Patients’ transition in the Intensive Care Units: Concept analysis

Ludin, Salizar Mohamed; Arbon, Paul; Parker, Stephen

doi:10.1016/j.iccn.2013.02.001

Cited by 29 publications

(33 citation statements)

References 33 publications

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“…Relocation stress has been recognised as a real and approved nursing diagnosis (Morse, ; NANDA, 2009-2011) and can affect patients for a long time. Transitional care, based on transition theory (Meleis, Sawyer, Im, Messias, & Schumacher, ; Schumacher & Meleis, ), enables nurses to understand the importance of a good framework for optimal patient care before, during and after the transfer from ICU to general ward, which can prevent physical and mental stress (Ludin et al., ). In a literature review, Beard () summarises factors that affect patient transition and describe loss of one‐to‐one nursing, reduction of monitoring equipment, lack of continuity of care and inadequate preparation of the patient before the transfer as the main factors that contribute towards relocation stress (Beard, ).…”

Section: Discussionmentioning

confidence: 99%

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Nurses’ experience of the transfer of ICU patients to general wards: A great responsibility and a huge challenge

Enger

Andershed

2017

Journal of Clinical Nursing

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Aims and objectives: The aim of the study was to describe nurses' experiences of patients' transition from ICUs to general wards and their suggestions for improvements.Background: In the ICU, the most seriously ill patients with life-threatening conditions and multiple organ dysfunction syndromes are cared for and carefully monitored by specially trained professionals using advanced techniques for the prevention of failure of vital functions. The transfer of ICU patients to general wards means a change from a high to a lower level, including the loss of one-to-one nursing and a reduction of visible monitoring equipment and general close attention.Design: A qualitative descriptive design.Methods: Eight nurses from three different inpatient units in Norway, five from a university hospital and three from a local hospital were selected through a convenience sample. Interviews with open questions were conducted, and qualitative content analysis was used to explore the data.

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Section: Discussionmentioning

confidence: 99%

“…Ludin et al. () recommended future research, and van Sluisveld et al. () find that there is a lack of studies of nurses’ experiences to improve clinical handovers.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ experience of the transfer of ICU patients to general wards: A great responsibility and a huge challenge

Enger

Andershed

2017

Journal of Clinical Nursing

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“…Patients move to a new environment with less staff and with a lower level of observation. ICU discharge can be associated with the feeling of disruption of security . Furthermore, it may be with short notice and introduce relocation stress both in patients and relatives .…”

Section: Introductionmentioning

confidence: 99%

Patient and spouses experiences with transition from intensive care unit to hospital ward – qualitative study

Herling

Brix

Andersen

et al. 2019

Scandinavian Caring Sciences

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Background and purpose of study Transition from the intensive care unit to the hospital ward can be considered as a vulnerable period for patients as nursing care changes hands. How the transition is experienced by the ICU patient and the family is influenced by how it is organised, communicated and executed. The transition may positively or negatively affect patient recovery. Aim To explore the experiences of intensive care unit patients and their relatives during the transition to hospital ward in order to find ways of supporting them during the transition process. Methods Eligible participants were asked for participation from April to September 2016 from a mixed medical and surgical intensive care unit (Level II) at a university hospital. We conducted six semi‐structured interviews with former intensive care unit patients and four dyad interviews with patients and spouses. Data were analysed according to the methodology Interpretive Description with the aim to discover associations, relationships and patterns within the phenomenon. Results Our analysis revealed the following three themes: (1) Taking up the mantel (2) Adjusting to ‘being one in the crowd’ and (3) Integrated spouses became visitors. It was a change from an environment with high dependence to increasing independence and a shift from attention to loneliness. Focus moved from the bodily functions to basic activities of living. Spouses experienced that their position was reduced from integrated relatives in the intensive care unit to visitors of the hospital ward. Conclusions This article shows that it is important to mentally prepare patients and their family for transfer and a gradual withdrawal of intense nursing observation and monitoring. Discharge planning should begin early and involve spouses to a higher extent as they have a major role in the recovery process far beyond hospitalisation.

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“…This change process over time can be defined as a transition (Ludin et al . ), during which peer workers are challenged to redefine their personal roles and identity and adjust to their new social reality as a peer worker (Ellis ). This requires them to build a professional identity without denying their patient identity (Bryant et al .…”

Section: Introductionmentioning

confidence: 99%

The transition from patient to mental health peer worker: A grounded theory approach

Debyser

Berben

Beeckman

et al. 2018

Int J Mental Health Nurs

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Peer workers are increasingly being engaged in contemporary mental healthcare. To become a peer worker, patients must evolve from having a patient identity to a peer worker identity. This study aims to understand how mental health peer workers experience their transition and how it affects their view of themselves and their direct working context. A grounded theory approach was used. Seventeen mental health peer workers in Belgium were recruited through theoretical sampling. Semi‐structured interviews were conducted and analysed according to the constant comparative method. The results indicate that novice peer workers experience peer work as an opportunity to liberate themselves from the process of mental suffering and realise an acceptable form of personal self‐maintenance. As peer workers become more experienced, they are confronted with external factors that influence their self‐maintenance and personal development. Experiencing clarity in their duties and responsibilities, equality, and transparency in the workplace reinforce their experience of self‐maintenance and positively influence their self‐development. Experiencing a lack of clarity in their duties and responsibilities, inequality, and lack of openness discourage peer workers’ self‐development process. These experiences challenge their personal motivations to become peer workers, which are usually linked to building a meaningful life for themselves. The insights can encourage organisations to build up a supportive environment collaboratively with peer workers and ensure that peer workers can exert their authentically unique role in mental healthcare.

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Patients’ transition in the Intensive Care Units: Concept analysis

Cited by 29 publications

References 33 publications

Nurses’ experience of the transfer of ICU patients to general wards: A great responsibility and a huge challenge

Nurses’ experience of the transfer of ICU patients to general wards: A great responsibility and a huge challenge

Patient and spouses experiences with transition from intensive care unit to hospital ward – qualitative study

The transition from patient to mental health peer worker: A grounded theory approach

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