‘I’ve never been surrounded by so many people and felt so alone’ : A Heideggerian phenomenological study investigating patients’ experiences of technology in adult intensive care

Doctoral thesis English OPEN
Stayt, Louise C.
  • Subject: B1 | RA

Research Question:\ud What are patients’ experiences of technology in adult intensive care?\ud Research Objectives:\ud -To explore patients’ perceptions of receiving care in a technological environment\ud -To explore patients’ perceptions of how technology has influenced their experience of care\ud Background:\ud Technology is fundamental to the physical recovery of critically ill patients in intensive care (ICU), however, there is a suggestion in the literature that its presence may dehumanise patient care and distract the nurse from attending to patients’ psychosocial needs. Little attention has been paid to patients’ perceptions of receiving care in a technological environment. The purpose of this research, therefore, was to explore patients’ experiences of technology and care within ICU.\ud Methods:\ud This study was informed by Heideggerian phenomenology. The research took place in a university hospital in England. Nineteen participants who had been a patient in ICU were interviewed using a semi-structured approach. Interviews were transcribed verbatim and analysed utilising Van Manen’s framework.\ud Findings:\ud Resulting themes were ‘My Useless Body’ which describes how participants experienced their body as dysfunctional, disconnected and invaded by technology, ‘Making Sense of It’, which describes how participants rationalised their experiences by constructing a story, and ‘Technology and Care’, which describes how and why participants endured technologies in ICU.\ud Conclusions:\ud The disintegrated body is central to the critically ill’s experiences in ICU. Families play an important role in helping patients make sense of their experiences by filling in gaps in memory and helping them to sort the real from unreal memories. Families therefore require support and information resources in fulfilling this role. Patients experience technology and care as a series of paradoxical relationships: alienating yet reassuring, uncomfortable yet comforting, impersonal yet personal. Nurses maintaining a close and supportive presence and providing personal comfort and care may minimise the invasive and isolating potential of technology
  • References (13)
    13 references, page 1 of 2

    Tomei, F., B. Papaleo, T. Baccolo, B. Persechino, G. Spano and M. Rosati (1994). "Noise and gastric secretion." American Journal of Internal Medicine 26: 367-372.

    Trompeo, A., Y. Vidi, M. Locane, A. Braghiroli, N. Rana and A. Rizzuto (2005). "The influence of sleep disorders on the occurrence of delirium in critically ill patients." Intensive Care Medicine S94: 34-36.

    Usher, K. and D. Monkley (2001). "Effective communication in an intensive care setting: nurses stories. ." Contemporary Nursing 10(1-2): 91-101.

    van de Leur, J. P., C. P. van der Schans, B. G. Loef, B. G. Deelman, J. H. B. Geertzen and J. H. Zwaveling (2004). "Discomfort and factual recollection in intensive care unit patients." Critical Care 8(6): R467-R473.

    Van der Hart, O., E. Nijenhuis, K. Steele and D. Brown (2004). "Trauma-realted dissociation: conceptual clarity lost and found." Australian and New Zealand Journal of Psychiatry 38: 906- 914.

    Van der Zalm, J. and V. Bergum (2000). "Hermeneutic phenomenology: providing living knowledge for nursing practice." Journal of Advanced Nursing 31(1): 211-218.

    Van Manen, M. (1990). Researching Lived Experience. Human science for an action sensitive pedagogy. New York, SUNY Series in the Philosophy of Education.

    Van Manen, M. (1998). "Modalities of body experience in illness and health." Qualitative Health Research 8(1): 7-24.

    Van Rompaey, B., M. J. Schuurmans, L. M. Shortridge-Baggett, S. Truijen and L. Bossaert (2008). "Risk factors for intensive care delirium: A systematic review." Intensive and Critical Care Nursing 24(2): 98-107.

    Waddington, D. (2005). "A field guide to Heidegger: Understanding "The Question concerning technology"." Educational Philsophy and Theory 37(4): 567-583.

  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    94
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    Warwick Research Archives Portal Repository - IRUS-UK 0 94
Share - Bookmark