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A trajectory towards partnership in care: patient experiences of autonomy in intensive care, a qualitative study
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
2015 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 31, no 5, p. 294-302Article in journal (Refereed)
Abstract [en]

The aim of this study was to describe and elucidate patient experinces of autonomy in an intensive care context from a caring perspective. Patients in intensive care units (ICUs) are critically ill and in a dependent and vulnerable position. There is thus a risk of staff taking command not only of the patients' vital functions but also of their decision-making. A qualitative design was selected. Individual interviews were conducted with 11 adult patients with an intensive care episode of two days or more at six Swedish ICUs. Data were analysed using Inductive Content Analysis. Patient autonomy in intensive care was shown to be "A trajectory towards partnership in care depending on state of health and mutual understanding". It was experienced through acknowledged dependence, being recognised as a person, invited participation and becoming a co-partner in care. Patients in need of intensive care wanted to be involved in making decisions about their care as this creates a trusting and healthy care environment. Greater awarness is required about the ICU patient not only being a passive care recipient but also an active agent and where involvment in decision-making and participation in care are crucial.

Place, publisher, year, edition, pages
Elsevier, 2015. Vol. 31, no 5, p. 294-302
Keywords [en]
Content analysis, intensive care, interviews, patient autonomy, qualitative research
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-5139DOI: 10.1016/j.iccn.2015.04.003ISI: 000362147700005PubMedID: 26279390Scopus ID: 2-s2.0-84941738418Local ID: 19788OAI: oai:DiVA.org:mau-5139DiVA, id: diva2:1401993
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved

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Willman, Ania

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CiteExportLink to record
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