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Providing good and comfortable care by building a bond of trust”: nurses views regarding their role in patients’ perception of safety in the Intensive Care Unit

Providing good and comfortable care by building a bond of trust”: nurses views regarding their role in patients’ perception of safety in the Intensive Care Unit
Providing good and comfortable care by building a bond of trust”: nurses views regarding their role in patients’ perception of safety in the Intensive Care Unit
AIMS AND OBJECTIVES: To describe and understand intensive care unit (ICU) nurses' views regarding their role in ICU patients' perception of safety.

BACKGROUND: Feeling safe is an important issue for ICU patients. Not feeling safe may result in adverse effects including traumatic experiences, having nightmares and feeling depressed. Nursing care plays a major role in patients' perception of safety. However, it is unknown whether ICU nurses are aware of this role.

DESIGN: A grounded theory approach following Corbin and Strauss.

METHODS: A total of 13 participants were included in the study following maximum variation sampling, by selecting ICU nurses who differed in gender, age, work experience as registered ICU nurse, and were employed in different IC units. In-depth interviews were performed using open-ended questions guided by a topic list with broad question areas. Data collection and analysis were executed during an iterative process.

RESULTS: The core category, building a bond of trust to provide good and comfortable care, arose from four main categories: explaining and informing ICU patients, using patients' family bond, ICU nurses' attitudes and expertise, and creating physical safety.

CONCLUSION: The ICU nurses stated that they were not explicitly aware of ICU patients' perception of safety, but that they strived to provide good and comfortable care, through building a bond of trust with their patients. According to the nurses, a bond of trust is essential for patients to feel safe in the ICU.

RELEVANCE TO CLINICAL PRACTICE: The importance of feeling safe in ICU patients should be addressed within the education and clinical practice of ICU nurses, to ensure that they become aware of ICU patients' perception of safety.
feeling safe, grounded theory, intensive care unit, nurse role, qualitative research
0962-1067
Wassenaar, A.
33d05890-f5d7-4530-9d60-dc7287e55258
van den Boogaard, M.
957b111a-8c54-4cd1-87ff-c8852198eacd
van der Hooft, T.
eaf99334-cd61-4f16-880e-c05537a8fb7f
Pickkers, P.
8fa9ec7b-278d-4fd1-9f98-1dca3d54fbf4
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Wassenaar, A.
33d05890-f5d7-4530-9d60-dc7287e55258
van den Boogaard, M.
957b111a-8c54-4cd1-87ff-c8852198eacd
van der Hooft, T.
eaf99334-cd61-4f16-880e-c05537a8fb7f
Pickkers, P.
8fa9ec7b-278d-4fd1-9f98-1dca3d54fbf4
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de

Wassenaar, A., van den Boogaard, M., van der Hooft, T., Pickkers, P. and Schoonhoven, Lisette (2015) Providing good and comfortable care by building a bond of trust”: nurses views regarding their role in patients’ perception of safety in the Intensive Care Unit. Journal of Clinical Nursing. (doi:10.1111/jocn.12995). (PMID:26374345)

Record type: Article

Abstract

AIMS AND OBJECTIVES: To describe and understand intensive care unit (ICU) nurses' views regarding their role in ICU patients' perception of safety.

BACKGROUND: Feeling safe is an important issue for ICU patients. Not feeling safe may result in adverse effects including traumatic experiences, having nightmares and feeling depressed. Nursing care plays a major role in patients' perception of safety. However, it is unknown whether ICU nurses are aware of this role.

DESIGN: A grounded theory approach following Corbin and Strauss.

METHODS: A total of 13 participants were included in the study following maximum variation sampling, by selecting ICU nurses who differed in gender, age, work experience as registered ICU nurse, and were employed in different IC units. In-depth interviews were performed using open-ended questions guided by a topic list with broad question areas. Data collection and analysis were executed during an iterative process.

RESULTS: The core category, building a bond of trust to provide good and comfortable care, arose from four main categories: explaining and informing ICU patients, using patients' family bond, ICU nurses' attitudes and expertise, and creating physical safety.

CONCLUSION: The ICU nurses stated that they were not explicitly aware of ICU patients' perception of safety, but that they strived to provide good and comfortable care, through building a bond of trust with their patients. According to the nurses, a bond of trust is essential for patients to feel safe in the ICU.

RELEVANCE TO CLINICAL PRACTICE: The importance of feeling safe in ICU patients should be addressed within the education and clinical practice of ICU nurses, to ensure that they become aware of ICU patients' perception of safety.

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More information

Accepted/In Press date: 18 July 2015
e-pub ahead of print date: 15 August 2015
Keywords: feeling safe, grounded theory, intensive care unit, nurse role, qualitative research
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 380949
URI: http://eprints.soton.ac.uk/id/eprint/380949
ISSN: 0962-1067
PURE UUID: 2a746e69-f6da-4bf5-9ae9-10c36b3f1d6f
ORCID for Lisette Schoonhoven: ORCID iD orcid.org/0000-0002-7129-3766

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Date deposited: 21 Sep 2015 13:49
Last modified: 15 Mar 2024 03:41

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Contributors

Author: A. Wassenaar
Author: M. van den Boogaard
Author: T. van der Hooft
Author: P. Pickkers

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