ICU sedation, delirium & recovery
“My Mom Is a Fighter”": A Qualitative Analysis of the Use of Combat Metaphors in ICU Clinician Notes
Authors' conclusion
We provide a novel conceptual framework around the use of combat metaphors in the ICU.
Study context
- Population
- Notes about patients aged ≥18 years admitted to ICUs within a large hospital system, 2012–2020
- Participants
- 6,404 combat-related mentions
- Outcome
- How clinicians use combat metaphors when describing critically ill patients and families in the electronic health record
Methodological detailsgrounded theory approach, lexicon-based text analysis of electronic health record notes, two coders
- Grounded theory approach
- Lexicon-based text analysis of electronic health record notes
- Two coders
Main finding
As reported in the abstract
Combat metaphors in ICU notes
- Combat-related mentions defined as metaphors (Cohen κ, 0.84)
- 5,970
- "bout" (% of isolated segments)
- 26.2%
- "combat"
- 18.5%
- "confront"
- 17.8%
- "struggle"
- 17.5%
Original publication
“My Mom Is a Fighter”": A Qualitative Analysis of the Use of Combat Metaphors in ICU Clinician Notes. Chest. Published 26 August 2024. doi:10.
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