The experiences of rural and remote families involved in an inter-hospital transfer to a tertiary ICU: A hermeneutic study

Mackie, Benjamin R.; Kellett, Ursula Marie; Mitchell, Marion; Tonge, Angela

doi:10.1016/j.aucc.2014.04.004

Cited by 27 publications

(49 citation statements)

References 24 publications

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“…The six included articles were evenly divided between qualitative and quantitative methods. Of the qualitative studies, two used a hermeneutic phenomenological methodology to explore the rural family member's experience of a relative's IFT to an urban centre for advanced critical care services, and one used a case study approach to explore a family member's experience of a spouse's critical illness, of which an IFT was a part of the care . The phenomenological studies by Johnson and Mackie et al used an explicit study design and thus were critically appraised to be the articles with the highest degree of methodological quality in this integrative review.…”

Section: Resultsmentioning

confidence: 99%

“…Of the qualitative studies, two used a hermeneutic phenomenological methodology to explore the rural family member's experience of a relative's IFT to an urban centre for advanced critical care services, and one used a case study approach to explore a family member's experience of a spouse's critical illness, of which an IFT was a part of the care . The phenomenological studies by Johnson and Mackie et al used an explicit study design and thus were critically appraised to be the articles with the highest degree of methodological quality in this integrative review. These studies were set within the Australian context, had small sample sizes (10 and 7, respectively), and utilized a study design underpinned by the philosophical assumptions of Heidegger and Gadamer .…”

Section: Resultsmentioning

confidence: 99%

“…The phenomenological studies by Johnson and Mackie et al used an explicit study design and thus were critically appraised to be the articles with the highest degree of methodological quality in this integrative review. These studies were set within the Australian context, had small sample sizes (10 and 7, respectively), and utilized a study design underpinned by the philosophical assumptions of Heidegger and Gadamer . Both studies collected data through participant interviews; however, Mackie et al reported maintaining a researcher's journal of personal experiences in alignment with Heideggerian assumptions.…”

Section: Resultsmentioning

confidence: 99%

“…These studies were set within the Australian context, had small sample sizes (10 and 7, respectively), and utilized a study design underpinned by the philosophical assumptions of Heidegger and Gadamer . Both studies collected data through participant interviews; however, Mackie et al reported maintaining a researcher's journal of personal experiences in alignment with Heideggerian assumptions. The study by Johnson deviates from Heideggerian phenomenological assumptions by using thematic analysis to analyse data, a limitation in this study.…”

Section: Resultsmentioning

confidence: 99%

“…For those living in rural and remote settings, the unexpected, urgent IFT of a critically ill patient to a distant hospital potentiates the emotional, psychological, social, and financial burden experienced by family members . Hence, family members of rural critically ill patients experiencing an IFT have unique needs requiring specific nursing interventions …”

Section: Introductionmentioning

confidence: 99%

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Inter‐facility transfers for advanced critical care services: Impacts on rural families

Burns

Petrucka

2019

Nursing in Critical Care

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Aims and Objectives: The aim of this article is to provide an integrative review of rural family members' experiences of a relative's inter-facility transfer to an urban tertiary care centre for advanced critical care services.Background: Although there is an increasing awareness of the negative consequences of a relative's critical illness for family members, there has been limited research conducted on the impacts of this experience for families of patients in rural settings who require an inter-facility transfer for advanced services.Search strategy: The search strategy for this review was framed by the study purpose, research question, and a conceptual structure of key constructs. Databases and reference lists were electronically and manually searched.Inclusion and exclusion criteria: Articles were included if they were research articles, available in English, and focused on family members' experiences of inter-facility transfer during critical illness. Articles focusing on critical care transfers within a single urban setting, elective transfers undertaken for patient or family preference, transfers not associated with critical illness, and systematic or scoping reviews were excluded.Conclusion: Stress and anxiety are central to the rural family members' experience of this phenomenon. These constructs are influenced by modifiable factors, including the actions of health care providers, the financial burden associated with the transfer, the family members' physical proximity to the patient, and their access to information and support networks. Further research is required to explore potential short-and long-term consequences of this experience and the experience of family members who are left behind and to develop and test interventions to support families.Relevance to clinical practice: This review highlights the concern that health care providers frequently misunderstand the needs of family members who are experiencing this phenomenon. Through a better understanding of this phenomenon, health care providers will be better positioned to effectively support these individuals during this unique experience. K E Y W O R D Scritical illness, family, integrative review, interfacility transfer, rural

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Inter‐facility transfers for advanced critical care services: Impacts on rural families

Burns

Petrucka

2019

Nursing in Critical Care

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Inter-hospital Transfer Decision-making During the COVID-19 Pandemic: a Qualitative Study

et al. 2023

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Background Inter-hospital patient transfers to hospitals with greater resource availability and expertise may improve clinical outcomes. However, there is little guidance regarding how patient transfer requests should be prioritized when hospital resources become scarce. Objective To understand the experiences of healthcare workers involved in the process of accepting inter-hospital patient transfers during a pandemic surge and determine factors impacting inter-hospital patient transfer decision-making. Design We conducted a qualitative study consisting of semi-structured interviews between October 2021 and February 2022. Participants Eligible participants were physicians, nurses, and non-clinician administrators involved in the process of accepting inter-hospital patient transfers. Participants were recruited using maximum variation sampling. Approach Semi-structured interviews were conducted with healthcare workers across Michigan. Key Results Twenty-one participants from 15 hospitals were interviewed (45.5% of eligible hospitals). About half (52.4%) of participants were physicians, 38.1% were nurses, and 9.5% were non-clinician administrators. Three domains of themes impacting patient transfer decision-making emerged: decision-maker, patient, and environmental factors. Decision-makers described a lack of guidance for transfer decision-making. Patient factors included severity of illness, predicted chance of survival, need for specialized care, and patient preferences for medical care. Decision-making occurred within the context of environmental factors including scarce resources at accepting and requesting hospitals, organizational changes to transfer processes, and alternatives to patient transfer including use of virtual care. Participants described substantial moral distress related to transfer triaging. Conclusions A lack of guidance in transfer processes may result in considerable variation in the patients who are accepted for inter-hospital transfer and in substantial moral distress among decision-makers involved in the transfer process. Our findings identify potential organizational changes to improve the inter-hospital transfer process and alleviate the moral distress experienced by decision-makers. Supplementary Information The online version contains supplementary material available at 10.1007/s11606-023-08237-w.

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Can the “important brain injury criteria” predict neurosurgical intervention in mild traumatic brain injury? A validation study

Lessard

Cournoyer

Piette

et al. 2020

The American Journal of Emergency Medicine

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The experiences of rural and remote families involved in an inter-hospital transfer to a tertiary ICU: A hermeneutic study

Cited by 27 publications

References 24 publications

Inter‐facility transfers for advanced critical care services: Impacts on rural families

Inter‐facility transfers for advanced critical care services: Impacts on rural families

Inter-hospital Transfer Decision-making During the COVID-19 Pandemic: a Qualitative Study

Can the “important brain injury criteria” predict neurosurgical intervention in mild traumatic brain injury? A validation study

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