Research Summary and Ethical Consideration
Critically ill patients often require lifesaving interventions, such as mechanical ventilation (MV) to replace or assist in spontaneous breathing. To achieve this intervention, a machine called a ventilator is used. Hospitalization that is complicated by intensive care stays and mechanical ventilation is both difficult and stressful for patients and their families. Patients not only have to the endure pain and discomfort associated with MV, but they also are unable to communicate due to an endotreachal tube which has been inserted down their throat. Often, they may also have sedation that accompanies intubations. Patients who are mechanically ventilated are fully dependent on medical personnel for all basic activities of daily living. This research summary and ethical consideration analysis is based on the article published in the Journal of Clinical Nursing by Wang, K., Zhang, B., Li, C., & Wang, C. In 2009 “Qualitative Analysis of Patients; Intensive Care Experience During Mechanical Ventilation.” Providing holistic nursing care in ventilated patients is a vital component in achieving positive patient outcome, as well as in decreasing their anxiety and helplessness during intubation time. The research indicates that due to nursing shortages and task-oriented nursing, such care is not always provided in China. They also communicate the importance of excellent nursing care, and understanding the feelings and frustrations of ventilator dependent patients. Background of Study
An increasing number of research studies on MV patient's experiences have been done globally in the past several years. However, not many of those studies were done in Asia. The holistic nursing approach that accounts for a person-centered approach has been used since the early 1990s. According to Frisch (2001), “The holistic nurse is an instrument of healing and a facilitator in the healing process. Holistic nurses honor the individual's subjective experience about health, health beliefs, and values” (Standards for Holistic Nursing, para. 6). The essence of holistic nursing is to treat and provide care to each patient as an individual and unique entity, and to integrate spiritual and cultural values. The purpose of the study is to explore the subjective experience of patients mechanically ventilated who lived in China, and to validate and broaden previous work. A specific aim of the researchers was to better understand and analyze the experiences of intubated patients and to help nurses develop appropriate approaches to take holistic care of those patients. The researchers demonstrate the significance of the study to nursing practice by combining psychological, and technological interventions with providing compassionate care to help ease discomfort and suffering of mechanically ventilated patients. Finally, they explain that this research findings could enhance understanding of experiences of fear, frustration and suffering of those patients. It is the critical care nurses prerogative to assess, anticipate and implement life saving measures to critically ill patients, and to provide comfort and a sense of security. Methods of Study
Writes used qualitative methods of study for this research. The design used was an ontological phenomenological design with purposive sampling, to assist in best communicating their findings. An ontological phenomenological method of German philosopher Martin Heidegger was applied. Heidegger emphasizes that humans cannot separate themselves from the world. This research was conducted between June 2006-July 2007, in University Hospital in Beijing. A sample of randomly selected patients of ICU survivors who had experienced traumatic events and had been on mechanical ventilator treatment for 48hrs or more. One of the standards used in making sampling decisions were that the person should be able to make accurate testimony about their ICU experience....
References: Frisch, N. (2001). Standards for Holistic Nursing Practice: A Way to Think About Our Care That Includes Complementary and Alternative Modalities. The Online Journal of Issues in Nursing. A Scholarly Journal of the American Nurses Association.Volume 6, May-2001. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume62001/No2May01/HolisticNursingPractice.aspx.
Wang, K., Zhang, B., Li, C., & Wang, C. (2009). Qualitative analysis of patients ' intensive care experience during mechanical ventilation. Journal Of Clinical Nursing, 18(2), 183-190. doi:http://dx.doi.org.library.gcu.edu:2048/10.1111/j.1365-2702.2008.02518.x
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