Exploration of the Nursing Care Process in the Cardiac Intensive Care Unit: Grounded Theory
Journal Title: مجله تحقیقات کیفی در علوم سلامت - Year 2015, Vol 4, Issue 2
Abstract
Introduction: Care is the basis and foundation of nursing. In the cardiac intensive care unit (CICU), rescuing patients in critical conditions depends on the nursing care process. The aim of this study was the exploration of the nursing care process in the CICU. Method: This study was conducted using the qualitative research method of grounded theory. Sampling was begun purposefully and gradually continued, according to the obtained codes and categories, using theoretical sampling until data saturation. Data collection methods included semi-structured interviews, observations, and field notes. In this study, interviews were conducted with 15 nurses, 3 physician, 3 patients, and 2 relatives of patients in Semnan Fatemieh Hospital in 2012-2013. The time duration of interviews was between 40 to 90 minutes. Interviews were digitally recorded and immediately transcribed verbatim. Data analysis was performed simultaneously to data collection using the constant comparative analysis method of Strauss and Corbin. The accuracy and rigor of the study were confirmed using the criteria of Lincoln and Guba. Results: In the present study, 3235 primary codes, 22 primary categories, and 6 categories in the nursing care process were extracted. The categories include "threatening patient’s life ", "low attention to nurses’ professional identity", "nursing competence", "undesirable professional communications", "stressful environment", and "adequacy/inadequacy". Each of these categories contained subcategories with specific characteristics. Conclusion: The results show that the nursing care process in the CICU is a correlated, dynamic, and complex concept continually influenced by factors effective on care. On the one hand, life-threatening conditions of patients, and the other hand, environment, working conditions, communication, and competence of nurses are effective on the patient care process in the CICU.
Authors and Affiliations
Monir Nobahar
Keywords
Related Articles
- EP ID EP631545
- DOI -
- Views 154
- Downloads 0
The Competitive Analysis of the Private Hospital Industry Using Porter's Competitive Diamond Model: A Case Study in Kerman 2014
Introduction: Changes in diseases pattern and increase in demand have necessitated private hospitals’ involvement in the health system. The purpose of this study was to analyze the private hospital industry in order to i...
Barriers and Incentives of Self-care from the View of Diabetic Patients and their Service Providers Using the Social Marketing Model in Ardakan, Iran
Introduction: Diabetes is the most common disease worldwide. The complications of diabetes cause economic damages and decrease patients' and their families' quality of life. Self-care is an important process in diabetes...
Explain Siblings’ Lived Experiences in Living with Individuals with Intellectual Disability: A Phenomenological Approach
Introduction: Living with individuals suffering from intellectual disability in families engenders particular concerns, worries, and challenges for siblings. The aim of the present study was to access siblings’ lived exp...
Psychological Problems of Family Members of Brain-Dead Organ Donors: A Qualitative Study
Introduction: Organ donation is a very difficult decision for families. Families of brain-dead patients simultaneously face the difficult and damaging stages of experiencing and understanding brain death and the crisis o...
Factors Affecting Maternal Role Adaptation in Mothers of Preterm Infants Hospitalized in the Intensive Care Unit: A Qualitative Study
ntroduction: Becoming a mother in the neonatal intensive care unit is very different from becoming a mother of a full term infant in normal conditions. This study was conducted to explore factors affecting maternal role...