Intensive care unit nurses' perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study
kvangarsnes m., torheim h., hole t. & öhlund l.s. (2012) Intensive care unit nurses’ perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study. Journal of Advanced Nursing69(2), 425–434. doi: 10.1111/j.1365‐2648.2012.06021.x...
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| creator | Kvangarsnes, Marit Torheim, Henny Hole, Torstein Öhlund, Lennart S. |
| description | kvangarsnes m., torheim h., hole t. & öhlund l.s. (2012) Intensive care unit nurses’ perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study. Journal of Advanced Nursing69(2), 425–434. doi: 10.1111/j.1365‐2648.2012.06021.x
Aim. To report a study conducted to explore intensive care unit nurses’ perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation.
Background. An acute exacerbation is a life‐threatening situation, which patients often consider to be extremely frightening. Healthcare personnel exercise considerable power in this situation, which challenges general professional notions of patient participation.
Design. Critical discourse analysis.
Methods. In the autumn of 2009, three focus group interviews with experienced intensive care nurses were conducted at two hospitals in western Norway. Two groups had six participants each, and one group had five (N = 17). The transcribed interviews were analysed by means of critical discourse analysis.
Findings. The intensive care nurses said that an exacerbation is often an extreme situation in which healthcare personnel are exercising a high degree of control and power over patients. Patient participation during exacerbation often takes the form of non‐involvement. The participating nurses attached great importance to taking a sensitive approach when meeting patients. The nurses experienced challenging ethical dilemmas.
Conclusion. This study shows that patient participation should not be understood in universal terms, but rather in relation to a specific setting and the interactions that occur in this setting. Healthcare personnel must develop skill, understanding, and competence to meet these challenging ethical dilemmas. A collaborative inter‐professional approach between physicians and nurses is needed to meet the patients’ demand for involvement. |
| doi_str_mv | 10.1111/j.1365-2648.2012.06021.x |
| format | Article |
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Aim. To report a study conducted to explore intensive care unit nurses’ perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation.
Background. An acute exacerbation is a life‐threatening situation, which patients often consider to be extremely frightening. Healthcare personnel exercise considerable power in this situation, which challenges general professional notions of patient participation.
Design. Critical discourse analysis.
Methods. In the autumn of 2009, three focus group interviews with experienced intensive care nurses were conducted at two hospitals in western Norway. Two groups had six participants each, and one group had five (N = 17). The transcribed interviews were analysed by means of critical discourse analysis.
Findings. The intensive care nurses said that an exacerbation is often an extreme situation in which healthcare personnel are exercising a high degree of control and power over patients. Patient participation during exacerbation often takes the form of non‐involvement. The participating nurses attached great importance to taking a sensitive approach when meeting patients. The nurses experienced challenging ethical dilemmas.
Conclusion. This study shows that patient participation should not be understood in universal terms, but rather in relation to a specific setting and the interactions that occur in this setting. Healthcare personnel must develop skill, understanding, and competence to meet these challenging ethical dilemmas. A collaborative inter‐professional approach between physicians and nurses is needed to meet the patients’ demand for involvement.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/j.1365-2648.2012.06021.x</identifier><identifier>PMID: 22512673</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Acute Disease ; Adult ; Attitude of Health Personnel ; Chronic obstructive pulmonary disease ; COPD exacerbation ; Discourse analysis ; Emotions ; Female ; Humans ; Intensive care ; Male ; Medical ethics ; Middle Aged ; Nurse patient relationships ; nurses ; Nurses - psychology ; Nursing ; Nursing Staff, Hospital - psychology ; patient participation ; Patient Participation - psychology ; Perception ; Pulmonary Disease, Chronic Obstructive - nursing ; Research Papers</subject><ispartof>Journal of advanced nursing, 2013-02, Vol.69 (2), p.425-434</ispartof><rights>2012 Blackwell Publishing Ltd</rights><rights>2012 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. Feb 2013</rights><rights>2012 Blackwell Publishing Ltd 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5731-919d90bda52b6d721d35aea17c1104e5c27e99b29c7ed020fc543073e9f410773</citedby><cites>FETCH-LOGICAL-c5731-919d90bda52b6d721d35aea17c1104e5c27e99b29c7ed020fc543073e9f410773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2648.2012.06021.x$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2648.2012.06021.x$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22512673$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kvangarsnes, Marit</creatorcontrib><creatorcontrib>Torheim, Henny</creatorcontrib><creatorcontrib>Hole, Torstein</creatorcontrib><creatorcontrib>Öhlund, Lennart S.</creatorcontrib><title>Intensive care unit nurses' perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>kvangarsnes m., torheim h., hole t. & öhlund l.s. (2012) Intensive care unit nurses’ perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study. Journal of Advanced Nursing69(2), 425–434. doi: 10.1111/j.1365‐2648.2012.06021.x
Aim. To report a study conducted to explore intensive care unit nurses’ perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation.
Background. An acute exacerbation is a life‐threatening situation, which patients often consider to be extremely frightening. Healthcare personnel exercise considerable power in this situation, which challenges general professional notions of patient participation.
Design. Critical discourse analysis.
Methods. In the autumn of 2009, three focus group interviews with experienced intensive care nurses were conducted at two hospitals in western Norway. Two groups had six participants each, and one group had five (N = 17). The transcribed interviews were analysed by means of critical discourse analysis.
Findings. The intensive care nurses said that an exacerbation is often an extreme situation in which healthcare personnel are exercising a high degree of control and power over patients. Patient participation during exacerbation often takes the form of non‐involvement. The participating nurses attached great importance to taking a sensitive approach when meeting patients. The nurses experienced challenging ethical dilemmas.
Conclusion. This study shows that patient participation should not be understood in universal terms, but rather in relation to a specific setting and the interactions that occur in this setting. Healthcare personnel must develop skill, understanding, and competence to meet these challenging ethical dilemmas. A collaborative inter‐professional approach between physicians and nurses is needed to meet the patients’ demand for involvement.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Chronic obstructive pulmonary disease</subject><subject>COPD exacerbation</subject><subject>Discourse analysis</subject><subject>Emotions</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Male</subject><subject>Medical ethics</subject><subject>Middle Aged</subject><subject>Nurse patient relationships</subject><subject>nurses</subject><subject>Nurses - psychology</subject><subject>Nursing</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>patient participation</subject><subject>Patient Participation - psychology</subject><subject>Perception</subject><subject>Pulmonary Disease, Chronic Obstructive - nursing</subject><subject>Research Papers</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkt9uFCEUxidGY9fqKxgSL_RmVv4Mw2CiSW20ran1psZLwjBnXdZZGIHZ7j6M7yrTrRv1qtwAOb_vgwNfUSCC5ySP16s5YTUvaV01c4oJneMaUzLfPihmh8LDYoYZliWtMD0qnsS4wpgwSunj4ohSTmgt2Kz4deESuGg3gIwOgEZnE3JjiBBfogGCgSFZ7yLyCzToZMGlPIdkjZ223iHrUFoC0mZMgIaljjCxZhm8swb5NqYwmjQdMIz92jsddqizESYQttpAaG-N3iA9mSUIGws3KKax2z0tHi10H-HZ3XxcfP344fr0vLz8cnZxenJZGi4YKSWRncRtpzlt605Q0jGuQRNhCMEVcEMFSNlSaQR0mOKF4RXDgoFcVAQLwY6Ld3vfYWzX0JncZdC9GoJd5-sqr636t-LsUn33G8W4rGQ9Gby6Mwj-5wgxqbWNBvpeO_BjVIQRXuNG4Oo-KCWC44Zn9MV_6MqPweWXUPn7JM8YbTLV7CkTfIwBFod7E6ymuKiVmlKhplSoKS7qNi5qm6XP_-77IPyTjwy83QM3tofdvY3Vp5OraZX15V5vY4LtQa_DD5XtBVffrs4Ux9eUy_ef1Tn7DXuU4Kc</recordid><startdate>201302</startdate><enddate>201302</enddate><creator>Kvangarsnes, Marit</creator><creator>Torheim, Henny</creator><creator>Hole, Torstein</creator><creator>Öhlund, Lennart S.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201302</creationdate><title>Intensive care unit nurses' perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study</title><author>Kvangarsnes, Marit ; Torheim, Henny ; Hole, Torstein ; Öhlund, Lennart S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5731-919d90bda52b6d721d35aea17c1104e5c27e99b29c7ed020fc543073e9f410773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Chronic obstructive pulmonary disease</topic><topic>COPD exacerbation</topic><topic>Discourse analysis</topic><topic>Emotions</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Male</topic><topic>Medical ethics</topic><topic>Middle Aged</topic><topic>Nurse patient relationships</topic><topic>nurses</topic><topic>Nurses - psychology</topic><topic>Nursing</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>patient participation</topic><topic>Patient Participation - psychology</topic><topic>Perception</topic><topic>Pulmonary Disease, Chronic Obstructive - nursing</topic><topic>Research Papers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kvangarsnes, Marit</creatorcontrib><creatorcontrib>Torheim, Henny</creatorcontrib><creatorcontrib>Hole, Torstein</creatorcontrib><creatorcontrib>Öhlund, Lennart S.</creatorcontrib><collection>Istex</collection><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kvangarsnes, Marit</au><au>Torheim, Henny</au><au>Hole, Torstein</au><au>Öhlund, Lennart S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intensive care unit nurses' perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2013-02</date><risdate>2013</risdate><volume>69</volume><issue>2</issue><spage>425</spage><epage>434</epage><pages>425-434</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>kvangarsnes m., torheim h., hole t. & öhlund l.s. (2012) Intensive care unit nurses’ perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study. Journal of Advanced Nursing69(2), 425–434. doi: 10.1111/j.1365‐2648.2012.06021.x
Aim. To report a study conducted to explore intensive care unit nurses’ perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation.
Background. An acute exacerbation is a life‐threatening situation, which patients often consider to be extremely frightening. Healthcare personnel exercise considerable power in this situation, which challenges general professional notions of patient participation.
Design. Critical discourse analysis.
Methods. In the autumn of 2009, three focus group interviews with experienced intensive care nurses were conducted at two hospitals in western Norway. Two groups had six participants each, and one group had five (N = 17). The transcribed interviews were analysed by means of critical discourse analysis.
Findings. The intensive care nurses said that an exacerbation is often an extreme situation in which healthcare personnel are exercising a high degree of control and power over patients. Patient participation during exacerbation often takes the form of non‐involvement. The participating nurses attached great importance to taking a sensitive approach when meeting patients. The nurses experienced challenging ethical dilemmas.
Conclusion. This study shows that patient participation should not be understood in universal terms, but rather in relation to a specific setting and the interactions that occur in this setting. Healthcare personnel must develop skill, understanding, and competence to meet these challenging ethical dilemmas. A collaborative inter‐professional approach between physicians and nurses is needed to meet the patients’ demand for involvement.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22512673</pmid><doi>10.1111/j.1365-2648.2012.06021.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Acute Disease Adult Attitude of Health Personnel Chronic obstructive pulmonary disease COPD exacerbation Discourse analysis Emotions Female Humans Intensive care Male Medical ethics Middle Aged Nurse patient relationships nurses Nurses - psychology Nursing Nursing Staff, Hospital - psychology patient participation Patient Participation - psychology Perception Pulmonary Disease, Chronic Obstructive - nursing Research Papers |
| title | Intensive care unit nurses' perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study |
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