Structured nurse‐led follow‐up for patients after discharge from the intensive care unit: Prospective quasi‐experimental study

Jónasdóttir, Rannveig J.; Jones, Christina; Sigurðsson, Gísli H.; Jónsdóttir, Helga

doi:10.1111/jan.13485

Cited by 11 publications

(36 citation statements)

References 31 publications

(53 reference statements)

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“…According to Palesjö et al (2015), patients might need help to reflect on such memories together with nurses from the ICU, who also are capable of answering these experiences. Recently, Jonasdottir, Jones, Sigurdsson, and Jonsdottir (2018) found that structured nurse-led follow-up did not improve patients' health status compared with usual care; they argued for even more extensive tailoring of individual needs during an ICU follow-up because of the heterogeneous group of patients. We argue that an increased awareness of the patient's situation during transfers may help nurses meet such specific memories during follow-up visits, and this is an area for future research in relation to ICU follow-up.…”

Section: Discussionmentioning

confidence: 99%

The Patient’s Situation During Interhospital Intensive Care Unit-to-Unit Transfers: A Hermeneutical Observational Study

et al. 2019

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Interhospital intensive care unit-to-unit transfers are an increasing phenomenon, earlier mainly studied from a patient safety perspective. Using data from video recordings and participant observations, the aim was to explore and interpret the observed nature of the patient’s situation during interhospital intensive care unit-to-unit transfers. Data collection from eight transfers resulted in over 7 hours of video material and field notes. Using a hermeneutical approach, three themes emerged: being visible and invisible; being in a constantly changing space; and being a fettered body in constant motion. The patient’s situation can be viewed as an involuntary journey, one where the patient exists in a constantly changing space drifting in and out of the health personnel’s attention and where movements from the journey become part of the patient’s body. Interhospital transfers of vulnerable patients emerge as a complex task, challenging the health personnel’s ability to maintain a caring atmosphere around these patients.

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Section: Discussionmentioning

confidence: 99%

The Patient’s Situation During Interhospital Intensive Care Unit-to-Unit Transfers: A Hermeneutical Observational Study

et al. 2019

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“…The included studies had different study designs: two studies were RCTs, 32,33 one was a block intervention study, 34 one had a pretestepost-test control group design, 35 and one was a non-RCT. 36 Walsh et al 32 and Bench et al 33 published their study protocol separately. 37,38 The studies were conducted in Australia 34,35 and Western Europe 32,33,36 (see Table 1).…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…36 Walsh et al 32 and Bench et al 33 published their study protocol separately. 37,38 The studies were conducted in Australia 34,35 and Western Europe 32,33,36 (see Table 1). All studies included adult ICU patients.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…32 Another study provided a structured nurse-led follow-up until 3 months after ICU discharge, with (i) a booklet delivered at ICU discharge, (ii) ward visits from a ICU clinical nurse specialist, (iii) contact during the first week after discharge from the ward to home, and (iv) an appointment 3 months after discharge from the ICU. 36 All studies compared the interventions with care as usual.…”

Section: Characteristics Of the Interventions Under Studymentioning

confidence: 99%

“…34,35 Only one nonrandomised study scored an overall serious risk of bias. 36 All three non-RCTs may have potential confounding of the effect of the intervention because of the nature of the interventions and the lack of baseline measurements (Appendix 3, Tables 1ae1i). 30,34e36…”

Section: Quality Assessmentmentioning

confidence: 99%

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The effects of intensive care unit-initiated transitional care interventions on elements of post-intensive care syndrome: A systematic review and meta-analysis

Hoog

Bruin

Pelgrim

et al. 2022

Australian Critical Care

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The aim of the study was to assess the effectiveness of intensive care unit (ICU)einitiated transitional care interventions for patients and families on elements of post-intensive care syndrome (PICS) and/or PICS-family (PICSe-F). Review method used: This is a systematic review and meta-analysis Sources: The authors searched in biomedical bibliographic databases including PubMed, Embase (OVID), CINAHL Plus (EBSCO), Web of Science, and the Cochrane Library and included studies written in English conducted up to October 8, 2020. Review methods: We included (non)randomised controlled trials focussing on ICU-initiated transitional care interventions for patients and families. Two authors conducted selection, quality assessment, and data extraction and synthesis independently. Outcomes were described using the three elements of PICS, which were categorised into (i) physical impairments (pulmonary, neuromuscular, and physical function), (ii) cognitive impairments (executive function, memory, attention, visuo-spatial and mental processing speed), and (iii) psychological health (anxiety, depression, acute stress disorder, post-traumatic stress disorder, and depression). Results: From the initially identified 5052 articles, five studies were included (i.e., two randomised controlled trials and three nonrandomised controlled trials) with varied transitional care interventions. Quality among the studies differs from moderate to high risk of bias. Evidence from the studies shows no significant differences in favour of transitional care interventions on physical or psychological aspects of PICS-(F). One study with a nurse-led structured follow-up program showed a significant difference in physical function at 3 months. Conclusions: Our review revealed that there is a paucity of research about the effectiveness of transitional care interventions for ICU patients with PICS. All, except one of the identified studies, failed to

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A Nurse-Managed Follow-Up Practice for Patients After Discharge from the Intensive Care Unit: Development, Testing and Implementation

Jónasdóttir

Jónsdóttir

2019

Leadership in Nursing: Experiences From the European Nordic Countries

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Structured nurse‐led follow‐up for patients after discharge from the intensive care unit: Prospective quasi‐experimental study

Cited by 11 publications

References 31 publications

The Patient’s Situation During Interhospital Intensive Care Unit-to-Unit Transfers: A Hermeneutical Observational Study

The Patient’s Situation During Interhospital Intensive Care Unit-to-Unit Transfers: A Hermeneutical Observational Study

The effects of intensive care unit-initiated transitional care interventions on elements of post-intensive care syndrome: A systematic review and meta-analysis

A Nurse-Managed Follow-Up Practice for Patients After Discharge from the Intensive Care Unit: Development, Testing and Implementation

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