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Title: Resilience in critical care : elucidating the experiences of medical staff : a qualitative study
Author: Allen, Josephine
ISNI:       0000 0004 6425 6152
Awarding Body: Cardiff University
Current Institution: Cardiff University
Date of Award: 2017
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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 presents a 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 self-protective disconnection. Implications of this theory were discussed. Paper 2 presents a qualitative exploration of critical care consultants', frequently known as '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. Semi-structured interviews were conducted with eleven intensivists working in critical care units across Wales. The data from transcribed interviews was analysed employing a constructivist grounded theory methodology. A theoretical conceptualisation of the relationship between resilience and vulnerability within intensivists was 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. Paper 3 offers a critical reflection upon the entirety of the research process and as such will not be submitted for publication. This paper presents the researcher's reflections on engaging with the process of conducting qualitative research in addition to further evaluation of the review and empirical study. Implications of the research are expanded upon in relation to clinical practice and the wider organisational culture within the NHS.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available