A qualitative study portraying nurses’ perspectives on transitional care between intensive care units and hospitals wards
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A qualitative study portraying nurses’ perspectives on transitional care between intensive care units and hospitals wards. / Herling, Suzanne Forsyth; Brix, Helene; Andersen, Lise; Jensen, Liz Daugaard; Handesten, Rie; Knudsen, Heidi; Bove, Dorthe Gaby.
I: Scandinavian Journal of Caring Sciences, Bind 36, Nr. 4, 2022, s. 947-956.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - A qualitative study portraying nurses’ perspectives on transitional care between intensive care units and hospitals wards
AU - Herling, Suzanne Forsyth
AU - Brix, Helene
AU - Andersen, Lise
AU - Jensen, Liz Daugaard
AU - Handesten, Rie
AU - Knudsen, Heidi
AU - Bove, Dorthe Gaby
N1 - Publisher Copyright: © 2021 Nordic College of Caring Science.
PY - 2022
Y1 - 2022
N2 - Introduction: The transition process from the intensive care unit (ICU) to hospital ward may impact the illness trajectory and compromise the continuity of safe care for ICU survivors. ICU and ward nurses are involved with the transition and are responsible for the quality of the transitional care. Aim: The aim was to explore ICU and ward nurses’ views on assignments in relation to patients’ transition between ICU and hospital ward. Methods: We conducted a qualitative study with 20 semi-structured interviews with ICU nurses and ward nurses and analysed data by content analysis. Setting: A university hospital with 690 beds and an 11-bed mixed medical/surgical ICU. Findings: The overarching themes were (1) ‘Ritual of hand over’ with the categories: (a) ‘Ready, able and willing’, (b) ‘Transfer of responsibility’ and (c) ‘Nice to know versus need to know’ and (2) ‘From lifesaving care to rehabilitative care’ with the categories: (a) ‘Complex care needs persist’, (b) ‘Fight or flight mode’ and (c) ‘“Weaning” the family’. Nurses were highly focused on the ritual of the actual handover of the patient and discussed readiness as an indicator of quality and the feeling of passing on the responsibility. Nurses had different opinions on what useful knowledge was and thus necessary to communicate during handover. Although patients’ complex care needs may not have been resolved when exiting the ICU, ward nurses had to receive patients in a setting where nurses were mostly comfortable within their own specialty – this was worrying for both type of nurses. Patients could enter the ward very exhausted and weak or in ‘fight mode’ and demand rehabilitation at a pace the ward was not capable of delivering. ICU nurses encouraged families to be demanding after the ICU stay, and ward nurses asked them to trust them and steep back.
AB - Introduction: The transition process from the intensive care unit (ICU) to hospital ward may impact the illness trajectory and compromise the continuity of safe care for ICU survivors. ICU and ward nurses are involved with the transition and are responsible for the quality of the transitional care. Aim: The aim was to explore ICU and ward nurses’ views on assignments in relation to patients’ transition between ICU and hospital ward. Methods: We conducted a qualitative study with 20 semi-structured interviews with ICU nurses and ward nurses and analysed data by content analysis. Setting: A university hospital with 690 beds and an 11-bed mixed medical/surgical ICU. Findings: The overarching themes were (1) ‘Ritual of hand over’ with the categories: (a) ‘Ready, able and willing’, (b) ‘Transfer of responsibility’ and (c) ‘Nice to know versus need to know’ and (2) ‘From lifesaving care to rehabilitative care’ with the categories: (a) ‘Complex care needs persist’, (b) ‘Fight or flight mode’ and (c) ‘“Weaning” the family’. Nurses were highly focused on the ritual of the actual handover of the patient and discussed readiness as an indicator of quality and the feeling of passing on the responsibility. Nurses had different opinions on what useful knowledge was and thus necessary to communicate during handover. Although patients’ complex care needs may not have been resolved when exiting the ICU, ward nurses had to receive patients in a setting where nurses were mostly comfortable within their own specialty – this was worrying for both type of nurses. Patients could enter the ward very exhausted and weak or in ‘fight mode’ and demand rehabilitation at a pace the ward was not capable of delivering. ICU nurses encouraged families to be demanding after the ICU stay, and ward nurses asked them to trust them and steep back.
KW - applied research
KW - content analysis
KW - critical care
KW - handover
KW - intensive care unit
KW - interprofessional
KW - organisation
KW - qualitative
KW - transition
U2 - 10.1111/scs.12990
DO - 10.1111/scs.12990
M3 - Journal article
C2 - 33908642
AN - SCOPUS:85105370823
VL - 36
SP - 947
EP - 956
JO - Scandinavian Journal of Caring Sciences
JF - Scandinavian Journal of Caring Sciences
SN - 0283-9318
IS - 4
ER -
ID: 334882089