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Resilience in critical care: elucidating the experiences of medical staff. A qualitative study

Allen, Josephine 2017. Resilience in critical care: elucidating the experiences of medical staff. A qualitative study. ClinPsy Thesis, Cardiff University.
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Abstract

This thesis has been written in the format of three distinct yet connecting papers. Papers 1 and 2 have been written for submission to the Journal of the Intensive Care Society whose author guidelines can be seen in Appendix 1. Paper 1 presentsa systematic review and appraisal of the qualitative literature regarding critical care medical staff experiences of distress and resilience. Nine studies met the inclusion criteria and were subjected to a meta­synthesis of the qualitative data adopting a meta­ethnographic approach. Through interpretation of the concepts within the primary papers, a wider explanatory theory was developed describing an internal conflict within critical care staff between emotional attachment and self­protective disconnection. Implications of this theory were discussed. Paper 2 presentsa qualitative exploration of critical care consultants’, frequently knownas ‘intensivists’, experience of working in the potentially emotionally demanding and challenging environment of critical care. The aim of this empirical research was to elucidate resilience within the experience of intensivists. Semi­structured interviews were conducted with eleven intensivists working in critical care units across Wales. The data from transcribedinterviews was analysedemploying a constructivist grounded theory methodology. A theoretical conceptualisationof the relationship between resilience and vulnerability within intensivistswas developed,offered and discussed with consideration to current research. Implications of this theory in relation to the potential to encourage resilience and wellbeing within the intensivist population were discussed.

Item Type: Thesis (DClinPsy)
Date Type: Completion
Status: Unpublished
Schools: Psychology
Date of First Compliant Deposit: 6 September 2017
Date of Acceptance: 6 September 2017
Last Modified: 26 Apr 2021 15:14
URI: https://orca.cardiff.ac.uk/id/eprint/104373

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