Caring and technology in an intensive care unit: an ethnographic study

Journal article

Price, A. M. 2013. Caring and technology in an intensive care unit: an ethnographic study. Nursing In Critical Care. 18 (6), pp. 278-288. https://doi.org/10.1111/nicc.12032
AuthorsPrice, A. M.
Abstract

Background
Critical care practice is a mixture of caring and technological activities. There is debate about whether the balance between these two elements is correct and a concern that critical care units can dehumanise the patient. This research wanted to examine aspects that might affect this balance between the caring and technology within the critical care setting.
Aim
What aspects affect registered health care professionals’ ability to care for patients within the technological environment of a critical care unit?
Methodology
A qualitative approach using ethnography was utilised as this methodology focuses on the cultural elements within a situation. Data collection involved participant observation, document review and semi-structured interviews to triangulate methods as this aids rigour for this approach. A purposeful sample to examine registered health care professionals currently working within the study area was used. A total of 19 participants took part in the study; 8 nurses were observed and 16 health care professionals were interviewed, including nurses, a doctor and 2 physiotherapists. The study took place on a District General Hospital intensive care unit and ethical approval was gained.
Findings
An overarching theme of the ‘Crafting process’ was developed with sub themes of ‘vigilance’, ‘focus of attention, ‘being present’ and ‘expectations’ with the ultimate goal of achieving the best interests for the individual patient.
Conclusion
The areas reflected in this study coincide with the care, compassion, competency, commitment, communication and courage ideas detailed by the Department of Health (2012). Thus, further research to detail more specifically how these areas are measured within critical care may be useful.
Relevance to practice
Caring is a complex concept that is difficult to outline but this article can inform practitioners about the aspects that help and hinder caring in the technical setting to inform training.

KeywordsAdult intensive care;Critical care nursing;Fieldwork;Person-centered nursing;Qualitative research;Technology
Year2013
JournalNursing In Critical Care
Journal citation18 (6), pp. 278-288
PublisherBlackwell
ISSN1362-1017
Digital Object Identifier (DOI)https://doi.org/10.1111/nicc.12032
Publication dates
PrintNov 2013
Publication process dates
Deposited24 Feb 2015
Output statusPublished
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