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Patients' experiences of well-being when being cared for in the intensive care unit—An integrative review
Oslo Metropolitan University, Oslo, Norway.
Department of Anesthesiology, Holbæk Hospital, Holbæk, Denmark.
Intensive Department, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Institute of Health and Care Sciences, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
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2022 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 31, no 3Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this integrative review was to identify facilitators and barriers to patients’ well-being when being cared for in an ICU setting, from the perspective of the patients.

Background: To become critically ill and hospitalised in an ICU is a stressful, chaotic event due to the life-threatening condition itself, as well as therapeutic treatments and the environment. A growing body of evidence has revealed that patients often suffer from physical, psychological and cognitive problems after an ICU stay. Several strategies, such as sedation and pain management, are used to reduce stress and increase well-being during ICU hospitalisation, but the ICU experience nevertheless affects the body and mind.

Design; Methods: Since research exploring patients’ sense of well-being in an ICU setting is limited, an integrative review approach was selected. Searches were performed in CINAHL, Medline, Psych Info, Eric and EMBASE. After reviewing 66 studies, 12 studies were included in the integrative review. Thematic analysis was used to analyse the studies. The PRISMA checklist for systematic reviews was used.

Results: The results are presented under one main theme, ‘Well-being as a multidimensional experience—interwoven in barriers and facilitators’ and six sub-themes representing barriers to and facilitators of well-being in an ICU. Barriers identified were physical stressors, emotional stressors, environmental disturbances and insecurity relating to time and space. Facilitators were meeting physical needs and activities that included dimensions of a caring and relational environment. Conclusion: Our main findings were that experiences of well-being were multidimensional and included physical, emotional, relational and environmental aspects, and they were more often described through barriers than facilitators of well-being.

Relevance for clinical practice: This integrative review has shown that it is necessary to adopt an individual focus on patient well-being in an ICU setting since physical, emotional, relational and environmental stressors might impact each patient differently. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 31, no 3
Keywords [en]
critically ill, intensive care nursing, intensive care patient, intensive care unit, nursing care, patient experiences, well-being
National Category
Nursing
Identifiers
URN: urn:nbn:se:hb:diva-25979DOI: 10.1111/jocn.15910ISI: 000664354200001PubMedID: 34159663Scopus ID: 2-s2.0-85108316141OAI: oai:DiVA.org:hb-25979DiVA, id: diva2:1579481
Available from: 2021-07-09 Created: 2021-07-09 Last updated: 2023-01-17

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Lindahl, BeritEriksson, Thomas

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