Intensive care nursing

The purpose of this study is to examine the influence of technology perception and caring nurse-patient interactions on patient safety culture from the perception of critical care nurses in Saudi Arabia and to assess the mediating role of compassion fatigue on the relationship between technology perception and patient safety culture and between caring nurse-patient interactions and patient safety culture. A cross-sectional study was conducted in July and August 2022, in three hospitals located in the eastern province of Saudi Arabia. A convenience, purposive sample of critical care nurses who provides direct care to patients in critical care units, stepdown, and emergency departments were recruited. one hundred and eighty-three nurse participated in this study with an overall response rate of 51.69%. Nurse participants completed the Survey of Patient Safety Culture for Hospitals, the Technological Influences Questionnaire subscale of the Caring Attributes, Professional Self-Concept, and Technological Influences scale, the Caring Nurse-Patient Interactions scale, and the Compassion Fatigue subscale from the ProQOL scale which contained the Secondary Traumatic Stress and Burnout subscales. Descriptive statistics and a linear regression model were used to analyze the research data. A significant relationship was found between technology perception and patient safety culture and between caring nurse patient interaction and patient safety culture. There is no significant mediating role of the Secondary Traumatic Stress on the relationship between technology perception and patient safety culture and between caring nurse patient interaction and patient safety culture. The burnout has a full mediating effect on the relationship between technology perception and patient safety culture and a partial mediating effect on the relationship between caring nurse patient interaction and patient safety culture. The research findings have established the foundation of the relationship between nursing caring factors (perception of technology and caring nurse-patient interaction) and patient safety culture. However, more research is needed to understand the direct effect of these relationships on patient outcomes.

This study described the lived experience of patients during family visits in the critical care setting. Using Colaizzi's method of phenomenology interviews were conducted on six critical care patients in their homes two days after discharge from the hospital. From the transcribed interviews, three themes emerged: (a) Family visits enhance patients' well-being; (b) Family visits provide patient support systems; and, (c) Family visits facilitate communication among patients, the health care team, and members of the family. Implications for nursing practice, nursing education, and research are presented.

The purpose of this research was to explore and describe nurses' perceptions of their ability to interact with families under a variety of circumstances in the intensive care unit. Bandura's theory of self-efficacy (1986) provided a framework for the study. Twenty-six critical care nurses ranked their experiences and perceived self-efficacy on a list of twenty situations of family-nurse interaction. Information about years of experience in critical care nursing, personal experience of family illness, and family nursing courses was also gathered. The results of this study suggest that nurses' sense of self-efficacy varies with the circumstances of family-nurse interaction. Level of self-efficacy was also significantly related to nursing experience with families and to previous family course work. This study has implications for nursing administration, education, and practice. Suggestions for further research are also made.

This research explored the patient in the intensive care units experience of care from a phenomenological perspective. The question guiding the study was: What is the meaning of care for patients in the intensive care unit? Using a phenomenological approach, six participants described their experiences of the phenomenon of care. The eight essential themes that emerged from the analysis of the descriptions of care for the patients in ICU are: (1) Being connected; (2) Feeling watched over; (3) Feeling the presence; (4) Feeling commitment; (5) Receiving Compassion; (6) Feeling valued as a person; (7) Receiving comfort; and (8) Experiencing Competence. Further analysis lead to the thematic phrase: The Essence of Isolation-Union while feeling the Presence and Competency of others. The unity of meaning was then discovered from analysis of the essential themes and thematic phrase. The unity of meaning which captures the experience of care for a person in the ICU setting is: The Illumination of the Human Spirit in the Celebration of Life.

This study presents the development and testing of a tool, the Nursing Comfort Measures Scale, to measure comfort delivered by nurses to patients. The tool was shown to have excellent reliability in the form of internal consistency and test-retest reliability and was also found by a panel of experts to have content validity. The Nursing Comfort Measures Scale was then tested among a group of 50 critical care nurses. Overall, they were found to be delivering comfort often to their patients. Nurses were also found to be delivering fewer comfort measures within the spiritual, environmental, and physical domains.

The aim of this study was to understand the meaning of commitment to nursing from the perspective of critical-care nurses. Phenomenology was the research method. Van Manen's approach guided this study with Munhall's adaptation of existential investigation. Seven nurses participated. All were selected on a voluntary basis provided they were working in critical-care, had two years of critical-care experience, and were willing to talk about the topic of commitment. Several themes emerged as essential to humanistic experience of commitment to nursing. Contextual descriptions of commitment also emerged. The nurses' primary commitment was to the patient and the ethical dilemmas that surfaced when they tried to honor that commitment proved the major source of frustration and dissatisfaction. Commitment was found to be the connection or bridge to caring. Without commitment there was no caring. Implications for nursing administration and education were addressed. Additional questions were raised for future research.

The objective of this study was to describe the lived experience of caring for persons who had a peaceful death in the intensive care units in Thailand. A qualitative research design informed by hermeneutic phenomenology was used to analyze data. Participants were 10 intensive care nurses working at adult intensive care units in south Thailand. A snowball purposive sampling method was used to select the participants. Participant inclusion criteria were at least six months' critical care nursing experience, experience in caring for a person who had peaceful death, able to describe peaceful death, and willing to participate in this study. Participants who met the inclusion criteria were interviewed. Face-to-face individual verbal interviews were conducted in the Thai language. These interviews were audiotape recorded. Descriptions were transcribed and translated for data analysis. Van Manen's (1990) hermeneutic phenomenological approach was used to analyze and interpret the data. The findings of this study were presented in each of 4 categories of the lived world of temporality, of spatiality, of corporeality, and of relationality. The description of the lived experience of caring for persons who had a peaceful death in ICU was, "understanding the other through the valuing of experience and enhancing relations with others by recognizing time is short and is a priority." This study may contribute to nursing knowledge of the end-of-life care to enhance a peaceful death in intensive care units congruently with Thai culture and society. In addition, this study directs the translations of its knowledge into implications that will benefit in helping Thai nursing to move forward. The implications of this study in advance will benefit terminally ill persons and family members regarding receiving good quality end-of-life care.