Intensive and Critical Care Nursing
Volume 22, Issue 5 , Pages 283-293, October 2006

The experiences of trained nurses caring for critically ill patients within a general ward setting

  • Helen Cox

      Affiliations

    • University of the West of England, Faculty of Health and Social Care, Glenside Campus, Blackberry Hill, Bristol, BS16 1DD, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 117 3288856; fax: +44 117 3288811.
  • ,
  • Jayne James

      Affiliations

    • Tel.: +44 117 3288428.
    • University of the West of England, Faculty of Health and Social Care, Glenside Campus, Blackberry Hill, Bristol, BS16 1DD, UK
  • ,
  • Julian Hunt

      Affiliations

    • Tel.: +44 1225 825010.
    • Royal United Hospital, Combe Park, Bath, BA1 3NG, UK

Accepted 10 February 2006.

Summary 

Background

The concept that critical care is a service rather than a location has been increasingly highlighted. However, there is limited information regarding nurses’ perceptions of caring for critically ill patients outside of high dependency areas.

Aim

The aim of this study was to explore the factors that influence the experiences of trained nurses caring for critically ill patients within a general ward setting.

Method

This was an exploratory, descriptive study combining an interview and questionnaire methodology. A purposive sample of seven trained nurses reflecting a range of grades and experience, from one medical ward were selected. A semi-structured interview combined with an attitudinal scale was utilised.

Results

Following analysis five key themes emerged: clinical environment, professional relationships, patient assessment, nurse's feelings and educational needs.

Conclusion

Whilst the findings of this study cannot be generalised, analysis of the data has provided an insight into the complex factors that effect care delivery. In order to respond to this study's findings, there are resource implications. Educational requirements and communication skills will need to be developed.

Keywords: Critically ill patients, Clinical environment, Patient assessment, Emotional support

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PII: S0964-3397(06)00020-6

doi:10.1016/j.iccn.2006.02.003

Intensive and Critical Care Nursing
Volume 22, Issue 5 , Pages 283-293, October 2006