nurse practitioner role

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Patients' perceptions of an intensive care unit diary written by relatives: A hermeneutic phenomenological study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Ingrid Egerod
  • Ingegerd Bergbom
  • Berit Lindahl
  • Maria Henricson
  • Anetth Granberg-Axell
  • Sissel Lisa Storli
Vis graf over relationer

BACKGROUND: Sedation practices in the intensive care unit have evolved from deep sedation and paralysis toward lighter sedation and better pain management. The new paradigm of sedation has enabled early mobilization and optimized mechanical ventilator weaning. Intensive care units in the Nordic countries have been particularly close to goals of lighter or no sedation and a more humane approach to intensive care.

OBJECTIVES: The aim of our study was to systematically review and reinterpret newer Nordic studies of the patient experience of intensive care to obtain a contemporary description of human suffering during life-threatening illness.

DESIGN: We conducted a meta-synthesis in which we collected, assessed, and analyzed published qualitative studies with the goal of synthesizing these findings into a new whole. Analysis was based on the scientific approach of Gadamerian hermeneutics.

SETTINGS: Nordic intensive care units.

PARTICIPANTS: Patients in Nordic intensive care units.

METHODS: We performed a literature search of qualitative studies of the patient experience of intensive care based on Nordic publications in 2000-2013. We searched the following databases: PubMed, CINAHL, Scopus, and PsycINFO. Each original paper was assessed by all authors using the Critical Appraisal Skills Program instrument for qualitative research. We included 22 studies, all of which provided direct patient quotes.

RESULTS: The overarching theme was identified as: The patient experience when existence itself is at stake. We constructed an organizing framework for analysis using the main perspectives represented in the included studies: body, mind, relationships, and ICU-environment. Final analysis and interpretation resulted in the unfolding of four themes: existing in liminality, existing in unboundedness, existing in mystery, and existing on the threshold.

CONCLUSIONS: Our main finding was that human suffering during intensive care is still evident although sedation is lighter and the environment is more humane. Our interpretation suggested that patients with life-threatening illness descend into a liminal state, where they face the choice of life or death. Caring nurses and family members play an important role in assisting the patient to transition back to life.

TidsskriftInternational Journal of Nursing Studies
Udgave nummer8
Sider (fra-til)1354-61
Antal sider8
StatusUdgivet - aug. 2015

ID: 46004169