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Intensive care unit patients' experience of being conscious during endotracheal intubation and mechanical ventilation.
- Source :
- Nursing in Critical Care; Mar2017, Vol. 22 Issue 2, p81-88, 8p
- Publication Year :
- 2017
-
Abstract
- ABSTRACT Background There is a change in paradigm in intensive care units with trends towards lighter sedation. Light or no sedation protocols are, however, a radical change for clinical practice and can cause challenges for the patients. Undergoing mechanical ventilation when conscious can be a distressing experience for the patients. Receiving a tracheostomy increases patient comfort, but some patients still undergo prolonged endotracheal intubation during mechanical ventilation. The experience of being conscious during endotracheal intubation and mechanical ventilation in the intensive care unit has not previously been described. Aims The aim of the study was to explore adult intensive care unit patients' experience of being conscious during endotracheal intubation and mechanical ventilation. Design Data collection was performed through semi-structured interviews and four patients were enrolled. Data were collected at two multidisciplinary intensive care units in Denmark. Method Data were analysed using Ricoeur's theory of interpretation, using the method described by Dreyer and Pedersen. The scientific tradition was phenomenological-hermeneutic. Result During the analysis, three themes emerged: (1) The tube in the throat. (2) To be conscious but feeling doped. (3) When passing of time is dragging on. Conclusion The findings shed a light over the experience of being conscious during endotracheal intubation and mechanical ventilation in the intensive care unit. A no-sedation protocol may cause problems for the patients both of a physical and an existential character, but despite this, patients seem positive towards being conscious. Relevance to clinical practice The study suggests that clinical nursing practice may have to be further developed to accommodate the patients' needs, e.g. communicating and participating as well as optimizing nursing interventions towards thirst, pain and tube management. Furthermore, the intensive care unit setting may need revision, providing space for the patient and sensory meaningful inputs in the technologically intense environment. [ABSTRACT FROM AUTHOR]
- Subjects :
- MECHANICAL ventilators
ANESTHESIA
ARTIFICIAL respiration
COMMUNICATION
CONSCIOUSNESS
CRITICAL care medicine
LENGTH of stay in hospitals
INTENSIVE care nursing
INTENSIVE care units
INTERVIEWING
PHENOMENOLOGY
RESEARCH methodology
MEMORY
NARCOTICS
PAIN
PATIENTS
THERAPEUTICS
THIRST
TIME
TRACHEA intubation
TRACHEOTOMY
NARRATIVES
THEMATIC analysis
NURSE-patient ratio
ENDOTRACHEAL tubes
DATA analysis software
NURSING interventions
DRUG therapy
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 13621017
- Volume :
- 22
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Nursing in Critical Care
- Publication Type :
- Academic Journal
- Accession number :
- 121235345
- Full Text :
- https://doi.org/10.1111/nicc.12200