Evidence map›Paper›PMID 36281216›Full record

SynthesisJournal of advanced nursing2023

Humanizing and dehumanizing intensive care: Thematic synthesis (HumanIC).

Anne Højager Nielsen, Monica Evelyn Kvande, Sanne Angel

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Anne Højager NielsenDepartment of Anesthesiology and Intensive care, Gødstrup Hospital, Herning, Denmark.ORCID https://orcid.org/0000-0002-8955-9374
Monica Evelyn KvandeLovisenberg Diaconal University College, Oslo, Norway.ORCID https://orcid.org/0000-0003-4384-4695
Sanne AngelDepartment of Public Health, Nursing, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0001-7669-6743

Funding

Novo Nordisk Fonden NNFOC0058277
6 · The paper itself

Abstract

backgroundCritical illness and the intensive care unit can be a terrifying experience to patients and relatives and they may experience the extreme life-saving measures as dehumanizing. Humanizing intensive care is often described as holism or dignity, but these abstract concepts provide little bodily resonance to what a humanized attitude is in concrete situations.

objectiveTo explore what contributes to patients' and relatives' experience of intensive care as humanized or dehumanized.

designThematic synthesis. MATERIALS: Findings from 15 qualitative papers describing patients' and/or relatives' perceptions of humanizing or dehumanizing care.

methodsA systematic literature search of PubMed, CINAHL, Scopus and EMBASE from 1 January 1999 to 20 August 2022 identified 16 qualitative, empirical papers describing patients' and relatives' experiences of humanizing or dehumanizing intensive care, which were assessed using Critical Appraisal Skills Programme Qualitative Checklist, 15 papers were included and analysed using Thematic Synthesis and Ricoeur's model of the text.

findingsIntensive care was humanized when patients felt connected with healthcare professionals, with themselves by experiencing safety and well-being and with their loved ones. Intensive care was humanized to relatives when the patient was cared for as a unique person, when they were allowed to stay connected to the patient and when they felt cared for in the critical situation.

conclusionPatients and relatives experienced intensive care as humanized when healthcare professionals expressed genuine attention and supported them through their caring actions and when healthcare professionals supported patients' and relatives' opportunities to stay connected in the disrupted situation of critical illness. When healthcare professionals offered a connection to the patients and relatives, this helped them hold on and find meaning. PATIENT OR PUBLIC CONTRIBUTION: No patient and public contribution.

Indexed as

Critical IllnessFamilyCritical CareHumansIntensive Care UnitsPatientsQualitative Researchcritical careDehermeneuticshumanizingintensive carethematic synthesis

Identifiers

PMID36281216
PMCPMC10092106

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.