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Clinical Judgment of Pain in the Non-Verbal Child at the PICU: A Phenomenographic Study
Department of Clinical Science and Education, Södersjukhuset; Karolinska Institutet.ORCID-id: 0000-0002-4091-3432
Högskolan Dalarna, Omvårdnad.
Department of Clinical Science and Education, Södersjukhuset; Karolinska Institutet.
Department of Neurobiology, Care Science and Society, Karolinska Institutet.
2011 (Engelska)Ingår i: Journal of Palliative Care & Medicine, ISSN 2165-7386, Vol. 1, nr 1, s. 102-Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
2011. Vol. 1, nr 1, s. 102-
Nationell ämneskategori
Omvårdnad Anestesi och intensivvård
Identifikatorer
URN: urn:nbn:se:rkh:diva-946DOI: 10.4172/2165-7386.1000102OAI: oai:DiVA.org:rkh-946DiVA, id: diva2:742296
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Open Access

Tillgänglig från: 2013-03-15 Skapad: 2014-08-28 Senast uppdaterad: 2014-12-11Bibliografiskt granskad
Ingår i avhandling
1. Uncovering pain and caring for children in the pediatric intensive care unit: nurses’ clinical approach and parent’s perspective
Öppna denna publikation i ny flik eller fönster >>Uncovering pain and caring for children in the pediatric intensive care unit: nurses’ clinical approach and parent’s perspective
2013 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Background: The thesis has a standpoint in a synthesis of caring science and educationscience from a clinical perspective. Children in a Pediatric Intensive Care Unit (PICU) are in an exposed position, dependent on nurses to acknowledge their needs. The alleviation of children’s pain has been investigated from various perspectives, but undertreated pain remains a problem in the PICU. There is a preponderance of empirical evidence pointing toward the role of nurses in uncovering children’s pain and suffering. How nurses interpret the child’s expressions and judge the clinical situation influences their actions in the clinical care. In a PICU, the basis for nurses’ concerns and interpretation of what is meaningful in the nursing care situation are formed by professional concern, workplace culture, traditions, habits, and workplace structures. This influences how parents interpret the meaning of care as well. Patricia Benner’s theory on clinical judgment forms a reference framework for this thesis. The assumption is that children need to be approached from a holistic perspective in the caring situation in order to acknowledge their caring needs. A nurse’s clinical education and insights allow for the possibility to enhance the quality of care for children and parents in the PICU.

Aim: To uncover clinical concerns, from caring and learning perspectives, in caring for children in the Pediatric Intensive Care Unit (PICU) from nurses and parents perspective.

Methods: Qualitative methods were used in all studies to unfold and explore the phenomena in the nurses’ and parents’ everyday clinical life world. In Papers I and II, a phenomenographic method was adopted. In Papers III and IV, an interpretive phenomenological approach was adopted.

Findings: Nurses that have a holistic view of the child and approach the child from a multidimensional perspective, with a focus on the individual child and his/her caring needs, develop a clinical “connoisseurship” and meet the parents’ expectations of the meaning of care. The nurses express that it is only when they focus on the child that subtle signs of pain are revealed. The meaning of nursing care, in the ideal case, is a holistic care where all aspects are integrated and the child as a person has first priority.

Conclusion: The meaning of caring and children’s needs must become elucidated to improve the cultural influence of what can be seen as good nursing care within the PICU.

Ort, förlag, år, upplaga, sidor
Karolinska Institutet, 2013. s. 49
Nyckelord
Nursing care, clinical judgment, pain, non-verbal children, PICU, caring culture, parental perspectives
Nationell ämneskategori
Omvårdnad Anestesi och intensivvård
Identifikatorer
urn:nbn:se:rkh:diva-1012 (URN)978-91-7457-977-2 (ISBN)
Disputation
2013-01-18, Ihre, Stockholm, 13:00 (Engelska)
Opponent
Handledare
Tillgänglig från: 2014-09-09 Skapad: 2014-09-09 Senast uppdaterad: 2014-12-11Bibliografiskt granskad

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Mattsson, Janet

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Mattsson, JanetForsner, Maria
OmvårdnadAnestesi och intensivvård

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Totalt: 115 träffar
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