The experiences of trained nurses caring for critically ill patients within a general ward setting.
BACKGROUND
The concept that critical care is a service rather than a location has been increasingly highlighted. However, there is limited information regarding nurses' perceptions of caring for critically ill patients outside of high dependency areas.


OBJECTIVE
The aim of this study was to explore the factors that influence the experiences of trained nurses caring for critically ill patients within a general ward setting.


METHODS
This was an exploratory, descriptive study combining an interview and questionnaire methodology. A purposive sample of seven trained nurses reflecting a range of grades and experience, from one medical ward were selected. A semi-structured interview combined with an attitudinal scale was utilised.


RESULTS
Following analysis five key themes emerged: clinical environment, professional relationships, patient assessment, nurse's feelings and educational needs.


CONCLUSIONS
Whilst the findings of this study cannot be generalised, analysis of the data has provided an insight into the complex factors that effect care delivery. In order to respond to this study's findings, there are resource implications. Educational requirements and communication skills will need to be developed.
Cox
Helen
H
University of the West of England, Faculty of Health and Social Care, Glenside Campus, Blackberry Hill, Bristol, BS16 1DD, UK. helen3.cox@uwe.ac.uk
James
Jayne
J
Hunt
Julian
J
D000223:Adaptation, Psychological; D000328:Adult; D001242:Assertiveness; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D003422:Critical Care / Q000458:organization & administration / Q000523:psychology*; D016638:Critical Illness / Q000451:nursing*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D008875:Middle Aged; D033262:Narration; D024802:Nurse's Role / Q000523:psychology; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D010362:Patients' Rooms; D012647:Self-Assessment; D012659:Semantic Differential; D012944:Social Support; D011795:Surveys and Questionnaires; D016526:Workload