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Visits in an intensive care unit-An observational hermeneutic study

Eriksson, Thomas ; Lindahl, Berit LU and Bergbom, Ingegerd (2010) In Intensive and Critical Care Nursing 26(1). p.51-57
Abstract

Aim: The aim was to interpret the interplay between critically ill patients and their next of kin in an ICU and to disclose a deeper understanding of the visiting situation. Method: A hermeneutic research design with non-participant observation was chosen as the data collection method. Ten observations of 10 patients and 24 loved ones over a 20-h period were conducted. The text describing the observations of the interplay was interpreted in accordance with Gadamer's thoughts. Data were analysed by considering the text as a play with scenes, actors and plots. Findings: Due to their medical condition the patients were unable to use their bodies in the usual way, which sends different signals to their loved ones, who in turn have... (More)

Aim: The aim was to interpret the interplay between critically ill patients and their next of kin in an ICU and to disclose a deeper understanding of the visiting situation. Method: A hermeneutic research design with non-participant observation was chosen as the data collection method. Ten observations of 10 patients and 24 loved ones over a 20-h period were conducted. The text describing the observations of the interplay was interpreted in accordance with Gadamer's thoughts. Data were analysed by considering the text as a play with scenes, actors and plots. Findings: Due to their medical condition the patients were unable to use their bodies in the usual way, which sends different signals to their loved ones, who in turn have difficulty deciding how to respond. Both parties become, in a manner of speaking, trapped or locked out by their own bodies. Conclusion: The physical environment became a hindrance to the interplay as it was designed for medical and technical use and thus did not promote healing. The professionals are important for interpreting the signals from both patients and next of kin, as well as for finding caring strategies, such as physical contact that promote interplay, which in turn strengthens connectedness.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Critical care, Hermeneutics, Observations, Visitors to patients
in
Intensive and Critical Care Nursing
volume
26
issue
1
pages
51 - 57
publisher
Elsevier
external identifiers
  • scopus:73849086883
  • pmid:19910196
ISSN
0964-3397
DOI
10.1016/j.iccn.2009.09.005
language
English
LU publication?
no
id
53f5c10c-1887-4d58-b8b4-8e8bb9f15191
date added to LUP
2020-04-15 15:00:20
date last changed
2024-05-01 09:30:58
@article{53f5c10c-1887-4d58-b8b4-8e8bb9f15191,
  abstract     = {{<p>Aim: The aim was to interpret the interplay between critically ill patients and their next of kin in an ICU and to disclose a deeper understanding of the visiting situation. Method: A hermeneutic research design with non-participant observation was chosen as the data collection method. Ten observations of 10 patients and 24 loved ones over a 20-h period were conducted. The text describing the observations of the interplay was interpreted in accordance with Gadamer's thoughts. Data were analysed by considering the text as a play with scenes, actors and plots. Findings: Due to their medical condition the patients were unable to use their bodies in the usual way, which sends different signals to their loved ones, who in turn have difficulty deciding how to respond. Both parties become, in a manner of speaking, trapped or locked out by their own bodies. Conclusion: The physical environment became a hindrance to the interplay as it was designed for medical and technical use and thus did not promote healing. The professionals are important for interpreting the signals from both patients and next of kin, as well as for finding caring strategies, such as physical contact that promote interplay, which in turn strengthens connectedness.</p>}},
  author       = {{Eriksson, Thomas and Lindahl, Berit and Bergbom, Ingegerd}},
  issn         = {{0964-3397}},
  keywords     = {{Critical care; Hermeneutics; Observations; Visitors to patients}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{1}},
  pages        = {{51--57}},
  publisher    = {{Elsevier}},
  series       = {{Intensive and Critical Care Nursing}},
  title        = {{Visits in an intensive care unit-An observational hermeneutic study}},
  url          = {{http://dx.doi.org/10.1016/j.iccn.2009.09.005}},
  doi          = {{10.1016/j.iccn.2009.09.005}},
  volume       = {{26}},
  year         = {{2010}},
}