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"Humanizing intensive care: A scoping review (HumanIC)".
Monica Evelyn Kvande1, Sanne Angel2, Anne Højager Nielsen3
1155319Lovisenberg Diaconal University College, University Hospital of North Norway, Norway.
Nursing Ethics
|December 13, 2021
Summary
Humanizing intensive care involves a holistic approach, balancing technology with patient-centered care and professional attitudes. This focus on the individual, relatives, and social context is crucial for improving patient experiences in critical care settings.
Area of Science:
- Critical Care Medicine
- Healthcare Management
- Nursing Studies
Background:
- Intensive care units (ICUs) advancements contrast with patient experiences of discomfort and loss of control.
- Debates exist on the necessity and methods of humanizing intensive care.
Purpose of the Study:
- To explore literature describing the humanization of intensive care.
- To define humanizing care within the context of modern intensive care units.
Main Methods:
- A scoping review of studies published between January 1, 1999, and March 2, 2020.
- Searches conducted in CINAHL, Embase, PubMed, and Scopus databases.
- Inclusion of 68 papers that discussed humanizing or dehumanizing intensive care.
Main Results:
- Humanizing intensive care is defined as holistic care, encompassing professional attitudes and organizational ideals.
- Balancing technology with patient autonomy and a whole-person approach is key.
- Geographical variations noted, with significant interest from Spain and Brazil.
Conclusions:
- A holistic approach emphasizing the individual patient, relatives, and social context is fundamental to humanizing intensive care.
- Professional attitudes and organizational support are vital for overcoming technology's dominance.
- Healthcare organizations and regulatory frameworks play a role in enforcing humanized care standards.
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