RNQualitativeNursing open2023

Critically ill patients' experiences of nursing care and the effect on their personhood: A retrospective study.

Ariné Kuyler, Ensa Johnson

PMID 37488769

WHAT IT FOUND

Ten critically ill patients said nurses' empathy, presence, professionalism and help with daily activities shaped how they felt like a person.

Many described negative experiences; some described caring nurses.

Key findings

01Seven participants said nurses had not treated them with empathy, and seven said nurses did not provide person-centred care in a professional manner.

02Five participants said nurses were physically present and five said they could not locate nurses.

03Seven participants said they had difficulty obtaining assistance from nurses to perform activities of daily living such as walking and bathing.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only ten previously critically ill patients from private hospitals in one South African province were interviewed, so the experiences may not represent public hospitals, other countries, or patients with more severe cognitive or communication problems. Participants had to score at least 25 on the Montreal Cognitive Assessment and be able to consent and answer interview questions, so patients with severe delirium, dementia or very poor cognition were not included. Experiences were recalled retrospectively after leaving the critical care unit, so memory, recovery and current circumstances may have shaped what participants reported. The study describes patients' perceptions and does not test whether any nursing behaviour changed personhood, satisfaction or health outcomes.

Declared interests

The authors declared no conflicts of interest and reported no sources of funding.

The easy way to misread this

Do not read these counts as proof that nursing care caused impaired personhood. This was a retrospective interview study, so it describes experiences rather than testing an effect.

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