Critical Care Nursing

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Vbg Intensive and Critical Care Nursing
Article in Press, Corrected Proof - Note to users http://www.sciencedirect.com/science

doi:10.1016/j.iccn.2011.01.001 | How to Cite or Link Using DOI Copyright © 2011 Elsevier Ltd All rights reserved. |
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Original article
The experiences of patients and their families of visiting whilst in an intensive care unit – A hermeneutic interview study

References and further reading may be available for this article. To view references and further reading you must purchase this article. Thomas Erikssona, b, , , Ingegerd Bergbomb, and Berit Lindahlc, a CIVA/96, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden b Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, SE-405 30 Göteborg, Sweden c School of Health Sciences, Borås University College, Allégatan 1, SE-501 90 Borås, Sweden Accepted 7 January 2011. 

Available online 1 February 2011.

Summary
Aim
The aim of this study was to interpret and understand the meanings of the lived experiences of visiting of patients in an ICU and their families. Method
The research design was hermeneutic, based on interviews. This study includes 12 interviews with seven patients and five relatives who had been in an ICU. The interview text was interpreted in a Gadamerian manner as different plays with actors and plots. Findings

Patients’ narratives could be divided into two parts; recall of real life and unreal life experiences, the unreal being more common. Relatives’ narratives are described as being on stage and being backstage, i.e. in the room with the patient and outside it. Conclusion

The final interpretation elucidated the experience of visiting as the sudden shift between being present in real life vs. being present in the real life of unreality. It was a process whereby the patient and the family build a new understanding of life that creates a new form of interplay within the family. The pre-critical illness life is no longer there – a new life has begun. To support patients and their families in this process of change a family-centred care perspective is necessary. Keywords: Hermeneutics; Experiences; ICU patient; Family; Visiting

http://www.sciencedirect.com/science
Thai nurses’ experience of caring for persons with life-sustaining technologies in intensive care settings: A phenomenological study

References and further reading may be available for this article. To view references and further reading you must purchase this article. Waraporn Kongsuwana, , and Rozzano C. Locsinb, 1,
a Medical Nursing Department, Faculty of Nursing, Prince of Songkla University, Hat Yai, Songkhla 90112, Thailand b Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL 33431, USA Accepted December 22 , 2010. 

Available online 20 January 2011.

Summary
Technological competency as caring in nursing is grounded in the viewpoint that health care technologies are used to know persons. This study described the experiences of eight Thai nurses caring for persons with life-sustaining technologies in adult intensive care settings. Using individual semi-structured interviews, Van Manen's hermeneutic phenomenological approach was used to analyze the data. Nine thematic categories formed the description of the experience of caring for. The experience of caring for is described as valuing competency to care despite differing insecurities in the use of technology. Influenced by relationships and compassion, the risk that technology prevented an appreciation of persons as wholes is embodied in the encouraging collaboration of fostering time to care regardless of being in a restricted space surrounded with technology. Locsin's theory of Technological Competency as Caring in Nursing serves as theoretical lens through which findings are discussed. These findings should assist nurses achieve quality human care in intensive care...
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