TY - JOUR
T1 - Feeling safe
T2 - The psychosocial needs of ICU patients
AU - Hupcey, Judith E.
PY - 2000
Y1 - 2000
N2 - Purpose: To describe the psychosocial needs of critically ill patients, including descriptions of patients' experiences when these needs are not met, and behaviors of families, friends, and ICU staff that help or impede meeting these needs. Design: A qualitative research design was used. Participants were 45 adult critically ill patients in the medical or surgical ICU for a minimum of 3 days in a large, rural American tertiary care center. Methods: Data collection and analysis were conducted using methods of grounded theory, including theoretical sampling and the constant comparative process. Unstructured tape-recorded interviews were conducted with patients once they were stable in the ICU or immediately following their transfer to a general unit. Data were collected and analyzed simultaneously. This process continued until saturation was reached and a model of the psychosocial needs of ICU patients was developed. Findings: The overwhelming need of ICU patients was to feel safe. The perception of feeling safe was influenced by family and friends, ICU staff, religious beliefs, and feelings of knowing, regaining control, hoping, and trusting. Conclusions: ICU patients in this study said that feeling safe was their overarching need. Patients described feelings of distress when they did not feel safe and stated how family, staff, and religion could both positively and negatively affect this feeling. Nurses can intervene in numerous areas to foster the feeling of safety in critically ill patients.
AB - Purpose: To describe the psychosocial needs of critically ill patients, including descriptions of patients' experiences when these needs are not met, and behaviors of families, friends, and ICU staff that help or impede meeting these needs. Design: A qualitative research design was used. Participants were 45 adult critically ill patients in the medical or surgical ICU for a minimum of 3 days in a large, rural American tertiary care center. Methods: Data collection and analysis were conducted using methods of grounded theory, including theoretical sampling and the constant comparative process. Unstructured tape-recorded interviews were conducted with patients once they were stable in the ICU or immediately following their transfer to a general unit. Data were collected and analyzed simultaneously. This process continued until saturation was reached and a model of the psychosocial needs of ICU patients was developed. Findings: The overwhelming need of ICU patients was to feel safe. The perception of feeling safe was influenced by family and friends, ICU staff, religious beliefs, and feelings of knowing, regaining control, hoping, and trusting. Conclusions: ICU patients in this study said that feeling safe was their overarching need. Patients described feelings of distress when they did not feel safe and stated how family, staff, and religion could both positively and negatively affect this feeling. Nurses can intervene in numerous areas to foster the feeling of safety in critically ill patients.
UR - http://www.scopus.com/inward/record.url?scp=0034566570&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034566570&partnerID=8YFLogxK
U2 - 10.1111/j.1547-5069.2000.00361.x
DO - 10.1111/j.1547-5069.2000.00361.x
M3 - Article
C2 - 11140200
AN - SCOPUS:0034566570
SN - 1527-6546
VL - 32
SP - 361
EP - 367
JO - Journal of Nursing Scholarship
JF - Journal of Nursing Scholarship
IS - 4
ER -