Cultural changes in ICU sedation management
Research output: Contribution to journal › Journal article › Research › peer-review
The aim of this study was to explore physicians' views and perceptions of sedation, and offer a new approach to the understanding of issues of sedation. I used a qualitative, descriptive, and explorative multicenter design. Data were generated by seven key-informant interviews using a semistructured interview guide. One experienced doctor was selected at each of the seven largest intensive care units in Denmark. Interpretational analysis was performed by comprehensive overview, individual case analysis, cross-case analysis, and integrated thematic analysis and identification of emerging themes. The following themes emerged: a paradigm shift from sedated to more awake and comfortable patients, cultural changes toward intracollegial openness, increased interdisciplinary and staff/patient/family collaboration, patient and environmental normalization, and humanization. The study findings provide an understanding of contextual issues of sedation, safety, and comfort, and suggest that a cultural change in sedation strategies might reduce the duration of sedation and mechanical ventilation while containing cost and improving the well-being of the patients.
Original language | English |
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Journal | Qualitative Health Research |
Volume | 19 |
Issue number | 5 |
Pages (from-to) | 687-96 |
Number of pages | 9 |
ISSN | 1049-7323 |
DOIs | |
Publication status | Published - 2009 |
Bibliographical note
Keywords: Attitude of Health Personnel; Deep Sedation; Denmark; Female; Humans; Intensive Care Units; Interviews as Topic; Male; Nurse's Role; Physicians; Qualitative Research; Respiration, Artificial
ID: 19979025