Efficacy of information interventions in reducing transfer anxiety from a critical care setting to a general ward: A systematic review and meta-analysis

Brooke, Joanne; Hasan, Nazeeha; Slark, Julia; Sharma, Pankaj

doi:10.1016/j.jcrc.2012.01.009

Cited by 22 publications

(30 citation statements)

References 20 publications

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“…32 The findings showed positive outcomes relating to patients' and relatives' satisfaction with the information given and enhanced communication with other wards and health care professionals, and most importantly, pretransfer anxiety was decreased among patients and their families. 35 The 11 qualitative studies explored and described the patients' 3,6,12,24,36-40 and their families' 6,12,39 perceptions of their experiences preparing or being transferred from ICU and the nurses' experiences of transitional care when receiving a patient from ICU. 29 Of the 2 survey studies, 1 examined the effects of risk factors on the development of transfer anxiety in patients being transferred from the ICU to the ward, 33 whereas the other assessed the problems experienced by patients after discharge from ICU.…”

Section: Resultsmentioning

confidence: 99%

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&NA;

2013

Dimensions of Critical Care Nursing

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Section: Resultsmentioning

confidence: 99%

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2013

Dimensions of Critical Care Nursing

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“…42,43 These methods were effective in decreasing the stress and anxiety scores of patients and their families. Patients and caregivers also reacted positively to continuous contact and follow-up with members of the critical care delivery team.…”

Section: Communication Interventions To Support Patients and Caregiversmentioning

confidence: 99%

Role of Transitional Care Measures in the Prevention of Readmission After Critical Illness

Peters

2017

Critical Care Nurse

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Transitioning from the critical care unit to the medical-surgical care area is vital to patients’ recovery and resolution of critical illness. Such transitions are necessary to optimize use of available hospital resources to meet patient care needs. One in 10 patients discharged from the intensive care unit are readmitted to the unit during their hospitalization. Critical care readmission is associated with significant increases in illness acuity, overall length of stay, and health care costs as well as a potential 4-fold increased risk of mortality. Patients with complex illness, multiple comorbid conditions, and a prolonged initial stay in the critical care unit are at an increased risk of being readmitted to the critical care unit and experiencing poor outcomes. Implementing nurse-driven measures that support continuity of care and consistent communication practices such as critical care outreach services, transitional communication tools, discharge planning, and transitional care units improves transitions of patients from the critical care environment and reduces readmission rates.

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“…Two areas have received the most attention: transfers to mixed-bed bays [10][11][12][13] and transfers from intensive care or critical care settings to general wards. [14][15][16] Patient-related issues around mixed-sex bays include being uninformed about the possibility of being admitted to a mixed-sex setting, 12 loss of dignity 10,12 and safety. 13 Anxiety associated with transfer from specialised care environments was named in 1987 as 'relocation stress syndrome' and may affect the relocating patient and their families.…”

Section: Introductionmentioning

confidence: 99%

“…17 Information interventions, designed to reduce such stress, have been recently reviewed and shown to be effective for both families and patients. 15 However, a study designed to measure the effect of a liaison nurse on transfer anxiety did not show benefit for patients or families. 18 Despite this research, the effects of frequent bed moves on important health outcomes remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study

Webster¹,

New²,

Fenn³

et al. 2016

Aust. Health Review

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Objective. The aim of the present study was to investigate the incidence of and patient outcomes associated with frequent patient moves.Methods. In a prospective cohort study, any bed move and the reason for the move were documented. Patients were assessed on admission for anxiety, social support and delirium. Adverse events, length of stay and satisfaction were recorded. Patients moved three or more times were compared with those moved less than three times.Results. In all, 566 patients admitted to a tertiary referral hospital were included in the study. Of these, 156 patients (27.6%) were moved once, 46 (8.1%) were moved twice and 28 (4.9%) were moved at least three times. Those moved three or more times were almost threefold more likely to have an adverse event recorded compared with those moved fewer times (relative risk (RR) 2.75; 95% confidence interval (CI) 1.18, 6.42; P = 0.02) and to have a hospital stay twice as long (RR 7.10; 95% CI 2.60, 11.60; P = 0.002). Levels of satisfaction and anxiety were not affected by frequent moves and there was no effect on delirium.Conclusion. Frequent bed moves affect patient safety and prolong length of stay.What is known about the topic? Retrospective and qualitative studies suggest that patient safety and costs may be affected by frequent patient moves. What does this paper add?The present study is the first prospective study to assess the negative effects of frequent patient moves on specific patient outcomes, such as adverse events, length of stay and satisfaction with care. What are the implications for practitioners? Within-and between-ward moves may affect patient safety. Patients should be moved only when there is a clear and unavoidable reason for doing so.

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Efficacy of information interventions in reducing transfer anxiety from a critical care setting to a general ward: A systematic review and meta-analysis

Cited by 22 publications

References 20 publications

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Role of Transitional Care Measures in the Prevention of Readmission After Critical Illness

Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study

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