重症监护室患者亲属日记的结构和内容:一种叙事方法(DRIP研究)
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重症监护室患者亲属日记的结构和内容:一种叙事方法(DRIP研究). / Nielsen, Anne Højager; Angel, Sanne; Hansen, Torben Bæk; Egerod, Ingrid.
I: Journal of Advanced Nursing, Bind 75, Nr. 6, 2019, s. 1296-1305.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - 重症监护室患者亲属日记的结构和内容:一种叙事方法(DRIP研究)
AU - Nielsen, Anne Højager
AU - Angel, Sanne
AU - Hansen, Torben Bæk
AU - Egerod, Ingrid
PY - 2019
Y1 - 2019
N2 - Aim: To investigate structure and content of a nurse prompted diary written by relatives for intensive care unit (ICU) patients. Design: A narrative analysis of ICU diaries. Methods: From September 2015-August 2016, 12 diaries authored by 12 relatives for 12 ICU patients were sampled at 3–4 months post-ICU discharge. We used Ricoeur's hermeneutical phenomenology as a framework for a narrative analysis of the diaries. The first step was naïve reading, followed by structural analysis exploring the internal relations of the text. The structural analysis was broadened by exploring narrative structures. The last step was critical interpretation of the findings. Findings: The diaries had a clear narrative structure; the diary-timeline consisted of: Pre-ICU phase, Early ICU phase, Culmination, Recovery and Post-ICU reflection. Three themes described the content of the diary: Struggling to get the story right for the patient; striving to understand what was happening and longing to re-establish a connection with the patient. Keeping a diary was perceived by the relatives as a challenging but rewarding task. Conclusion: The diary had the potential for reflection and a deeper understanding of the ICU stay. The diary served as a locus for patient and relatives to connect or re-connect, but some diaries might be too personal and emotional to share with the patient. Future research needs to explore advantages and disadvantages of ICU diaries authored by relatives.
AB - Aim: To investigate structure and content of a nurse prompted diary written by relatives for intensive care unit (ICU) patients. Design: A narrative analysis of ICU diaries. Methods: From September 2015-August 2016, 12 diaries authored by 12 relatives for 12 ICU patients were sampled at 3–4 months post-ICU discharge. We used Ricoeur's hermeneutical phenomenology as a framework for a narrative analysis of the diaries. The first step was naïve reading, followed by structural analysis exploring the internal relations of the text. The structural analysis was broadened by exploring narrative structures. The last step was critical interpretation of the findings. Findings: The diaries had a clear narrative structure; the diary-timeline consisted of: Pre-ICU phase, Early ICU phase, Culmination, Recovery and Post-ICU reflection. Three themes described the content of the diary: Struggling to get the story right for the patient; striving to understand what was happening and longing to re-establish a connection with the patient. Keeping a diary was perceived by the relatives as a challenging but rewarding task. Conclusion: The diary had the potential for reflection and a deeper understanding of the ICU stay. The diary served as a locus for patient and relatives to connect or re-connect, but some diaries might be too personal and emotional to share with the patient. Future research needs to explore advantages and disadvantages of ICU diaries authored by relatives.
KW - critical care
KW - critical care nursing
KW - diaries
KW - family nursing
KW - hermeneutical phenomenology
KW - intensive care diaries
KW - nursing
U2 - 10.1111/jan.13956
DO - 10.1111/jan.13956
M3 - Tidsskriftartikel
C2 - 30666697
AN - SCOPUS:85065768309
VL - 75
SP - 1296
EP - 1305
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
SN - 0309-2402
IS - 6
ER -
ID: 238965448