Liver transplant patients: their experience in the intensive care unit. A phenomenological study.
BACKGROUND
The nurses' knowledge of patients' experiences contributes to gaining a deeper understanding of their health process, which will help to provide a better foundation for nursing care. The patients' experiences in the intensive care unit are singular; liver transplant patients constitute a specific group, because generally their admission to the intensive care unit marks the first step towards recovery of their health after a process in which they have lived in fear because their illness was reaching a more or less terminal stage.


OBJECTIVE
To describe the liver transplant patient's experience in the intensive care unit.


METHODS
Phenomenological descriptive qualitative study.


METHODS
In-depth interviews were carried out with a sample of 10 patients. The interviews were audiotaped and transcribed verbatim. The transcripts were analyzed using the method devised by Giorgi and modified by Baker.


RESULTS
After the data were analyzed, a general description emerged, which includes five themes reflecting the essence of what this group of patients experienced: preconceived ideas marked the way they approached transplant; captured impressions of the intensive care unit's environment and experienced sensations; their perception of the caring behaviour of the nursing staff; support from the social environment (family) and religious beliefs; and their preconceived idea of the intensive care unit contrasted with their lived experience.


CONCLUSIONS
This research enabled us to gain in-depth knowledge of the liver transplant patient's lived experience of the intensive care unit. Nurses can optimize the nursing care plan for this group of patients based on these results.


CONCLUSIONS
Awareness of the importance that these participants gave to discomfort caused in their basic needs should lead nurses to pay special attention to the nursing interventions to help with these needs. As a result of this research, nurses and other professionals in the intensive care unit know that patients have an immediate sense of positive change. This enables us to reinforce this perception, reminding them frequently that they have already had their transplant and they are progressing well, thereby aiding their recovery. With regard to the social support of liver transplant patients, nurses must facilitate the presence of family members at the patient's bedside, as participants stated that the only support they needed was that of their family.
del Barrio
Miriam
M
Critical Care Unit, Clínica Universitaria, Universidad de Navarra, Pamplona, Spain. mdelbarrio@unav.es
Lacunza
Ma Mar
MM
Armendariz
Ana Carmen
AC
Margall
Ma Angeles
MA
Asiain
Ma Carmen
MC
D000328:Adult; D000368:Aged; D004645:Empathy; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007362:Intensive Care Units; D016031:Liver Transplantation / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D036301:Qualitative Research; D012944:Social Support