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“Humanizing intensive care: A scoping review (HumanIC)”

Significant scientific and technological advances in intensive care have been made. However, patients in the intensive care unit may experience discomfort, loss of control, and surreal experiences. This has generated relevant debates about how to humanize the intensive care units and whether humaniz...

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Autores principales: Kvande, Monica Evelyn, Angel, Sanne, Højager Nielsen, Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958643/
https://www.ncbi.nlm.nih.gov/pubmed/34894870
http://dx.doi.org/10.1177/09697330211050998
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author Kvande, Monica Evelyn
Angel, Sanne
Højager Nielsen, Anne
author_facet Kvande, Monica Evelyn
Angel, Sanne
Højager Nielsen, Anne
author_sort Kvande, Monica Evelyn
collection PubMed
description Significant scientific and technological advances in intensive care have been made. However, patients in the intensive care unit may experience discomfort, loss of control, and surreal experiences. This has generated relevant debates about how to humanize the intensive care units and whether humanization is necessary at all. This paper aimed to explore how humanizing intensive care is described in the literature. A scoping review was performed. Studies published between 01.01.1999 and 02.03.2020 were identified in the CINAHL, Embase, PubMed, and Scopus databases. After removing 185 duplicates, 363 papers were screened by title and abstract. Full-text screening of 116 papers led to the inclusion of 68 papers in the review based on the inclusion criteria; these papers mentioned humanizing or dehumanizing intensive care in the title or abstract. Humanizing care was defined as holistic care, as a general attitude of professionals toward patients and relatives and an organizational ideal encompassing all subjects of the healthcare system. Technology was considered an integral component of intensive care that must be balanced with caring for the patient as a whole and autonomous person. This holistic view of patients and relatives could ameliorate the negative effects of technology. There were geographical differences and the large number of studies from Spain and Brazil reflect the growing interest in humanizing intensive care in these particular countries. In conclusion, a more holistic approach with a greater emphasis on the individual patient, relatives, and social context is the foundation for humanizing intensive care, as reflected in the attitudes of nurses and other healthcare professionals. Demands for mastering technology may dominate nurses’ attention toward patients and relatives; therefore, humanized intensive care requires a holistic attitude from health professionals and organizations toward patients and relatives. Healthcare organizations, society, and regulatory frameworks demanding humanized intensive care may enforce humanized intensive care.
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spelling pubmed-89586432022-03-29 “Humanizing intensive care: A scoping review (HumanIC)” Kvande, Monica Evelyn Angel, Sanne Højager Nielsen, Anne Nurs Ethics Original Manuscripts Significant scientific and technological advances in intensive care have been made. However, patients in the intensive care unit may experience discomfort, loss of control, and surreal experiences. This has generated relevant debates about how to humanize the intensive care units and whether humanization is necessary at all. This paper aimed to explore how humanizing intensive care is described in the literature. A scoping review was performed. Studies published between 01.01.1999 and 02.03.2020 were identified in the CINAHL, Embase, PubMed, and Scopus databases. After removing 185 duplicates, 363 papers were screened by title and abstract. Full-text screening of 116 papers led to the inclusion of 68 papers in the review based on the inclusion criteria; these papers mentioned humanizing or dehumanizing intensive care in the title or abstract. Humanizing care was defined as holistic care, as a general attitude of professionals toward patients and relatives and an organizational ideal encompassing all subjects of the healthcare system. Technology was considered an integral component of intensive care that must be balanced with caring for the patient as a whole and autonomous person. This holistic view of patients and relatives could ameliorate the negative effects of technology. There were geographical differences and the large number of studies from Spain and Brazil reflect the growing interest in humanizing intensive care in these particular countries. In conclusion, a more holistic approach with a greater emphasis on the individual patient, relatives, and social context is the foundation for humanizing intensive care, as reflected in the attitudes of nurses and other healthcare professionals. Demands for mastering technology may dominate nurses’ attention toward patients and relatives; therefore, humanized intensive care requires a holistic attitude from health professionals and organizations toward patients and relatives. Healthcare organizations, society, and regulatory frameworks demanding humanized intensive care may enforce humanized intensive care. SAGE Publications 2021-12-12 2022-03 /pmc/articles/PMC8958643/ /pubmed/34894870 http://dx.doi.org/10.1177/09697330211050998 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Manuscripts
Kvande, Monica Evelyn
Angel, Sanne
Højager Nielsen, Anne
“Humanizing intensive care: A scoping review (HumanIC)”
title “Humanizing intensive care: A scoping review (HumanIC)”
title_full “Humanizing intensive care: A scoping review (HumanIC)”
title_fullStr “Humanizing intensive care: A scoping review (HumanIC)”
title_full_unstemmed “Humanizing intensive care: A scoping review (HumanIC)”
title_short “Humanizing intensive care: A scoping review (HumanIC)”
title_sort “humanizing intensive care: a scoping review (humanic)”
topic Original Manuscripts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958643/
https://www.ncbi.nlm.nih.gov/pubmed/34894870
http://dx.doi.org/10.1177/09697330211050998
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