THE INTENSIVE CARE UNIT, A PLACE TO BE ALONE
DOI:
https://doi.org/10.17533/udea.iee.2836Keywords:
intensive care units, health facility environment, loneliness, refusal to treatment, phenomenologyAbstract
Objective: to describe the patients meaning of the experience of being hospitalized in an ICU.
Methodology: research study with phenomenological focus of nine mature people between 24 and 80 years of age who were critically sick and hospitalized in an ICU. The in- depth interview and non participant observation were the techniques for gathering information. The data were analyzed according to the outline proposed by Cohen, Kahan and Steeves. The study was carried out in Medellín, Colombia from April to October, 2006.
Results and discussion: the ICU is a place for loneliness, cold, special odor and silence where words were “absent”, “incomprehensible”, “not for hearing”, “not pronounced” and “agreeable”. The communication was not always adequate and the company was offered by other sick people; besides, patient played a secondary role in front of technology and was necessary to be “good patient”.
Conclusions: the hospitalization meant to be alone, isolated of the family, surrounded by other patients and the team of health members whose company sometimes was not enough. Staying in an ICU adds to the suffering during a serious illness
Downloads
References
(1) Del Barrio M, Lacunza M, Armendáriz A. Pacientes con trasplante hepático: su experiencia en cuidado intensivo. Estudio fenomenológico. Enferm Intensiva. 2001;12(3):136.
(2) Torralba F. Antropología del cuidar. Madrid: Fundación Mafpre Medicina; 1998. p. 272
(3) Nieswiadomy R. Foundations of nursing research. 3a ed. Stamford: Appleton y Lange; 1998. p. 158.
(4) Jablonski R. The experience of being mechanically ventilated. Qual Health Res. 1994;4(2):188.
(5) Strauss A, Corbin J. Bases de investigación cualitativa. Técnicas y procedimientos para desarrollar teoría fundamentada. Medellín: Universidad de Antioquia, Facultad de enfermería; 2002. p. 219.
(6) Taylor S, Bodgan R. Introducción a los métodos cualitativos de investigación. Barcelona: Paidós; 1987. p. 55-56
(7) Morse J. Asuntos críticos en los métodos de investigación cualitativos. Medellín: Universidad de Antioquia, Facultad de Enfermería; 2003. p. 145.
(8) Cohen M, Kahn D, Steeves R. Hermeneutic phenomenological research. A practical guide for nurse research. Londres: Saac publications; 2000. p. 71-83.
(9) Foucault M. El nacimiento de la clínica. Una arqueología de la mirada medica. Argentina: Siglo XXI; 2004. p. 167.
(10) Galeano. E. Diseño de proyectos en la investigación cualitativa. Medellín: Fondo editorial EAFIT; 2003. p. 45.
(11) Donella E, Rodríguez P. Más allá del dilema de los métodos: la investigación en las ciencias sociales. 2aed. Bogotá: Norma; 1997. p. 153.
(12) Travelbee J. Interpersonal aspects of nursing. Philadelphia: Davis Company; 1966. p. 14, 32-41, 70, 72, 86-88.
(13) Berwick D. Restricted visiting hours in ICUs: time to change. HAMA. 2004;292(6):736-7.
(14) Pepaul H. Relaciones interpersonales en enfermería. Barcelona: Salvat; 1990. p. 181-183, 194.
(15) Henderson V. Podemos dar un papel estelar a los pacientes. Inves Educ Enferm. 2000;28(1):125-26.
(16) Madjar I. Infligir y manejar el dolor: un desafío para enfermería. Inves Educ Enferm. 2000;(1):37-47.
(17) Watson J. Nursing human science and human care: a theory of nursing. Sudbury: Jones and Bartlett; 1999. p. 49.
(18) Carper B. Fundamental patterns of knowing in nursing. Adv Nurs Sci. 1978;1(1):13-24.
Downloads
Published
How to Cite
Issue
Section
License
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
