Andersson Maria, Hall-Lord Marie Louise, Wilde-Larsson Bodil, Persenius Mona
Department of Nursing, Karlstad University, Karlstad, Sweden.
Intensive Crit Care Nurs. 2013 Aug;29(4):193-201. doi: 10.1016/j.iccn.2013.04.002. Epub 2013 Jun 6.
The purpose of this study was to investigate ICU staff's perceptions of photographs displayed at the bedsides of unconscious patients and whether profession, years in ICU and work status had any influence on these perceptions.
A cross-sectional study was used comprising a questionnaire with statements and one open-ended question. All registered nurses, enrolled nurses and anaesthetists working in one ICU in Sweden were included. A total of 85 participants returned a questionnaire (response rate=77%).
The findings of the study revealed that a photograph of the patient helped the ICU staff to relate to the patient as a person. Profession, years in ICU and work status had influence on the ICU staff's perceptions. From the content analysis two categories emerged: "getting closer and see the person" and "a landmark bringing hope".
The ICU staff need to consider how close to the patient they want to be and why the patient's recovery is worth striving for. Keeping a professional approach is one of the challenges of working in ICU. A photograph can be an inexpensive and easy way of preventing the loss of identity of the patient as an individual within the technocratic environments of the ICU.
本研究旨在调查重症监护病房（ICU）工作人员对展示在昏迷患者床边照片的看法，以及职业、在ICU工作的年限和工作状态是否对这些看法有任何影响。
采用横断面研究，包括一份带有陈述语句和一个开放式问题的问卷。纳入了在瑞典一家ICU工作的所有注册护士、在册护士和麻醉师。共有85名参与者返回了问卷（回复率=77%）。
研究结果显示，患者的照片有助于ICU工作人员将患者视为人来建立联系。职业、在ICU工作的年限和工作状态对ICU工作人员的看法有影响。通过内容分析得出了两类：“拉近与患者的距离并看到其人”和“带来希望的标志物”。
ICU工作人员需要考虑他们希望与患者有多亲近，以及为何患者的康复值得为之努力。保持专业态度是在ICU工作的挑战之一。在ICU的技术官僚环境中，一张照片可以是防止患者丧失个体身份的一种廉价且简便的方式。
