Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Caring for non-sedated mechanically ventilated patients in ICU: A qualitative study comparing perspectives of expert and competent nurses

Research output: Contribution to journalJournal articleResearchpeer-review

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

    Research output: Contribution to journalJournal articleResearchpeer-review

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

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Reprint of Recovery programme for ICU survivors has no effect on relatives' quality of life: Secondary analysis of the RAPIT-study

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: Sedation practice has evolved from deep to lighter or no sedation in mechanically ventilated patients in the intensive care unit (ICU). The care of conscious intubated patients constitutes a change in the nurse-patient interaction.

OBJECTIVE: We aimed to compare the perspectives of expert and competent nurses regarding their interaction with non-sedated mechanically ventilated ICU patients.

METHOD: The study had a qualitative comparative design applying semi-structured dyadic interviews. We interviewed five pairs of expert and competent ICU nurses with respectively >8 and 2-3 years of ICU experience and performed qualitative content analysis to explore the two perspectives.

FINDINGS: We identified four main categories illustrating complexities of nurse-patient interaction: Managing frustration, Attempting dialogue, Negotiating reality and Alleviating discomfort. Expert nurses expressed more frustration and ambivalence towards light sedation than competent nurses, who took awake patients for granted. All nurses experienced communication issues, demanding patients, and inability to provide adequate patient comfort.

CONCLUSION: Our study added to the knowledge of nurse-patient interaction by describing issues of frustration, ambivalence and insecurity in a contemporary context of minimal sedation. Expert nurses were mere concerned by awake patients than competent nurses. Lighter sedation in ICU requires better staffing and improved communication tools.

Original languageEnglish
JournalIntensive and Critical Care Nursing
Volume52
Pages (from-to)35-41
Number of pages7
ISSN0964-3397
DOIs
Publication statusPublished - Jun 2019

    Research areas

  • Adult, Denmark, Female, Humans, Intensive Care Units/organization & administration, Male, Middle Aged, Nurse-Patient Relations, Nurses/psychology, Nursing Care/methods, Qualitative Research, Respiration, Artificial/adverse effects

ID: 58616306