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Nurses' clinical experiences of the inverse bed position on a neurointensive care unit - A phenomenographic study
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Nursing Science.
2003 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, Vol. 19, no 5, 289-298 p.Article in journal (Refereed) Published
Abstract [en]

Our knowledge of unstable critically ill patients placed in an inverse bed position on the neurointensive care unit (NICU) is fairly limited. The purpose of this study was to ascertain the variation in nurses' conceptions of the impact of clinical experiences on the care and working environments among patients with the head towards the centre of the room on an NICU. An important research question was: how is the nursing care of patients facing inwards on an NICU perceived? Interviews were conducted and analysed with 15 nurses, using the method of phenomenography. From a nursing perspective, four descriptive categories were found, which partly distinguished the nursing psychosocial environment from the physical environment. These were safety and security of mobile computer tomography (CT) on the NICU, availability and overview, integrated holistic view in an open nursing psychosocial environment and adaptation of practical equipment. In conclusion, inverse bed position is important for more individualised neurointensive nursing care among unstable patients subjected to frequent CT scans on the unit. More stable patients should be turned back to the traditional bed position in order to promote their recovery process. This new knowledge is important for the development of quality assurance, with regard to, amongst other things, the patient's dignity. ⌐ 2003 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2003. Vol. 19, no 5, 289-298 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-28416DOI: 10.1016/S0964-3397(03)00062-4Local ID: 13553OAI: diva2:249222
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2011-01-13

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Edell-Gustafsson, Ulla
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