Cultural Changes in ICU Sedation Management
Bibliographic Data
| ID | 5454910 |
|---|---|
| Authors | Ingrid Egerod (0000-0002-9576-4390, University of Copenhagen, Copenhagen, Denmark, corresponding author) |
| Year | 2009 |
| Volume | 19 |
| Issue | 5 |
| Pages | 687-696 |
| Publication date | 2009-05-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732309334014 |
| PMID | 19380504 |
| OpenAlex | W2107625768 |
| Language | EN |
| Citations received | 2 |
| References cited | 31 |
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
Anesthesia · Openness to experience · Qualitative research · Sedation · Sociology · Thematic analysis · Anesthesia and Sedative Agents · Family and Patient Care in Intensive Care Units · Intensive Care Unit Cognitive Disorders · Medicine · Nursing · Psychology · Social Psychology
| Citations per year | 0.13 |
|---|---|
| Citation span | 2010 - 2011 (2) |
| Highly cited | No |