title: 'Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients' perception of safety in the intensive care unit.
abstract: OBJECTIVE
  To describe and understand intensive care unit (ICU) nurses' views regarding their role in ICU patients' perception of safety.
  
  
  BACKGROUND
  Feeling safe is an important issue for ICU patients. Not feeling safe may result in adverse effects including traumatic experiences, having nightmares and feeling depressed. Nursing care plays a major role in patients' perception of safety. However, it is unknown whether ICU nurses are aware of this role.
  
  
  METHODS
  A grounded theory approach following Corbin and Strauss.
  
  
  METHODS
  A total of 13 participants were included in the study following maximum variation sampling, by selecting ICU nurses who differed in gender, age, work experience as registered ICU nurse, and were employed in different IC units. In-depth interviews were performed using open-ended questions guided by a topic list with broad question areas. Data collection and analysis were executed during an iterative process.
  
  
  RESULTS
  The core category, building a bond of trust to provide good and comfortable care, arose from four main categories: explaining and informing ICU patients, using patients' family bond, ICU nurses' attitudes and expertise, and creating physical safety.
  
  
  CONCLUSIONS
  The ICU nurses stated that they were not explicitly aware of ICU patients' perception of safety, but that they strived to provide good and comfortable care, through building a bond of trust with their patients. According to the nurses, a bond of trust is essential for patients to feel safe in the ICU.
  
  
  CONCLUSIONS
  The importance of feeling safe in ICU patients should be addressed within the education and clinical practice of ICU nurses, to ensure that they become aware of ICU patients' perception of safety.
authors.affiliation: Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.|Department of Intensive Care Medicine, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Annelies
authors.initials: A
authors.lastname: Wassenaar
authors.affiliation: Department of Intensive Care Medicine, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Mark
authors.initials: M
authors.lastname: van den Boogaard
authors.affiliation: Clinical Health Sciences, Faculty of Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Truus
authors.initials: T
authors.lastname: van der Hooft
authors.affiliation: Department of Intensive Care Medicine, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Peter
authors.initials: P
authors.lastname: Pickkers
authors.affiliation: Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.|Faculty of Health Sciences, University of Southampton, Southampton, UK.
authors.forename: Lisette
authors.initials: L
authors.lastname: Schoonhoven
mesh_terms: D000328:Adult; D064648:Critical Care Nursing; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D007407:Interviews as Topic; D008297:Male; D009426:Netherlands; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D035502:Trust
keywords: feeling safe; grounded theory; intensive care unit; nurse role; qualitative research