Critical care nurses' perception of patient involvement in care: A qualitative focus group

Anja Egelund Hansen; Lene Lehmkuhl; Anne Højager Nielsen

doi:10.1111/nicc.12815

Critical care nurses' perception of patient involvement in care: A qualitative focus group

Anja Egelund Hansen^*, Lene Lehmkuhl, Anne Højager Nielsen

^*Corresponding author for this work

Department of Clinical Medicine - Operation og Intensiv, RHG

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

Background: Patient involvement in care in the intensive care unit (ICU) is complex. Knowledge about the nature and extent of patient involvement in the Intensive care unit is scarce. Aim: The aim of the study was to explore the critical care nursing staff's perception of patient involvement in their care in the ICU. Design: A phenomenological, hermeneutic research study was carried out using qualitative data. Data were collected in two focus group interviews analysed using Ricoeur's theory of interpretation. The study was conducted in a level 2 medical-surgical 8-bed ICU in a regional hospital in Southern Denmark. Results: Critical care nurses found it important to maintain involvement in intensive care. Depending on the patient's ability to partake in care, approaches for patient involvement ranged from (1) continually adjusting care activities according to the patient's bodily responses, (2) formation of a relationship with the patient to enable personalized care and (3) making room for self-determined care progressing with the patient's recovery. Conclusion: Critical care nurses' perception of patient involvement depended on the patient's level of consciousness. When unconscious, patient involvement was possible but took a physical approach. However, the power inequality in the nurse–patient relationship must be expressed if patient involvement in the ICU is to take place. Relevance to Clinical Practice: Results suggest that nurses' perception of patient involvement in the ICU depends on the patient's level of consciousness. Patient involvement may be possible even when the patient is unconscious but it takes a more physical approach. It is essential that the power inequality in the nurse–patient relationship must be expressed if patient involvement in the ICU is to take place.

Original language	English
Journal	Nursing in Critical Care
Volume	28
Issue	6
Pages (from-to)	878-884
Number of pages	7
ISSN	1362-1017
DOIs	https://doi.org/10.1111/nicc.12815
Publication status	Published - Nov 2023

Keywords

critical care
focus group interview
patient involvement
patient participation
qualitative
Intensive Care Units
Humans
Patient Participation
Focus Groups
Nurses
Critical Care
Perception
Qualitative Research

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Nursing in Critical Care - 2022 - Egelund Hansen - Critical care nurses perception of patient involvement in care AFinal published version, 732 KBLicence: CC BY

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title = "Critical care nurses' perception of patient involvement in care: A qualitative focus group",

abstract = "Background: Patient involvement in care in the intensive care unit (ICU) is complex. Knowledge about the nature and extent of patient involvement in the Intensive care unit is scarce. Aim: The aim of the study was to explore the critical care nursing staff's perception of patient involvement in their care in the ICU. Design: A phenomenological, hermeneutic research study was carried out using qualitative data. Data were collected in two focus group interviews analysed using Ricoeur's theory of interpretation. The study was conducted in a level 2 medical-surgical 8-bed ICU in a regional hospital in Southern Denmark. Results: Critical care nurses found it important to maintain involvement in intensive care. Depending on the patient's ability to partake in care, approaches for patient involvement ranged from (1) continually adjusting care activities according to the patient's bodily responses, (2) formation of a relationship with the patient to enable personalized care and (3) making room for self-determined care progressing with the patient's recovery. Conclusion: Critical care nurses' perception of patient involvement depended on the patient's level of consciousness. When unconscious, patient involvement was possible but took a physical approach. However, the power inequality in the nurse–patient relationship must be expressed if patient involvement in the ICU is to take place. Relevance to Clinical Practice: Results suggest that nurses' perception of patient involvement in the ICU depends on the patient's level of consciousness. Patient involvement may be possible even when the patient is unconscious but it takes a more physical approach. It is essential that the power inequality in the nurse–patient relationship must be expressed if patient involvement in the ICU is to take place.",

keywords = "critical care, focus group interview, patient involvement, patient participation, qualitative, Intensive Care Units, Humans, Patient Participation, Focus Groups, Nurses, Critical Care, Perception, Qualitative Research",

author = "{Egelund Hansen}, Anja and Lene Lehmkuhl and {H{\o}jager Nielsen}, Anne",

year = "2023",

month = nov,

doi = "10.1111/nicc.12815",

language = "English",

volume = "28",

pages = "878--884",

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issn = "1362-1017",

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Critical care nurses' perception of patient involvement in care: A qualitative focus group. / Egelund Hansen, Anja; Lehmkuhl, Lene; Højager Nielsen, Anne.
In: Nursing in Critical Care, Vol. 28, No. 6, 11.2023, p. 878-884.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Critical care nurses' perception of patient involvement in care

T2 - A qualitative focus group

AU - Egelund Hansen, Anja

AU - Lehmkuhl, Lene

AU - Højager Nielsen, Anne

PY - 2023/11

Y1 - 2023/11

N2 - Background: Patient involvement in care in the intensive care unit (ICU) is complex. Knowledge about the nature and extent of patient involvement in the Intensive care unit is scarce. Aim: The aim of the study was to explore the critical care nursing staff's perception of patient involvement in their care in the ICU. Design: A phenomenological, hermeneutic research study was carried out using qualitative data. Data were collected in two focus group interviews analysed using Ricoeur's theory of interpretation. The study was conducted in a level 2 medical-surgical 8-bed ICU in a regional hospital in Southern Denmark. Results: Critical care nurses found it important to maintain involvement in intensive care. Depending on the patient's ability to partake in care, approaches for patient involvement ranged from (1) continually adjusting care activities according to the patient's bodily responses, (2) formation of a relationship with the patient to enable personalized care and (3) making room for self-determined care progressing with the patient's recovery. Conclusion: Critical care nurses' perception of patient involvement depended on the patient's level of consciousness. When unconscious, patient involvement was possible but took a physical approach. However, the power inequality in the nurse–patient relationship must be expressed if patient involvement in the ICU is to take place. Relevance to Clinical Practice: Results suggest that nurses' perception of patient involvement in the ICU depends on the patient's level of consciousness. Patient involvement may be possible even when the patient is unconscious but it takes a more physical approach. It is essential that the power inequality in the nurse–patient relationship must be expressed if patient involvement in the ICU is to take place.

AB - Background: Patient involvement in care in the intensive care unit (ICU) is complex. Knowledge about the nature and extent of patient involvement in the Intensive care unit is scarce. Aim: The aim of the study was to explore the critical care nursing staff's perception of patient involvement in their care in the ICU. Design: A phenomenological, hermeneutic research study was carried out using qualitative data. Data were collected in two focus group interviews analysed using Ricoeur's theory of interpretation. The study was conducted in a level 2 medical-surgical 8-bed ICU in a regional hospital in Southern Denmark. Results: Critical care nurses found it important to maintain involvement in intensive care. Depending on the patient's ability to partake in care, approaches for patient involvement ranged from (1) continually adjusting care activities according to the patient's bodily responses, (2) formation of a relationship with the patient to enable personalized care and (3) making room for self-determined care progressing with the patient's recovery. Conclusion: Critical care nurses' perception of patient involvement depended on the patient's level of consciousness. When unconscious, patient involvement was possible but took a physical approach. However, the power inequality in the nurse–patient relationship must be expressed if patient involvement in the ICU is to take place. Relevance to Clinical Practice: Results suggest that nurses' perception of patient involvement in the ICU depends on the patient's level of consciousness. Patient involvement may be possible even when the patient is unconscious but it takes a more physical approach. It is essential that the power inequality in the nurse–patient relationship must be expressed if patient involvement in the ICU is to take place.

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KW - Perception

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ER -

Critical care nurses' perception of patient involvement in care: A qualitative focus group

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