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Meanings of Being Critically Ill in a Sound-Intensive ICU Patient Room: A Phenomenological Hermeneutical Study
University of Borås, School of Health Science.
2012 (English)In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 6, p. 108-116Article in journal (Refereed) Published
Sustainable development
The content falls within the scope of Sustainable Development
Abstract [en]

The aim of this study was to illuminate the meanings of being critically ill in a sound-intensive ICU patient room, as disclosed through patients’ narratives. Patient rooms in ICUs are filled with loud activity and studies have revealed sound levels comparable to those of a busy road above the patient’s head. There is a risk that the sound or noise is disturbing and at worst a major problem for the patient, but there is a lack of knowledge concerning the patients’ own experiences. Thirteen patients were asked to narrate their experiences of the sound environment in ICU patient rooms. The interviews were analyzed using a phenomenological- hermeneutical method inspired by the philosophy of Ricoeur. Six themes emerged from the analysis. Conclusion: The meanings of being a patient in a sound- intensive environment were interpreted as never knowing what to expect next regarding noise, but also of being situated in the middle of an uncontrollable barrage of noise, unable to take cover or disappear. This condition is not to be seen as static; for some patients there is movement and change over time. The meanings indicate that the unpredictable shifts between silence and disturbing sounds stress the critically ill patient and impede sleep and recovery. Our findings indicate the need to reduce disturbing and unexpected sounds and noise around critically ill patients in high-tech environments in order to facilitate wellbeing, sleep and recovery. Nurses have a vital role in developing such an environment.

Place, publisher, year, edition, pages
Bentham Open , 2012. Vol. 6, p. 108-116
Keywords [en]
Critical illness, health facility environment, patients’ experiences, phenomenological hermeneutic, sound
Keywords [sv]
Platsen och rummets betydelse för vårdandet
National Category
Medical and Health Sciences
Research subject
Integrated Caring Science
Identifiers
URN: urn:nbn:se:hb:diva-1442DOI: 10.2174/1874434601206010108Local ID: 2320/11798OAI: oai:DiVA.org:hb-1442DiVA, id: diva2:869499
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-12-03Bibliographically approved

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Publisher's full texthttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3439833/

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Lindahl, Berit

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