4.4 Article

The experience of intensive care nurses caring for patients with delirium: A phenomenological study

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INTENSIVE AND CRITICAL CARE NURSING
卷 44, 期 -, 页码 92-98

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ELSEVIER SCI LTD
DOI: 10.1016/j.iccn.2017.09.002

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Critical care; Critical care nursing; Delirium; ICU delirium; Intensive care; Nursing; Phenomenology

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Objectives: The purpose of this research was to seek to understand the lived experience of intensive care nurses caring for patients with delirium. The objectives of this inquiry were: 1) To examine intensive care nurses' experiences of caring for adult patients with delirium; 2) To identify factors that facilitate or hinder intensive care nurses caring for these patients. Research methodology: This study utilised an interpretive phenomenological approach as described by van Manen. Setting: Individual conversational interviews were conducted with eight intensive care nurses working in a tertiary level, university-affiliated hospital in Canada. Findings: The essence of the experience of nurses caring for patients with delirium in intensive care was revealed to be finding a way to help them come through it. Six main themes emerged: It's Exhausting; Making a Picture of the Patient's Mental Status; Keeping Patients Safe: It's aReally BigJob; Everyone Is Unique; Riding It Out With Families and Taking Every Experience With You. Conclusion: The findings contribute to an understanding of how intensive care nurses help patients and their families through this complex and distressing experience. (c) 2017 Elsevier Ltd. All rights reserved.

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