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A trajectory towards partnership in care - Patient experiences of autonomy in intensive care: A qualitative study
Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
2015 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 31, no 5, 294-302 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to describe and elucidate patient experiences of autonomy in an intensive care context from a caring perspective. Background: Patients in intensive care units (ICUs) are critically ill and in a dependent and vulnerable position. There is thus a risk of staff taking command not only of the patients’ vital functions but also of their decision-making. Methods: A qualitative design was selected. Individual interviews were conducted with 11 adult patients with an intensive care episode of two days or more at six Swedish ICUs. The data were analysed using Inductive Content Analysis. Findings: Patient autonomy in intensive care was shown to be ’A trajectory towards partnership in care depending on state of health and mutual understanding’. It was experienced through acknowledged dependence, being recognised as a person, invited participation and becoming a co-partner in care. Conclusion: Patients in need of intensive care wanted to be involved in making decisions about their care as this creates a trusting and healthy care environment. Greater awareness is required about the ICU patient not only being a passive care recipient but also an active agent and where involvement in decision-making and participation in care are crucial. © 2015 Elsevier Ltd.

Place, publisher, year, edition, pages
2015. Vol. 31, no 5, 294-302 p.
Keyword [en]
Caring; Content analysis; Intensive care; Interviews; Patient Autonomy; Qualitative research
National Category
Nursing
Identifiers
URN: urn:nbn:se:bth-10886DOI: 10.1016/j.iccn.2015.04.003ISI: 000362147700005Scopus ID: 2-s2.0-84941738418OAI: oai:DiVA.org:bth-10886DiVA: diva2:864262
Available from: 2015-10-26 Created: 2015-10-26 Last updated: 2015-11-26Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf