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Volume 5, Issue 8(Suppl) J Nurs Care 2016
ISSN: 2167-1168 JNC, an open access journal
Page 36
Notes:
Euro Nursing 2016
October 17-19, 2016
conferenceseries.com
15th Euro Nursing & Medicare Summit
October 17-19, 2016 Rome, Italy
Foresight and awareness of incipient changes in a patient’s clinical conditions Perspectives of
intensive care nurses”.
Monica Evelyn Kvande
University of Tromsø, Norway
Objectives: The aim of this study was to explore the phenomenon of becoming aware of incipient changes in patient condition
from the perspectives and experiences of intensive care nurses.
Research Methodology: This study involved close observations of and in-depth interviews with 11 experienced intensive care
nurses. The text was analyzed using a hermeneutic phenomenological method that was inspired by van Manen.
Setting: This study was undertaken at two different high-technology intensive care units (ICUs) in Norwegian university
hospitals.
Results: Nurses formed images of individual patients composed of signs (of changes in a patient’s condition) that were sensory,
measurable, and manifested as the mood of the nurse. The signs may be viewed as separate from and opposed to one another,
but they are tightly interwoven and interact with one another. Care situations are powerful stimuli for the patient, and it is of
great importance for nurses to become aware of signs in these situations. Nurses also ascribe that following the patient over
time is important for becoming aware of signs.
Conclusion: An awareness of incipient changes in patient clinical condition requires understanding the ever-changing
dynamics of patient condition and dialogic images composed of signs. Care situations and the following of patients through
shifts are essential in enabling nurses to detect these signs.
Biography
Monica Kvande, RN, MSc, ICN, PhD student. Her research interest is in intensive care nurses’ clinical competence. She is currently working on her PhD project,
which investigates the experiences of intensive care nurses of becoming aware of changes in patient conditions and of how changes are communicated in the
ICU team
Monica Evelyn Kvande, J Nurs Care 2016, 5:8(Suppl)