To have and to hold nutritional control: balancing between individual and routine care. A grounded theory study.
Intensive Crit Care Nurs
; 25(3): 155-62, 2009 Jun.
Article
en En
| MEDLINE
| ID: mdl-19395264
OBJECTIVES: Gaining insight into nutritional processes can help nurses and other staff in their work. The aim was to provide a theoretical understanding of the concerns and strategies of nutritional nursing care for patients with enteral nutrition in intensive care units. DESIGN: A grounded theory approach was used. Observations of patient's nutritional care and twelve interviews with eight registered nurses and four enrolled nurses were conducted. SETTING: The study was carried out in one intensive care unit at a medium sized hospital in Sweden. RESULTS: The substantive theory developed included the core category "To have and to hold nutritional control - balancing between individual care and routine care". The core category was reflected in and related to the categories "knowing the patient", "facilitating the patient's involvement", "being a nurse in a team", "having professional confidence" and "having a supportive organisation". Finding a balance between individual care and routine care was a way of enhancing the patient's well-being, security and quality of care. CONCLUSION: To have and to hold nutritional control over the patient's nutrition was found to be a balancing act between individual care and routine care. Organisation and teamwork are both challenging and supporting the provision, maintenance and development of nutritional care.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Actitud del Personal de Salud
/
Conocimientos, Actitudes y Práctica en Salud
/
Nutrición Enteral
/
Cuidados Críticos
/
Rol de la Enfermera
/
Personal de Enfermería en Hospital
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Aspecto:
Patient_preference
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Intensive Crit Care Nurs
Asunto de la revista:
ENFERMAGEM
/
TERAPIA INTENSIVA
Año:
2009
Tipo del documento:
Article
País de afiliación:
Suecia
Pais de publicación:
Países Bajos