NORSK: Introduksjon: Vanskeligheter med kommunikasjon i perioden man er intubert eller trakeostom... more NORSK: Introduksjon: Vanskeligheter med kommunikasjon i perioden man er intubert eller trakeostomert og har behov for respiratorbehandling belyses både av teori og forskning. Trakeostomerte intensivpasienter er ofte helt våkne, men på grunn av trakeostomien og ulike faktorer som alvorlig sykdom og fysisk svekkelse vanskeliggjøres kommunikasjon. Hensikt: Studiens hensikt var å beskrive den trakeostomerte intensivpasientens opplevelse av kommunikasjon. Metode: En kvalitativ deskriptiv design er benyttet. Semistrukturerte intervju er utført med 11 deltakere, hvor alle hadde vært trakeostomert og innlagt på intensivavdeling for tre til 18 måneder siden. Deltakerne hadde vært trakeostomert fra tre til 27 dager. Datainnsamlingen ble utført fra juni til august 2013. Induktiv innholdsanalyse ble anvendt for å analysere datamaterialet. Resultat: ”Opplevelse av omsorg og forståelse på tross av ubehagelige følelser knyttet til besværlig kommunikasjon” kom frem som et hovedtema. Tre kategorier ...
An increasing number of individuals receive and survive intensive care treatment; however, severa... more An increasing number of individuals receive and survive intensive care treatment; however, several individuals experience problems afterward, which may threaten recovery. Grounded in a lifeworld approach, the aim of this study was to explore and describe what intensive care patients experience as limiting and strengthening throughout their illness trajectories. Ten former intensive care patients were interviewed three to eight months after hospital discharge. Using Giorgi’s phenomenological analysis, a general structure of gaining strength through a caring interaction with others was revealed. The structure consisted of three constituents: feeling safe through a caring presence, being seen and met as a unique person, and being supported to restore capacity. Being met with a humanistic approach and individualized care appeared to be important, and the findings are discussed within the framework of lifeworld-led care. To facilitate improved aftercare of the critically ill, more tailor...
To describe how tracheostomised patients in intensive care experience acts of communication and t... more To describe how tracheostomised patients in intensive care experience acts of communication and to better understand their experiences in the context of the transitions theory. Waking up in an intensive care unit unable to speak because of mechanical ventilation can be challenging. Communication aids are available, but patients still report difficulties communicating. Investigating how mechanically ventilated patients experience communication in the context of the transitions theory might elucidate new ways of supporting them during their transitions while being ventilated. A qualitative, descriptive design. Eleven patients who had previously been tracheostomised in an intensive care unit were included in this quality improvement project conducted in a university hospital in Norway. Participants were tracheostomised from 3-27 days. Semistructured interviews were conducted from June 2013-August 2013, 3-18 months after hospital discharge. Transcripts were analysed using inductive cont...
NORSK: Introduksjon: Vanskeligheter med kommunikasjon i perioden man er intubert eller trakeostom... more NORSK: Introduksjon: Vanskeligheter med kommunikasjon i perioden man er intubert eller trakeostomert og har behov for respiratorbehandling belyses både av teori og forskning. Trakeostomerte intensivpasienter er ofte helt våkne, men på grunn av trakeostomien og ulike faktorer som alvorlig sykdom og fysisk svekkelse vanskeliggjøres kommunikasjon. Hensikt: Studiens hensikt var å beskrive den trakeostomerte intensivpasientens opplevelse av kommunikasjon. Metode: En kvalitativ deskriptiv design er benyttet. Semistrukturerte intervju er utført med 11 deltakere, hvor alle hadde vært trakeostomert og innlagt på intensivavdeling for tre til 18 måneder siden. Deltakerne hadde vært trakeostomert fra tre til 27 dager. Datainnsamlingen ble utført fra juni til august 2013. Induktiv innholdsanalyse ble anvendt for å analysere datamaterialet. Resultat: ”Opplevelse av omsorg og forståelse på tross av ubehagelige følelser knyttet til besværlig kommunikasjon” kom frem som et hovedtema. Tre kategorier ...
An increasing number of individuals receive and survive intensive care treatment; however, severa... more An increasing number of individuals receive and survive intensive care treatment; however, several individuals experience problems afterward, which may threaten recovery. Grounded in a lifeworld approach, the aim of this study was to explore and describe what intensive care patients experience as limiting and strengthening throughout their illness trajectories. Ten former intensive care patients were interviewed three to eight months after hospital discharge. Using Giorgi’s phenomenological analysis, a general structure of gaining strength through a caring interaction with others was revealed. The structure consisted of three constituents: feeling safe through a caring presence, being seen and met as a unique person, and being supported to restore capacity. Being met with a humanistic approach and individualized care appeared to be important, and the findings are discussed within the framework of lifeworld-led care. To facilitate improved aftercare of the critically ill, more tailor...
To describe how tracheostomised patients in intensive care experience acts of communication and t... more To describe how tracheostomised patients in intensive care experience acts of communication and to better understand their experiences in the context of the transitions theory. Waking up in an intensive care unit unable to speak because of mechanical ventilation can be challenging. Communication aids are available, but patients still report difficulties communicating. Investigating how mechanically ventilated patients experience communication in the context of the transitions theory might elucidate new ways of supporting them during their transitions while being ventilated. A qualitative, descriptive design. Eleven patients who had previously been tracheostomised in an intensive care unit were included in this quality improvement project conducted in a university hospital in Norway. Participants were tracheostomised from 3-27 days. Semistructured interviews were conducted from June 2013-August 2013, 3-18 months after hospital discharge. Transcripts were analysed using inductive cont...
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