Wikström Ann-Charlott, Cederborg Ann-Christin, Johanson Marita
Department of Nursing, Health and Culture, University West, SE-461 86 Trollhättan, Sweden.
Intensive Crit Care Nurs. 2007 Aug;23(4):187-95. doi: 10.1016/j.iccn.2007.03.003. Epub 2007 Apr 30.
Previous research has suggested technology may dehumanise patient care and also that technology may restrict nurses' freedom of action. This raises questions about the relationship between technology, care and medicine in units where the patient's need for treatment is often an emergency.
The aim of the study was to explore how staff members in an intensive care unit (ICU) make sense of technology in their everyday practice.
Twelve staff members from one ICU were interviewed about their understanding of technology in their everyday practice.
Three main findings emerged from the analysis: Technology seems to be considered decisive as it directs and controls medical treatment and results in the patients' well being; technology is seen as facilitating everyday practice because it makes treatment more secure and decreases workload; however technology can complicate the staff members' everyday practice as it is not completely trustworthy, is not easy to handle and can cause ethical dilemmas.
Contrary to previous findings this study shows that technology seems to be embedded in care and medical treatment. Furthermore, the meaning of technology appears to be dependent on the different staff members' accounting practices.
先前的研究表明，技术可能会使患者护理失去人性化，并且技术可能会限制护士的行动自由。这就引发了关于在患者治疗需求通常为紧急情况的科室中，技术、护理和医学之间关系的问题。
本研究的目的是探讨重症监护病房（ICU）的工作人员在日常工作中如何理解技术。
对来自一个ICU的12名工作人员进行了访谈，询问他们在日常工作中对技术的理解。
分析得出三个主要发现：技术似乎被认为具有决定性作用，因为它指导和控制医疗治疗并带来患者的健康；技术被视为促进日常工作，因为它使治疗更安全并减轻工作量；然而，技术可能会使工作人员的日常工作复杂化，因为它不完全可靠，不易操作且会引发伦理困境。
与先前的研究结果相反，本研究表明技术似乎融入了护理和医疗治疗之中。此外，技术的意义似乎取决于不同工作人员的认知方式。
