Struggle with a gap between intensive care units and general wards

Häggström, Marie; Asplund, Kenneth; Kristiansen, Lisbeth

doi:10.3402/qhw.v4i3.5014

Cited by 25 publications

(39 citation statements)

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“…Increased capacity of hospitals' resources will provide safety and well‐being of the patients (Häggström et al. ). Most hospitals in Iran experience inadequate material resources, which mainly results from limited availability of funds to purchase equipment and supplies for the increased number of patients (Farsi et al.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study

Atefi

Abdullah

Wong

et al. 2014

International Nursing Review

100

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Section: Discussionmentioning

confidence: 99%

Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study

Atefi

Abdullah

Wong

et al. 2014

International Nursing Review

100

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“…34 What is more, patientand family-centred care was a facilitator of high-quality ICU transfers. This is important because health care cultures that promote the active involvement of patients and families in partnered care have been shown to alleviate communication barriers, 35 increase psychological well-being, 36 preserve continuity of care, 35 and improve patient and family perceptions of care received.…”

Section: Institutional Culturementioning

confidence: 99%

Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study

Grood

Leigh

Bagshaw

et al. 2018

CMAJ

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BACKGROUND: Transfer of patient care from an intensive care unit (ICU) to a hospital ward is often challenging, high risk and inefficient. We assessed patient and provider perspectives on barriers and facilitators to high-quality transfers and recommendations to improve the transfer process. METHODS:We conducted semi structured interviews of participants from a multicentre prospective cohort study of ICU transfers conducted at 10 hospitals across Canada. We purposively sampled 1 patient, 1 family member of a patient, 1 ICU provider, and 1 ward provider at each of the 8 English-speaking sites. Qualitative content analysis was used to derive themes, subthemes and recommendations.RESULTS: The 35 participants described 3 interrelated, overarching themes perceived as barriers or facilitators to high-quality patient transfers: resource availability, communication and institutional culture. Common recommendations suggested to improve ICU transfers included implementing standardized communication tools that streamline provider-provider and providerpatient communication, using multimodal communication to facilitate timely, accurate, durable and mutually reinforcing information transfer; and developing procedures to manage delays in transfer to ensure continuity of care for patients in the ICU waiting for a hospital ward bed. HEALTH SERVICES

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“…Transferring patients is one of the most complex tasks due to the special condition of the patient, time constraints (urgency), a plurality of people involved in the transfer process in referring and receiving hospitals as well as the amount of logistics requirements (Haggstrom, Asplund, & Kristiansen, 2009). To carry out these complex tasks, the minimum requirements and standards are required.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Communication and Information Exchange in Patient Transfer and Its Consequences

Pourasghar¹,

Kavakebi²,

Tabrizi³

et al. 2016

GJHS

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Background & Objectives:The patient transfer is multidisciplinary process and communication and information exchange are crucial for its successful accomplishment. The purpose of this study was to identify barriers that negatively influence communication and information exchange during the patient transfer between hospitals and the Center for Treatment Guidance and Information (CTGI) and to describe their consequences. Methods:A qualitative study based on Focus Group Discussion (FGD) and semi-structured interviews were conducted. Three FGDs were carried out with 5 experts with years of experience working in the CTGI and 25 interviews with individuals involved in patient transfer process. Data were analyzed using content analysis method.Findings: Three major themes including poor communication and information exchange at the CTGI, referring hospital, and receiving hospital were identified. The most important sub-themes at the level of CTGI were: the unavailability of accurate patient medical history and lack of confidence and different working process for patient admission in hospitals. At the level of referring hospital they were incomplete medical history, medical documents, vague patient transfer indications and lack of effective communication. At the level of receiving hospital they were lack of providing feedback, lack of mutual communication and incorrect report of available beds. Also four major consequences of poor communication and information exchange were identified which are managerial, clinical, economic and social consequences. Conclusions:To overcome the barriers, there is a need for proper monitoring by accountable organizations, reviewing the protocols for patient transfer, an increase in inter-sector collaboration and improvement in communications infrastructure and collection of data.

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Struggle with a gap between intensive care units and general wards

Cited by 25 publications

References 0 publications

Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study

Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study

Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study

Barriers to Communication and Information Exchange in Patient Transfer and Its Consequences

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