King's College London

Research portal

Person-centred care during prolonged weaning from mechanical ventilation, nurses? views: an interview study

Research output: Contribution to journalArticle

C.-J. Cederwall, S. Olausson, L. Rose, S. Naredi, M. Ringdal

Original languageEnglish
Pages (from-to)32-37
Number of pages6
JournalIntensive and Critical Care Nursing
Volume46
Early online date19 Mar 2018
DOIs
Accepted/In press26 Nov 2017
E-pub ahead of print19 Mar 2018
PublishedJun 2018

King's Authors

Abstract

Objective
To determine: 1) if the three elements of person-centred care (initiating, working and safeguarding the partnership) were present, and 2) to identify evidence of barriers to person-centred care during prolonged weaning from mechanical ventilation.

Research methodology
Secondary analysis of semi structured interviews with 19 critical care nurses using theoretical thematic analysis.

Setting
This study was conducted in three Swedish intensive care units, one in a regional hospital and two in a university hospital.

Findings
Three themes and nine subthemes related to person-centred care were identified. The three themes included: 1) ‘finding a person behind the patient’ related to the ‘initiating the partnership’ phase, 2) ‘striving to restore patient́s sense of control’ related to ‘working the partnership’ phase and 3) ‘impact of patient involvement’ related to ‘safeguarding the partnership’ phase of person-centred care’. Additionally a further theme ‘barriers to person-centred care’ was identified.

Conclusion
We found evidence of all three person-centred care routines. Barriers to person-centred care comprised of lack team collaboration and resources. Facilitating patients to actively participate in decision-making during the weaning process may optimise weaning outcomes and warrants further research.

View graph of relations

© 2020 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454