Development and Effects of a Transition Nursing Program for Patients and Family Caregivers at a Neurological ICU in Korea

Yun, Sun Hee; Oh, Eok Soo; Yoo, Yang Sook; Kim, So Sun; Jang, Yeonsoo

doi:10.1177/1054773815616973

Cited by 11 publications

(15 citation statements)

References 25 publications

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“…26,30 Several studies found that transition anxiety scores of relatives of ICU patients decreased after implementing a liaison nurse service. 10,31,32 The patient-and family-centred care (PFCC) policy causes a culture shift in hospitals. 33 This study shows the needs for PFCC interventions and the need to practice this policy not only within the walls of the ICU but also through the whole hospital system.…”

Section: Discussionmentioning

confidence: 99%

The experiences and needs of relatives of intensive care unit patients during the transition from the intensive care unit to a general ward: A qualitative study

Hoog

Dautzenberg

Vermeulen³

et al. 2020

Australian Critical Care

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a b s t r a c tBackground: Relatives of intensive care unit (ICU) patients play an important role as caregivers and can experience emotional distress, also referred to as post-intensive care syndrome-family. A deeper understanding of what relatives go through and what they need may provide input on how to strengthen family-centred care and, in the end, contribute to the reduction of symptoms of post-intensive care syndrome-family. Method: This is a qualitative descriptive study with semistructured face-to-face interviews after ICU transfers. Findings: A total of 13 relatives of ICU patients participated. Relatives of ICU patients expressed five types of experiences after transfer from the ICU to the general ward: (1) relief, (2) uncertainty, (3) need to be acknowledged in becoming a caregiver, (4) sharing expectations, and (5) need for continuity in care. Relatives experience major uncertainties and prefer to be more actively involved in care and care decisions. Conclusion: Relatives of ICU patients experience gaps in care during the transition from the ICU to a general ward. Nurses can play a crucial role in the need for continuity of care by proactively involving relatives during the care pathway of ICU patients.

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Section: Discussionmentioning

confidence: 99%

The experiences and needs of relatives of intensive care unit patients during the transition from the intensive care unit to a general ward: A qualitative study

Hoog

Dautzenberg

Vermeulen³

et al. 2020

Australian Critical Care

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“…However, the study carried out by Janet, et al, indicated that providing information and writing a diary of patients, could decrease the level of family anxiety in the intervention group from 45.18 to 40.42 which was quite similar to the control group that showed a decrease in anxiety level from 46.52 to 39.53, revealing that providing information could not reduce their anxiety level (22). Another study by Yan et al showed that training families with neurologically hospitalized patients in ICU through focus groups and interviews, could reduce their anxiety to some extent, but this reduction was not statistically significant (17). One of the reasons for insignificance of anxiety reduction in this study can be due to the existence of less anxiety in the control group in comparison to the intervention group before the study.…”

Section: Discussionmentioning

confidence: 99%

The effect of education on the anxiety of a family with a patient in critical care unit: a systematic review and meta-analysis

Shafipour¹,

Moosazadeh²,

Jannati³

et al. 2017

Electron physician

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BackgroundStudies have shown that family members of patients in intensive care units experience high levels of anxiety. Contradictions in the results of the studies conducted regarding the effect of training on the anxiety level of such families, emphasize the necessity of employing other research methods to eliminate these ambiguities.ObjectiveThis study applied meta-analysis to determine the effect of training on the anxiety level of families with patients in the intensive care unit.MethodsIn order to find electronically published studies from 1990 to 2016, the articles published in journals indexed in the following databases were used: Elsevier, Scopus, ProQuest, ISI, Web of Science, PubMed, Google scholar and Cochrane. For data analysis Stata Software version 11 was used and the heterogeneity index of studies was determined through Cochran (Q) and I2. Due to the heterogeneity, the random effect model was used to estimate the difference between the standardized mean of anxiety.ResultsIn this meta-analysis and systematic review article, eight articles were found to be eligible. The number of samples in the initial studies into a meta-analysis included 387 patients in the intervention group and 393 people in the control group. Standardized difference of the mean anxiety score in the intervention group was −0.329 (CI 95%: −0.756–0.099) units less than that of the control group, indicating that this effect was not statistically significant.ConclusionsThe results of this meta-analysis show that training will decline the anxiety level of a family with patients hospitalized in the intensive care unit, although the impact is not considerable.

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“…patient and their families may initially experience emotional distress due to the complicated life-supporting and monitoring devices and background noises encountered in intensive care units(ICUs). [16,17]. Experiencing critical illness and requiring admission to an ICU can be extremely frightening and traumatic, causing distress and disorder in the life of the individual involved and their relatives [18].…”

Section: Critical Points and Events Disturb Normal Life Passage Of Cmentioning

confidence: 99%

“…Inadequate continuity of care: Recently, professional caregivers in health-related fields have become aware of major issues in the quality of people's lives and continuity of care post discharge from intensive care unit [16]. the failure to have continuity of care during multiple transitions can lead to medical errors, miscommunication, and care that conflicts with the wishes of the patient and family.…”

Section: Critical Points and Events Disturb Normal Life Passage Of Cmentioning

confidence: 99%

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The Transition in Intensive Care Unit Patients: A Concept Analysis

Ghorbanzadeh

Ebadi

Hosseini

et al. 2020

Preprint

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Background: Transition in the health system is associated with the movement of the patient between clinical units and between hospitals, This is a complex process with several potential challenges including medical errors, adverse events, increased costs and patient dissatisfaction. Evidence shows that there is a need for greater clarity regarding the concept of transition. Objectives: The present Study was conducted to clarify the core elements of transition in patients admitted to the ICU.Methods: Walker and Avant's eight-step model was used to guide this concept analysis to provid a comprehensive definition of transition. A Literature search was conducted on CINAHL, Scopus, Pubmed, and Google scholar using the following keywords: transition, intensive care unit, transition care, patient transfer and transition process. Thus, after an extensive review of resources published in the years 2000-2020, articles related to this concept were examined based on the inclusion criteria. Definitions, properties, applications, consequences and empirical references of the concept of transition were extracted.Results: Transition is a complex, multifaceted concept with defining attributes: Critical points and events, disturb normal life, passage of change, instability and un-anticipated changes, Multiple needs, Inadequate continuity of care, Poor coordination of care and communication among health care providers, patients and families, multiple factor, multiple professionals, Awareness, Engagement And Adaptation. The differences in the response to transition according to the patient's condition or position (beliefs, attitudes, socioeconomic status, willingness and knowledge) and environmental conditions (the status of communication and support from the community) lead to the development of confidence, adaptation, recovery from critical illness and return to normal life or disability and other complications.Conclusion: The transition is a process of progressive change and the adaptation requires training and environmental changes to improve and develop new skills for transition. Nurses play a supportive and complementary role in successful transition of patients. Therefore, studies need to focuse on the evaluation of nurses' perceptions of patient transition and the consequences and outcomes. The result of this study provide a definition of transition that is relevant and useful for clinical research and practice in healthcare setting.

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Development and Effects of a Transition Nursing Program for Patients and Family Caregivers at a Neurological ICU in Korea

Cited by 11 publications

References 25 publications

The experiences and needs of relatives of intensive care unit patients during the transition from the intensive care unit to a general ward: A qualitative study

The experiences and needs of relatives of intensive care unit patients during the transition from the intensive care unit to a general ward: A qualitative study

The effect of education on the anxiety of a family with a patient in critical care unit: a systematic review and meta-analysis

The Transition in Intensive Care Unit Patients: A Concept Analysis

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