title: Intelligence Care: A Nursing Care Strategy in Respiratory Intensive Care Unit.
abstract: BACKGROUND
  Working in respiratory intensive care unit (RICU) is multidimensional that requires nurses with special attributes to involve with the accountability of the critically ill patients.
  
  
  OBJECTIVE
  The aim of this study was to explore the appropriate nursing care strategy in the RICU in order to unify and coordinate the nursing care in special atmosphere of the RICU.
  
  
  METHODS
  This conventional content analysis study was conducted on 23 health care providers working in the RICU of Sina and Shariati hospitals affiliated to Tehran university of medical sciences and the RICU of Baqiyatallah university of medical sciences from August 2012 to the end of July 2013. In addition to in-depth semistructured interviews, uninterrupted observations, field notes, logs, patient's reports and documents were used. Information saturation was determined as an interview termination criterion.
  
  
  RESULTS
  Intelligence care emerged as a main theme, has a broad spectrum of categories and subcategories with bridges and barriers, including equality of bridges and barriers (contingency care, forced oriented task); bridges are more than barriers (human-center care, innovative care, cultural care, participatory care, feedback of nursing services, therapeutic-professional communication, specialized and independent care, and independent nurse practice), and barriers are higher than bridges (personalized care, neglecting to provide proper care, ineffectiveness of supportive caring wards, futility care, nurse burnout, and nonethical-nonprofessional communications).
  
  
  CONCLUSIONS
  Intelligence care is a comprehensive strategy that in addition to recognizing barriers and bridges of nursing care, with predisposing and precipitating forces it can convert barriers to bridges.
authors.affiliation: Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IR Iran; Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
authors.forename: Amir
authors.initials: A
authors.lastname: Vahedian-Azimi
authors.affiliation: Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
authors.forename: Abbas
authors.initials: A
authors.lastname: Ebadi
authors.affiliation: Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Soheil
authors.initials: S
authors.lastname: Saadat
authors.affiliation: Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran.
authors.forename: Fazlollah
authors.initials: F
authors.lastname: Ahmadi
keywords: Graneheim and Lundman’s Method; Intelligence Care; Iran; Nursing Care; Respiratory Intensive Care Unit