NRS300 Critical Inquiry in Nursing
ROL Grid for Qualitative Investigation
Name: Caitlin, Leah, and Kelcie
3/6/14 LEVEL of EVIDENCE: Integrative review (VII)
APA Reference: Papathanassoglou, E. (2010). Psychological support and outcomes for ICU patients. The British Association of Critical Care
Nurses, Nursing in Critical Care, 15(3), 118-128.
Purpose/Goal
Research Problem:
“Despite a recognized
need for emotional
support, the constituents,
strategies and
effectiveness of such
support in incentive care
are poorly defined.”
Theoretical
Framework
Framework: Narrative
critical review
methodology
Methodology
Results
Interpretation
Design: Experimental,
Quasi-Experimental or
pretest-posttest peerreviewed intervention
studies
Emergent Themes:
Imagery, Intensive
care nursing, nursepatient relationship,
psychosocial
support, relaxation,
stress
Implications for
practice:
“ICU nurses need to
engage in patients’
psychological
support in a
systematic way, and
they need to
acknowledge the
high priority of
support inventions”
Research Concept/s:
Psychological/emotional
support: motivation of
sense of control,
Purpose/Aims/Objectives: positive emotions and
“To critically review
attenuation of anxiety
evidence on the effects of by means of the whole
psychological support
spectrum of the
during ICU treatment on
interventions and
adult ICU patients’
interactions embedded
psychological and
in the interpersonal
physiological outcomes.
caring relationship
Evidence from
between the nurse and
intervention studies on
the patient.”
imagery and relaxation
has been included, as
“Relaxation is defined
well.”
as absence of physical,
mental and emotional
Research Question/s:
tension”
What relaxation
interventions are most
“Imagery is defined as a
effective in adult ICU
way of purposefully
patients?
diverting and focusing
What interventions best
one’s thoughts”
Sample: Adult ICU
patients
Setting: ICU
Data Collection:
Searched for peerreviewed studies
published since 1970
involving adult ICU
patients.
Data analysis:
Integrative review of
literature.
Findings: “The
results suggest
significant
improvements in
patients’ outcomes:
improved vital
signs, decrease in
pain ratings,
anxiety, rate of
complications and
length of stay and
improved sleep and
patient satisfaction.”
Researcher
Recommendations
for further
investigation:
“Future research
needs to address the
effect of planned
emotional support by
nurses on patients’
outcomes, both
through randomized
clinical trial and
interpretive design”
Overall Appraisal
Major Strengths:
Includes information
from a variety of
sources.
Major Limitations:
Literature review and
is not a high evidence
controlled trial.
Time was not taken
into account
regarding the
effectiveness of
techniques.
support psychological
and physiological
outcomes of adult ICU
patients?