4.1 Introduction
This chapter presents the analysis of data collected from seventeen (17) participants, seven (7) doctors and ten (10) nurses who were purposively selected to describe their experiences with regard to ethical dilemmas in ICU Tshilidzini Hospital. The participant’s verbatim statements are presented in italics and numbers identifies participants followed by D for doctor or N for nurse. Four main themes and associated sub-themes emerged during data analysis Themes and sub-themes are supported by a literature control and participants’ verbatim statements that are presented in italics
4.2 Themes and sub-themes
Four main themes and associated sub-themes emerged during data analysis as summarized in Table 3. A literature control …show more content…
This is relative to the lower level of care that is offered in those hospitals. The high number of beds in tertiary hospitals is equivalent to the therapeutic interventions and the complications associated with care provided in those hospitals (de Beer, Brysiewicz & Bhengu 2011).
Robert et al (2012) indicated that while some patients may not be admitted in ICU because they are considered too sick or too well to benefit from ICU management, however, some patients who can benefit could not be admitted because the unit is full. Cheng, Lu, Chung, Huang, Shen, Chen and Zhang (2014) also mentioned that delayed ICU admission due to shortage of beds is associated with increased mortality rates.
ICU beds are a scarce resource and the demand will always exceed the supply. Balancing the need for ICU beds with the available beds is problematic. Guidelines to be followed when the unit is full can be valuable, and a high care unit can be established for patients who does not need intense care.
4.2.1.2. Shortage of …show more content…
They also indicated that patients cannot be accepted in tertiary hospital if the reason for transfer is lack of ventilators.
Participants No: 13D stated:
I remember there was one patient who died because of near drowning, he needed a ventilator, there was no ventilator, so that patient died.
Participants No: 9D mentioned:
The lack of functional ventilators at all times is also a problem. The hospital has not purchased a ventilator in many years although it is admitting patients who need ventilators. The ventilators that are used are from other hospitals, Polokwane and Elim respectively because they were no longer using them. These ventilators are very old and have not been serviced in a long time.
Participant No: 8N said:
I remember there was one time where patients had to share ventilators. We will put patient on ventilator for four hours and the next four hour he will be on T-piece and the ventilator will be on the other patient.
Participant No:
This chapter presents the analysis of data collected from seventeen (17) participants, seven (7) doctors and ten (10) nurses who were purposively selected to describe their experiences with regard to ethical dilemmas in ICU Tshilidzini Hospital. The participant’s verbatim statements are presented in italics and numbers identifies participants followed by D for doctor or N for nurse. Four main themes and associated sub-themes emerged during data analysis Themes and sub-themes are supported by a literature control and participants’ verbatim statements that are presented in italics
4.2 Themes and sub-themes
Four main themes and associated sub-themes emerged during data analysis as summarized in Table 3. A literature control …show more content…
This is relative to the lower level of care that is offered in those hospitals. The high number of beds in tertiary hospitals is equivalent to the therapeutic interventions and the complications associated with care provided in those hospitals (de Beer, Brysiewicz & Bhengu 2011).
Robert et al (2012) indicated that while some patients may not be admitted in ICU because they are considered too sick or too well to benefit from ICU management, however, some patients who can benefit could not be admitted because the unit is full. Cheng, Lu, Chung, Huang, Shen, Chen and Zhang (2014) also mentioned that delayed ICU admission due to shortage of beds is associated with increased mortality rates.
ICU beds are a scarce resource and the demand will always exceed the supply. Balancing the need for ICU beds with the available beds is problematic. Guidelines to be followed when the unit is full can be valuable, and a high care unit can be established for patients who does not need intense care.
4.2.1.2. Shortage of …show more content…
They also indicated that patients cannot be accepted in tertiary hospital if the reason for transfer is lack of ventilators.
Participants No: 13D stated:
I remember there was one patient who died because of near drowning, he needed a ventilator, there was no ventilator, so that patient died.
Participants No: 9D mentioned:
The lack of functional ventilators at all times is also a problem. The hospital has not purchased a ventilator in many years although it is admitting patients who need ventilators. The ventilators that are used are from other hospitals, Polokwane and Elim respectively because they were no longer using them. These ventilators are very old and have not been serviced in a long time.
Participant No: 8N said:
I remember there was one time where patients had to share ventilators. We will put patient on ventilator for four hours and the next four hour he will be on T-piece and the ventilator will be on the other patient.
Participant No: