"Love Can't Be Taken to the Hospital. If It Were Possible, It Would Be Better": Patients' Experiences of Being Cared for in an Intensive Care Unit. (March 2021)

• Record Type: Journal Article
• Authors: Sanson, Gianfranco; Lobefalo, Alessia; Fascì, Adriana
• Is Part Of: Qualitative health research. Volume 31:Number 4(2021)
• Page Start: 736
• Page End: 753
• Publication Date: 2021-03
• Subjects: intensive care unit -- Italy -- meaning -- mixed method -- narrative -- patients' experiences -- patients' memories -- qualitative data; Health -- Periodicals; Health behavior -- Periodicals; Health -- Research -- Methodology -- Periodicals; Health behavior -- Research -- Methodology -- Periodicals; 610.7205
• DOI: 10.1177/1049732320982276
• Languages: English
• ISSNs: 1049-7323

Abstract

In this study, we aimed to explore the experiences of being cared for in an intensive care unit (ICU) through patients' memories. We adopted a convergent parallel mixed-method design. We interviewed 100 patients shortly after their ICU discharge. Content analysis revealed 14 categories and 49 codes grouped according to themes corresponding to ICU Memory tool core components (factual events, feelings, delusions). The most critical patients reported mostly fragmented or delusional memories, the less critically-ill more factual memories. All experiences were recounted with strong feelings. ICU was identified as a hostile, stressful environment. Positive experiences were mainly associated with a sense of safety promoted by the nurses. Negative experiences were related to privacy and dignity violations, lack of empathy, not being understood, delays/lack of obtaining support, and total control by the health care staff. Removing any avoidable sources of stress and ensuring personalized, dignified care represent a key aim for ICU interprofessional teams.