PERSONCENTRERAD VÅRD PÅ INTENSIVVÅRDSAVDELNING : En systematisk litteraturöversikt-ur intensivvårdssjuksköterskans perspektiv

Background: Person-centred care focuses on the patients needs, narrative and participation, but its implication can be hindered from stress and lack of resources. The family plays an important role in care, especially in decision-making. In the intensive care unit, the technical environment can create a distance between the patient and the caregivers, which is why empathic communication and presence are crucial. Aim: The aim on this study is to explore intensive care nurses’ experience of person-centred care in the intensive care unit. Method: A qualitative systematic literature review with 15 articles based on Mikkonen och Kääriäinens (2020). Result: The result is presented in three main-categories: the importance of communication, psychosocial aspects effecting the relationship and the patients right to self-determination. Conclusion: The result shows that communication, touch, presence and a personal approach are crucial to establish a sense of security and building relationships with patients. Intensive care nurses strive to adapt care according to the needs and potential of the patient, with the family playing a significant role. Guidelines and visitation policies can both hinder and support family involvement. Barriers to work with person-centred care include lack of time, high patient turnover and insufficient support from management. Key words: Communication, family, patient participation, person-centred care