• Intensive Crit Care Nurs · Dec 2016

    Consolation or confrontation when interacting through an ICU diary - A phenomenological-hermeneutical study.

    • Anne Højager Nielsen and Sanne Angel.
    • Department of Anesthesiology, Regional Hospital West Jutland, Lægaardvej 12, 7500 Holstebro, Denmark; Department of Clinical Medicine, Aarhus University, Denmark. Electronic address: annsve@rm.dk.
    • Intensive Crit Care Nurs. 2016 Dec 1; 37: 4-10.

    ObjectivesExploring relatives' experience of interaction with other relatives when writing a diary for the critically ill patient.Research MethodologyQualitative interview data were analysed using a phenomenological-hermeneutical approach building on the theory of Ricoeur.SettingSeven relatives, who had written a diary when their close relative was admitted to the intensive care unit at a regional hospital in Denmark, were interviewed after the patient had been discharged.FindingsWriting a diary for the critically ill patient implied creating the story together, which impacted the relationships of the relatives. However, the relationship between relatives determined who might author the diary and also the content of the diary. Authoring the diary could be both a powerful position to shape the story unfolding in the diary or a burdensome responsibility.ConclusionAuthorship of the diary provided relatives with the power to influence the narrative in the diary. Co-authoring the diary allowed the relatives to incorporate the illness experience into a personal narrative, thereby influencing the formation of a family narrative. However, difficult relationships kept relatives from sharing emotions and understandings and could cause suffering among relatives and co-creation of the diary to fail.Copyright © 2016 Elsevier Ltd. All rights reserved.

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