Intensive and Critical Care Nursing
Volume 23, Issue 4 , Pages 187-195, August 2007

The meaning of technology in an intensive care unit—an interview study

  • Ann-Charlott Wikström

      Affiliations

    • Department of Nursing, Health and Culture, University West, SE-461 86 Trollhättan, Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46 520 223959; fax: +46 520 223937.
  • ,
  • Ann-Christin Cederborg

      Affiliations

    • Department of Behavioural Sciences, Linköping University, SE-591 83 Linköping, Sweden
  • ,
  • Marita Johanson

      Affiliations

    • University Administration, University West, SE-461 86 Trollhättan, Sweden

Accepted 8 March 2007.

Summary 

Background

Previous research has suggested technology may dehumanise patient care and also that technology may restrict nurses’ freedom of action. This raises questions about the relationship between technology, care and medicine in units where the patient's need for treatment is often an emergency.

Aim

The aim of the study was to explore how staff members in an intensive care unit (ICU) make sense of technology in their everyday practice.

Method

Twelve staff members from one ICU were interviewed about their understanding of technology in their everyday practice.

Result

Three main findings emerged from the analysis: Technology seems to be considered decisive as it directs and controls medical treatment and results in the patients’ well being; technology is seen as facilitating everyday practice because it makes treatment more secure and decreases workload; however technology can complicate the staff members’ everyday practice as it is not completely trustworthy, is not easy to handle and can cause ethical dilemmas.

Conclusion

Contrary to previous findings this study shows that technology seems to be embedded in care and medical treatment. Furthermore, the meaning of technology appears to be dependent on the different staff members’ accounting practices.

Keywords: Accounting practices, Intensive care, Meaning making, Technology

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PII: S0964-3397(07)00023-7

doi:10.1016/j.iccn.2007.03.003

Intensive and Critical Care Nursing
Volume 23, Issue 4 , Pages 187-195, August 2007