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. 2020 Dec;34(4):948-955.
doi: 10.1111/scs.12802. Epub 2019 Dec 12.

To stay in touch - intensive care patients' interactions with nurses during mobilisation

Anne-Marie Gellert Bunzel  1 , Naja Weber-Hansen  1 , Birgitte Schantz Laursen  2   3
Affiliations

To stay in touch - intensive care patients' interactions with nurses during mobilisation

Anne-Marie Gellert Bunzel et al. Scand J Caring Sci. 2020 Dec.

Abstract

Background: Minimal sedation has made it possible to communicate and cooperate with intensive care patients and mobilisation can start earlier during their stay in the intensive care unit.

Purpose: To investigate the intensive care patient's reaction and interaction to mobilisation.

Method: This study used focused ethnography combining observations, interviews and four scores for evaluating awareness, and pain levels were included: Richmond Agitation Sedation Scale Confusion Assessment Method For The Intensive Care Unit, Numeric Rating Scale and Critical Pain Observation Tool. Twelve patients were observed during mobilisation, with subsequent interviews of the involved nurses.

Findings: Nurses run the risk of overlooking the patient's reactions, such as pain, discomfort or needs during mobilisation. Nurses use several different ways of communicating to create contact with the patients. Patients with an impaired awareness level become more aware during mobilisation.

Conclusions: If the nurse's attention is focused on the technical side of caregiving, there is a risk that she might overlook the patient's reactions and needs. If the nurse is aware of the risk of overlooking the patient's reactions, she may plan the mobilisation to ensure that the patient gets the necessary attention and is included in the process. In that way, the patient might avoid unnecessary discomfort and maintain trust and confidence in the nurse.

Keywords: awareness level; comfort; communication; intensive care; interaction; mobilisation; pain.

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References

    1. Bailey P. Early activity is feasible and safe in respiratory failure patients*. Crit Care Med 2007; 35: 139-45.
    1. Egerod I, Bergbom I, Lindahl B, Henricson M, Granberg-Axell A, Storli SL. The patient experience of intensive care: a meta-synthesis of Nordic studies. Int J Nurs Stud 2015; 52: 1354-61.
    1. DASAIM. Sedation strategy-targeted treatment of problems in connection with critical illness. Danish Society for anaesthesiology and Intensive Care Medicine; 2015. DASAIM.dk [2nd edition, 2014: Sedation strategy]. http://www.dasaim.dk/wp-content/uploads/2015/09/Sedationsstrategi-sept15... (last accessed 7 October 2019).
    1. Karlsson V, Bergbom I, Forsberg A. The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: a phenomenological-hermeneutic study. Intensive Crit Care Nurs 2012; 28: 6-15.
    1. Karlsson V, Lindahl B, Bergbom I. Patients’ statements and experiences concerning receiving mechanical ventilation: a prospective video-recorded study. Nurs Inq 2012; 19: 247-58.

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