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From powerlessness to striving for control - experiences of invasive treatment while awake.

Artikel i vetenskaplig tidskrift
Författare Johanna Wermström
Eva Ryrlén
Åsa B. Axelsson
Publicerad i Journal of Clinical Nursing
Volym 26
Nummer/häfte 7-8
Sidor 1066–1073
ISSN 0962-1067
Publiceringsår 2017
Publicerad vid Institutionen för vårdvetenskap och hälsa
Sidor 1066–1073
Språk en
Länkar dx.doi.org/10.1111/jocn.13440
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämneskategorier Hälsovetenskaper

Sammanfattning

To describe patients' experiences of being cared for during invasive monitoring and treatment while awake.Patients with acute heart failure treated in cardiac intensive care are awake during invasive monitoring and treatment and forced to remain in bedrest, sometimes for several days.Exploratory qualitative design.Eight patients were interviewed during invasive treatment. Analyses were conducted according to qualitative content analysis.The participants described their way from a sense of powerlessness and striving to regain control when undergoing invasive monitoring and treatment. Due to their severe illness they were exposed to the treatment implying a forced loss of empowerment. They surrendered to hospital care. To feel hope and resting from the illness helped the participants to endure the situation. When their condition improved the need to regain control increased and they wanted to influence their daily care. The participants in present study did not desire to participate in decisions about the medical treatment, but wanted comprehensible information.This study shows how the patients' illness forced them to surrender to the staff's knowledge and treatment. As the patients became more aware it was important that the health care staff didn't take over decisions and functions the patients could manage themselves. This helped the patients to endure. This article is protected by copyright. All rights reserved.

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