Intensive and Critical Care Nursing
Volume 24, Issue 4 , Pages 222-232 , August 2008

Patient's self-determination in intensive care—From an action- and confirmation theoretical perspective: The intensive care nurse view

  • Katarina E. Meijers (RN MSN)

      Affiliations

    • Intensive Care Unit, South Stockholm General Hospital, 118 83 Stockholm, Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46 8616 2402.
  • ,
  • Barbro Gustafsson (BA RNT PhD Associate professor)

      Affiliations

    • Department of Neurobiology, Care Sciences and Society, The Division of Nursing, Karolinska Institutet, 23300, 141 83 Huddinge, Sweden
    • Tel.: +46 8524 838 51.

,Accepted 14 January 2008.

References 

  1. Andersson B-E, Nilsson S-G. Studies in the reliability and validity of the critical incident technique. J Appl Psychol. 1964;6:398–403
  2. Andersson M. Integritet som begrepp och princip. second ed.. Malmö: Team Offset; 1996;
  3. Bailey JT. The critical incident technique in identifying behavioral criteria of professional nursing effectiveness. Nurs Res. 1956;2:52–64
  4. Barbosa de Pinho L, Azevedo dos Santos SM. The health-illness care process and the logic of the nurse's work in the ICU. Revista Latino-Americana de Enfermagem. 2007;15(2):
  5. Brooks N. Patients’ perspective of quality of care in a high-dependency unit. Intensive Crit Care Nurs. 1999;15:324–337
  6. Byrne M. Critical incident technique as a qualitative research method. AORN J., October 2001 Research Corner http://www.aorn.org/journal/2001/octrc.htm.
  7. Calne S. Dehumanisation in intensive care. Nurs Times. 1994;17:31–33
  8. Chen Y. Psychological and social support systems in intensive and critical care. Intensive Care Nurs. 1990;6:59–66
  9. Cronquist A, Theorell T, Burns T, Lützen K. Dissonant imperatives in nursing: a conceptualization of stress in intensive care in Sweden. Intensive Crit Care Nurs. 2001;17:228–236
  10. Edwards SC. An anthropological interpretation of nurses’ and patients’ perception of the use of space and touch. J Adv Nurs. 1998;4:809–817
  11. Engström Å, Söderberg S. The experience of partners of critically ill persons in an intensive care unit. Intensive Crit Care Nurs. 2004;20:299–308
  12. Flanagan JC. The critical incident technique. Psychol Bull. 1954;4:327–358
  13. Føllesdal D, Walløe L, Elster J. Argumentationsteori, språk och vetenskapsfilosofi. third ed.. Stockholm: Thales; 2001;
  14. Granberg A, Bergbom Engberg I, Lundberg D. Intensive care syndrome: a literature review. Intensive Crit Care Nurs. 1996;12:173–182
  15. Granberg A, Bergbom Engberg I, Lundberg D. Patients’experience of being critically ill or severely injured and cared for in an intensive care unit in relation to the ICU syndrome. Part I. Intensive Crit Care Nurs. 1998;14:294–307
  16. Granberg A, Bergbom Engberg I, Lundberg D. Acute confusion and unreal experiences in intensive care patients in relation to the ICU syndrome. Part II. Intensive Crit Care Nurs. 1999;15:19–33
  17. Gustafsson B. The SAUC model for confirming nursing: an action-theoretic approach to theory building and nursing practice. Theoria J Nurs Theory. 2000;9:6–21
  18. Gustafsson B. Bekräftande omvårdnad – SAUK-modellen för vård och omsorg. second ed.. Lund: Studentlitteratur; 2004;
  19. Gustafsson B. Capacity Building: To Strengthen Professionals’ Self-perspective by Implementation of the SAUC Model for Confirming Nursing. Official Publication of the Global Network of WHO Collaborating Centres for Nursing and Midwifery Development, April 2007.
  20. Gustafsson B, Andersson L. “The Nine-Field-Model” for evaluation of theoretical constructs in nursing. Part one. Application of the evaluation model to theory description of the SAUC model. Theoria J Nurs Theory. 2001;1:10–34
  21. Gustafsson B, Andersson L. “The Nine-Field-Model” for evaluation of theoretical constructs in nursing. Part two. Application of the evaluation model to theory analysis, theory critique and theory support of the SAUC model. Theoria J Nurs Theory. 2001;2:17–37
  22. Gustafsson B, Pörn I. A motivational approach to confirmation. An interpretation of some dysphagic patients’ experiences. Theor Med. 1994;15:409–430
  23. Gutte. Var lammet og sanselös men ved fuld bevidshed. Sygeplejersken 1997, 8, 36–40, 42–43.
  24. Hafsteindóttir TB. Patient's experiences of communication during the respirator treatment period. Intensive Crit Care Nurs. 1996;12:261–271
  25. Hupcey JE, Zimmerman HE. The need to know: experiences of critically ill patients. Am J Crit Care. 2000;3:192–198
  26. Johnson P. Reclaiming the everyday world: how long-term ventilated patients in critical care seek to gain aspects of power and control over their environment. Intensive Crit Care Nurs. 2004;20:190–199
  27. Keatinge D. Versatility and flexibility: attributes of the critical incident technique in nursing research. Nurs Health Sci. 2002;4:33–39
  28. Liaschenko J. Ethics in the work of acting for patients. Adv Nurs Sci. 1995;18:1–12
  29. Lindahl B, Sandman P-O. The role of advocacy in critical care nursing: a caring respons to another. Intensive Crit Care Nurs. 1998;14/:179–186
  30. McKinley S, Nagy S, Stein-Parbury J, Bramwell M, Hudson J. Vulnerability and security in seriously ill patients in intensive care. Intensive Crit Care Nurs. 2002;18:27–36
  31. Menzel LK. Factors related to the emotional responses of intubated patients to being unable to speak. Heart Lung. 1998;4:245–252
  32. Morse J. Responding to Threats to Integrity of self. Adv Nurs Sci. 1997;19:21–36
  33. Norman IJ, Redfern SJ, Tomalin DA, Oliver S. Developing Flanagan's critical incident technique to elicit indicators of high and low quality nursing care from patients and their nurses. J Adv Nurs. 1992;17:590–600
  34. Platzer H. Body image—a problem for intensive care patients (Part 1). Intensive Care Nurs. 1987;3:61–66
  35. Pörn I. Vård med helhetssyn. Finska Läkarsällskapets Handlingar. 1988;148:137–140
  36. Pörn I. Health and adaptedness. Theoretical Med. 1993;14:295–303
  37. Redfern S, Norman I. Quality of nursing care perceived by patients and their nurses: an application of the critical incident technique. Part 1 and 2. J Clin Nurs. 1999;8:407–421
  38. Russell S. An exploratory study of patients’ perceptions, memories and experiences of an intensive care unit. J Adv Nurs. 1999;4:783–791
  39. Räty LKA, Gustafsson B. The influence of confirming and disconfirming healthcare encounters on the self-relation and quality of life of persons with epilepsy. J Neurosci Nurs. 2002;5:261–272
  40. Sawyer N. Back from the twilight zone. Nurs Times. 1997;7:28–29
  41. Trummer UF, Mueller UO, Nowak P, Stidl T, Pelikan JM. Does physician-patient communication that aims at empowering patients improve clinical outcome? A case study. Education Counsell. 2006;61:299–306
  42. Wahlin I, Ek A, Idvall E. Patient empowerment in intensive care-an interview study. Intensive Crit Care Nurs. 2006;22:370–377
  43. Varjus SL, Souminen T, Leino-Kilpi H. Autonomy among intensive care nurses in Finland. Intensive Crit Care Nurs. 2003;19:31–40
  44. Vincent JL. Ventilator-associated pneumonia. J Hospital Infection. 2004;4:272–280
  45. von Post I. Perioperative nurses’ encounter with value conflicts. Scand J Caring Sci. 1998;12:81–88
  46. Woodward V. Caring, patient autonomy and the stigma of paternalism. J Adv Nurs. 1998;5:1046–1052

PII: S0964-3397(08)00007-4

doi: 10.1016/j.iccn.2008.01.003

Intensive and Critical Care Nursing
Volume 24, Issue 4 , Pages 222-232 , August 2008