The experiences of trained nurses caring for critically ill patients within a general ward setting.

BACKGROUND: The concept that critical care is a service rather than a location has been increasingly highlighted. However, there is limited information regarding nurses' perceptions of caring for critically ill patients outside of high dependency areas.

AIM: The aim of this study was to explore the factors that influence the experiences of trained nurses caring for critically ill patients within a general ward setting.

METHOD: This was an exploratory, descriptive study combining an interview and questionnaire methodology. A purposive sample of seven trained nurses reflecting a range of grades and experience, from one medical ward were selected. A semi-structured interview combined with an attitudinal scale was utilised.

RESULTS: Following analysis five key themes emerged: clinical environment, professional relationships, patient assessment, nurse's feelings and educational needs.

CONCLUSION: Whilst the findings of this study cannot be generalised, analysis of the data has provided an insight into the complex factors that effect care delivery. In order to respond to this study's findings, there are resource implications. Educational requirements and communication skills will need to be developed.