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Interpersonal touch interventions for patients in intensive care: A design-oriented realist review
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2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 2, p. 216-235Article, review/survey (Refereed) Published
Abstract [en]

Aim: To develop a theoretical framework to inform the design of interpersonal touch interventions intended to reduce stress in adult intensive care unit patients.

Design: Realist review with an intervention design-oriented approach.

Methods: We searched CINAHL, MEDLINE, EMBASE, CENTRAL, Web of Science and grey literature sources without date restrictions. Subject experts suggested additional articles. Evidence synthesis drew on diverse sources of literature and was conducted iteratively with theory testing. We consulted stakeholders to focus the review. We performed systematic searches to corroborate our developing theoretical framework.

Results: We present a theoretical framework based around six intervention construction principles. Theory testing provided some evidence in favour of treatment repetition, dynamic over static touch and lightening sedation. A lack of empirical evidence was identified for construction principles relating to intensity and positive/negative evaluation of emotional experience, moderate pressure touch for sedated patients and intervention delivery by relatives versus healthcare practitioners.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019. Vol. 6, no 2, p. 216-235
Keywords [en]
design propositions, hypnotics and sedatives, ICU, nursing, pain, realist review, stress, touch
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-157940DOI: 10.1002/nop2.200ISI: 000461835600003PubMedID: 30918674OAI: oai:DiVA.org:umu-157940DiVA, id: diva2:1305772
Available from: 2019-04-18 Created: 2019-04-18 Last updated: 2019-04-18Bibliographically approved

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Lindgren, Lenita

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CiteExportLink to record
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Citation style
  • apa
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Language
  • de-DE
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  • nn-NB
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  • Other locale
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Output format
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