gms | German Medical Science

1st International Conference of the German Society of Nursing Science

Deutsche Gesellschaft für Pflegewissenschaft e. V.

04.05. - 05.05.2018, Berlin

What happens when technology enters the home – a systematic and integrative review focusing home mechanical ventilator treatment

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Berit Lindahl - School of Health Sciences, University of Borås
  • Sue Kirk - Division of Nursing, Midwifery and Social Work, University of Manchester

Deutsche Gesellschaft für Pflegewissenschaft e.V. (DGP). 1st International Conference of the German Society of Nursing Science. Berlin, 04.-05.05.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18dgpO30

doi: 10.3205/18dgp030, urn:nbn:de:0183-18dgp0309

Veröffentlicht: 30. April 2018

© 2018 Lindahl et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Background and Purpose: During the last decades the European health care system has undergone changes in organization and treatment regimens. This has led to that medical treatments and nursing care that earlier belonged to hospitals have moved into the private home. One such treatment is ventilator treatment. When professional care takes place in the private home – it changes. Values and routines might be transferred from the hospital into the home in a taken-for-granted way and as a consequence the home risk becoming a public area regards being the work-place for various health care professionals. The purpose of the actual study was to analyse research papers concerning experiences of home when technology, enters into the domestic area. The technology in focus was ventilator treatment.

Methods: The presentation is built on findings from a systematic and integrative review based on the work of Whittemore and Knafl (2005). Their model allows a use and combination of articles that have used diverse methodologies.

Research Focus: The databases CINAHL, PubMed, Scopus and ISI Web of Knowledge were used with main search terms Patient, Adult, Child, Family, Home and Ventilator and their synonyms. A total of number of 114 articles fulfilled the inclusion criteria. After identifying duplicates and screening titles and abstracts, performing hand searches, reading and assessing 49 publications in full, finally 21 articles were included in the dataset.

Methodological and Theoretical Focus: The analyses were performed through identifying categories that were synthesised and presented as meanings within each category. The analytical and theoretical approach was a caring science perspective.

Results: The findings revealed content and meanings about altered meanings of the home and feelings of at-home-ness. A life on a ventilator meant learning and taking on new responsibilities both for the ventilator user and family as well as ambiguities in boundaries in roles within relationships with professional health carers.

Conclusions: When ventilator treatment is moved into the domestic area the ventilator user and family experience an urgent need to feel confident and to have control over in the skills of professionals. Trust in the professional relationship becomes an absolute prerequisite.

Programme Overview:

1.
Christiane Schaepe, PhD student Charité University, Berlin
2.
Berit Lindahl, Professor University of Borås, Sweden
3.
Åsa Israelsson-Skogsberg, PhD student University of Borås, Sweden
4.
Lena Swedberg, CCRN, PhD Södertälje Hospital, Sweden
5.
Pia Dreyer, CCRN, PhD, Århus University, Denmark