title: The Living, Dynamic and Complex Environment Care in Intensive Care Unit.
abstract: OBJECTIVE
  to understand the meaning of the Adult Intensive Care Unit environment of care, experienced by professionals working in this unit, managers, patients, families and professional support services, as well as build a theoretical model about the Adult Intensive Care Unit environment of care.
  
  
  METHODS
  Grounded Theory, both for the collection and for data analysis. Based on theoretical sampling, we carried out 39 in-depth interviews semi-structured from three different Adult Intensive Care Units.
  
  
  RESULTS
  built up the so-called substantive theory "Sustaining life in the complex environment of care in the Intensive Care Unit". It was bounded by eight categories: "caring and continuously monitoring the patient" and "using appropriate and differentiated technology" (causal conditions); "Providing a suitable environment" and "having relatives with concern" (context); "Mediating facilities and difficulties" (intervenienting conditions); "Organizing the environment and managing the dynamics of the unit" (strategy) and "finding it difficult to accept and deal with death" (consequences).
  
  
  CONCLUSIONS
  confirmed the thesis that "the care environment in the Intensive Care Unit is a living environment, dynamic and complex that sustains the life of her hospitalized patients".
authors.affiliation: Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, SC, BR.
authors.forename: Marli Terezinha Stein
authors.initials: MT
authors.lastname: Backes
authors.affiliation: Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, SC, BR.
authors.forename: Alacoque Lorenzini
authors.initials: AL
authors.lastname: Erdmann
authors.affiliation: Fakultät Wirtschafts und Sozialwissenschaften, Osnabrück, Nothwesfallen, DE.
authors.forename: Andreas
authors.initials: A
authors.lastname: Büscher
mesh_terms: D000328:Adult; D003422:Critical Care / Q000592:standards; D006272:Health Facility Environment; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration* / Q000592:standards