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Situation awareness in intensive care unit nurses: A qualitative directed content analysis

BACKGROUND: Situation awareness (SA) is an essential cognitive construct to create positive patient safety outcomes. SA of the nurses in the intensive care unit (ICU), where conditions may change rapidly, is particularly important. The present study aimed to explain the perception and experience of...

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Autores principales: Ghaderi, Chiman, Esmaeili, Roghayeh, Ebadi, Abbas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9614415/
https://www.ncbi.nlm.nih.gov/pubmed/36311586
http://dx.doi.org/10.3389/fpubh.2022.999745
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author Ghaderi, Chiman
Esmaeili, Roghayeh
Ebadi, Abbas
author_facet Ghaderi, Chiman
Esmaeili, Roghayeh
Ebadi, Abbas
author_sort Ghaderi, Chiman
collection PubMed
description BACKGROUND: Situation awareness (SA) is an essential cognitive construct to create positive patient safety outcomes. SA of the nurses in the intensive care unit (ICU), where conditions may change rapidly, is particularly important. The present study aimed to explain the perception and experience of SA in ICU nurses based on Endsley's SA model. MATERIALS AND METHODS: This qualitative directed content analysis was conducted on nurses in six hospitals in Tehran, Iran, from December 2020 to July 2021. Twenty-seven ICU nurses were selected using purposive sampling. Data were collected by semi-structured interviews and field observations. The data were analyzed based on the Elo and Kyngas method modified by Assarroudi et al. COREQ checklist was used to report the research. RESULTS: The concept of SA in ICU nurses, based on Endsley's model, includes perception of patients' clinical cues, perception of the human environment, perception of the physical environment, and perception of the organizational environment as generic categories of the perception of the elements in the environment. SA in ICU nurses also includes the main categories of comprehension the current situation through a sense of salience and interpretation of cues and projection the future situation through the prediction of patient status into the near future and environmental foresight. CONCLUSION: Findings have further developed the concept of SA in ICU nurses based on Endsley's SA model. The insights and knowledge gained from this study can be useful for future practice, education, and research on SA among ICU nurses.
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spelling pubmed-96144152022-10-29 Situation awareness in intensive care unit nurses: A qualitative directed content analysis Ghaderi, Chiman Esmaeili, Roghayeh Ebadi, Abbas Front Public Health Public Health BACKGROUND: Situation awareness (SA) is an essential cognitive construct to create positive patient safety outcomes. SA of the nurses in the intensive care unit (ICU), where conditions may change rapidly, is particularly important. The present study aimed to explain the perception and experience of SA in ICU nurses based on Endsley's SA model. MATERIALS AND METHODS: This qualitative directed content analysis was conducted on nurses in six hospitals in Tehran, Iran, from December 2020 to July 2021. Twenty-seven ICU nurses were selected using purposive sampling. Data were collected by semi-structured interviews and field observations. The data were analyzed based on the Elo and Kyngas method modified by Assarroudi et al. COREQ checklist was used to report the research. RESULTS: The concept of SA in ICU nurses, based on Endsley's model, includes perception of patients' clinical cues, perception of the human environment, perception of the physical environment, and perception of the organizational environment as generic categories of the perception of the elements in the environment. SA in ICU nurses also includes the main categories of comprehension the current situation through a sense of salience and interpretation of cues and projection the future situation through the prediction of patient status into the near future and environmental foresight. CONCLUSION: Findings have further developed the concept of SA in ICU nurses based on Endsley's SA model. The insights and knowledge gained from this study can be useful for future practice, education, and research on SA among ICU nurses. Frontiers Media S.A. 2022-10-14 /pmc/articles/PMC9614415/ /pubmed/36311586 http://dx.doi.org/10.3389/fpubh.2022.999745 Text en Copyright © 2022 Ghaderi, Esmaeili and Ebadi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Ghaderi, Chiman
Esmaeili, Roghayeh
Ebadi, Abbas
Situation awareness in intensive care unit nurses: A qualitative directed content analysis
title Situation awareness in intensive care unit nurses: A qualitative directed content analysis
title_full Situation awareness in intensive care unit nurses: A qualitative directed content analysis
title_fullStr Situation awareness in intensive care unit nurses: A qualitative directed content analysis
title_full_unstemmed Situation awareness in intensive care unit nurses: A qualitative directed content analysis
title_short Situation awareness in intensive care unit nurses: A qualitative directed content analysis
title_sort situation awareness in intensive care unit nurses: a qualitative directed content analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9614415/
https://www.ncbi.nlm.nih.gov/pubmed/36311586
http://dx.doi.org/10.3389/fpubh.2022.999745
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