{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:31:09Z","timestamp":1788949869880,"version":"build-2803163510"},"reference-count":59,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2019,9,15]],"date-time":"2019-09-15T00:00:00Z","timestamp":1568505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To synthesise the available body of qualitative evidence relating to nurses' perceptions and experiences of care provision in adult critical care environments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study adhered to ENTREQ (Confidence in Evidence of Reviews of Qualitative Research) guidelines. See Appendix <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#jocn15043-sup-0001\">S1<\/jats:ext-link>. A systematic search of the literature in nine databases was undertaken: CINAHL, Web of Science, MEDLINE, EMBASE, PsycINFO, Campbell Collaboration, ProQuest A &amp; I, DART and Lenus. Blind screening to select relevant studies was undertaken, and each selected study was assessed for quality using the Critical Appraisal Skills Programme framework. Guided by Thomas and Harden's three\u2010stage approach to thematic analysis, line\u2010by\u2010line coding of participants' verbatim accounts and the researchers' interpretations in the selected studies' findings was undertaken and then organised into higher order analytical themes. Confidence in the findings was reviewed using GRADE\u2010CERQual.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve studies reported in thirteen papers, including 122 nurses, were selected in the final sample for synthesis. Three analytical themes were identified: (a) sometimes machines get all the attention, (b) with experience the patient becomes the focus and (c) technology can't save everybody.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Providing care for adult patients in a highly technological environment is challenging particularly for novice nurses, who face the potential of technology drawing all their attention. Experienced critical care nurses learn to keep technology in abeyance and deliver person\u2010centred care within the bounds of a technological environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The review supports Locsin's theory of technological competence and highlights that providing care in critical care requires nurses to actively balance attention for the person while managing machines. Experienced nurses achieve this balance and can offer support to novice nurses. Critical care nurse orientation programmes should be underpinned by a holistic approach which addresses the dualism of technology and care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15043","type":"journal-article","created":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T14:45:38Z","timestamp":1566312338000},"page":"4250-4263","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2567-0575","authenticated-orcid":false,"given":"Geraldine","family":"Crilly","sequence":"first","affiliation":[{"name":"St John's Hospital Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maura","family":"Dowling","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery National University of Ireland Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2547-2605","authenticated-orcid":false,"given":"Isabelle","family":"Delaunois","sequence":"additional","affiliation":[{"name":"St John's Hospital Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Flavin","sequence":"additional","affiliation":[{"name":"St John's Hospital Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Biesty","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery National University of Ireland Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7489(01)00041-4"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2007.08.003"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14081"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2016.08.011"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/nup.12103"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945902250034"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0249-x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.29085\/9781856047852"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733012462049"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2018.05.004"},{"key":"e_1_2_11_12_1","volume-title":"Undertaking systematic reviews of research on effectiveness: CRD's guidance for carrying out or commissioning reviews","author":"Centre for Reviews and Dissemination, University of York","year":"2001"},{"key":"e_1_2_11_13_1","volume-title":"Version","author":"Covidence [Computer program]","year":"2017"},{"key":"e_1_2_11_14_1","volume-title":"CASP (qualitative research checklist)","author":"Critical Appraisal Skills Programme","year":"2017"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04838.x"},{"issue":"6","key":"e_1_2_11_16_1","first-page":"1325","article-title":"The practice of intensive care nursing: Alliance among technique, technology and humanization","volume":"47","author":"Da Silva R. 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