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A qualitative study portraying nurses' perspectives on transitional care between intensive care units and hospitals wards.

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Title: A qualitative study portraying nurses' perspectives on transitional care between intensive care units and hospitals wards.
Authors: Herling, Suzanne Forsyth, Brix, Helene, Andersen, Lise, Jensen, Liz Daugaard, Handesten, Rie, Knudsen, Heidi, Bove, Dorthe Gaby
Source: Scandinavian Journal of Caring Sciences. Dec2022, Vol. 36 Issue 4, p947-956. 10p. 3 Charts.
Subjects: Intensive care units, Research, Nurses' attitudes, Transitional care, Research methodology, Interviewing, Qualitative research, Hospital wards, Nurses, Interprofessional relations, Critical care medicine, Content analysis, Judgment sampling, Thematic analysis
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: A qualitative study portraying nurses' perspectives on transitional care between intensive care units and hospitals wards.
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  Data: <searchLink fieldCode="AR" term="%22Herling%2C+Suzanne+Forsyth%22">Herling, Suzanne Forsyth</searchLink><br /><searchLink fieldCode="AR" term="%22Brix%2C+Helene%22">Brix, Helene</searchLink><br /><searchLink fieldCode="AR" term="%22Andersen%2C+Lise%22">Andersen, Lise</searchLink><br /><searchLink fieldCode="AR" term="%22Jensen%2C+Liz+Daugaard%22">Jensen, Liz Daugaard</searchLink><br /><searchLink fieldCode="AR" term="%22Handesten%2C+Rie%22">Handesten, Rie</searchLink><br /><searchLink fieldCode="AR" term="%22Knudsen%2C+Heidi%22">Knudsen, Heidi</searchLink><br /><searchLink fieldCode="AR" term="%22Bove%2C+Dorthe+Gaby%22">Bove, Dorthe Gaby</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Dec2022, Vol. 36 Issue 4, p947-956. 10p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Intensive+care+units%22">Intensive care units</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses'+attitudes%22">Nurses' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Transitional+care%22">Transitional care</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+wards%22">Hospital wards</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses%22">Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Critical+care+medicine%22">Critical care medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=160177172
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      – Type: doi
        Value: 10.1111/scs.12990
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 947
    Subjects:
      – SubjectFull: Intensive care units
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Nurses' attitudes
        Type: general
      – SubjectFull: Transitional care
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Hospital wards
        Type: general
      – SubjectFull: Nurses
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Critical care medicine
        Type: general
      – SubjectFull: Content analysis
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      – SubjectFull: Judgment sampling
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      – SubjectFull: Thematic analysis
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      – TitleFull: A qualitative study portraying nurses' perspectives on transitional care between intensive care units and hospitals wards.
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              Text: Dec2022
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              Y: 2022
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