Understanding Uncertainty Among Critically Ill Patients in the Intensive Care Unit Using Mishel's Theory of Uncertainty of Illness
The concept uncertainty has been explored in critical care but only among patients with myocardial infarction and post-cardiac catheterization using the Uncertainty in Illness Theory. Uncertainty is also a finding of numerous studies conducted in intensive care units (ICUs) that included only family...
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Published in | Dimensions of critical care nursing Vol. 35; no. 1; p. 42 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
United States
01.01.2016
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Abstract | The concept uncertainty has been explored in critical care but only among patients with myocardial infarction and post-cardiac catheterization using the Uncertainty in Illness Theory. Uncertainty is also a finding of numerous studies conducted in intensive care units (ICUs) that included only family members as participants of the research.
The purpose of this article is to explore, describe, and understand the concept of uncertainty among patients and family members during critical illness in the ICU from the perspective of a phenomenological study with support from other studies published in the literature using Mishel's Theory of Uncertainty in Illness.
The concept "uncertainty" as the topic for this article is one of the specific themes illuminated from a qualitative phenomenological study conducted in the ICU in 2010. Five from each category of patients, family members, and nurses were interviewed until data saturation was achieved. The data were analyzed using van Manen's wholistic, selective, and detailed line-by-line approach until themes were illuminated.
Uncertainty is a patient-specific theme illuminated in this qualitative phenomenological study not noted among the family members. The patients perceived that they "do not know what is going to happen," "if they are progressing or not," or "if they will make it or not."
Uncertainty among patients related to critical illness should be further explored. Patients with different critical care diagnosis should be included as participants. |
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AbstractList | The concept uncertainty has been explored in critical care but only among patients with myocardial infarction and post-cardiac catheterization using the Uncertainty in Illness Theory. Uncertainty is also a finding of numerous studies conducted in intensive care units (ICUs) that included only family members as participants of the research.
The purpose of this article is to explore, describe, and understand the concept of uncertainty among patients and family members during critical illness in the ICU from the perspective of a phenomenological study with support from other studies published in the literature using Mishel's Theory of Uncertainty in Illness.
The concept "uncertainty" as the topic for this article is one of the specific themes illuminated from a qualitative phenomenological study conducted in the ICU in 2010. Five from each category of patients, family members, and nurses were interviewed until data saturation was achieved. The data were analyzed using van Manen's wholistic, selective, and detailed line-by-line approach until themes were illuminated.
Uncertainty is a patient-specific theme illuminated in this qualitative phenomenological study not noted among the family members. The patients perceived that they "do not know what is going to happen," "if they are progressing or not," or "if they will make it or not."
Uncertainty among patients related to critical illness should be further explored. Patients with different critical care diagnosis should be included as participants. |
Author | Cypress, Brigitte S |
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CitedBy_id | crossref_primary_10_1016_j_pedn_2021_01_009 crossref_primary_10_4103_jehp_jehp_1080_22 crossref_primary_10_1080_15265161_2021_1887965 crossref_primary_10_54005_geneltip_1128563 crossref_primary_10_4103_jfmpc_jfmpc_481_21 crossref_primary_10_15446_av_enferm_v36n3_66508 crossref_primary_10_1016_j_pedn_2020_02_008 crossref_primary_10_1186_s12887_023_03857_x crossref_primary_10_1016_j_pedhc_2016_11_007 crossref_primary_10_1097_NMC_0000000000000563 crossref_primary_10_2147_JMDH_S434448 crossref_primary_10_4037_ccn2021322 crossref_primary_10_1016_j_aucc_2023_07_037 crossref_primary_10_1111_jocn_13768 crossref_primary_10_1177_0894318416663942 |
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Title | Understanding Uncertainty Among Critically Ill Patients in the Intensive Care Unit Using Mishel's Theory of Uncertainty of Illness |
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