Patients' experience while transitioning from the intensive care unit to a ward

Background Intensive care unit (ICU) patients can experience emotional distress and post‐traumatic stress disorder when they leave the ICU, also referred to as post‐intensive care syndrome. A deeper understanding of what patients go through and what they need while they are transitioning from the IC...

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Veröffentlicht in:Nursing in critical care 2022-05, Vol.27 (3), p.419-428
Hauptverfasser: Cuzco, Cecilia, Delgado‐Hito, Pilar, Marín Pérez, Raquel, Núñez Delgado, Anna, Romero‐García, Marta, Martínez‐Momblan, María Antonia, Martínez Estalella, Gemma, Carmona Delgado, Inmaculada, Nicolas, José María, Castro, Pedro
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container_end_page 428
container_issue 3
container_start_page 419
container_title Nursing in critical care
container_volume 27
creator Cuzco, Cecilia
Delgado‐Hito, Pilar
Marín Pérez, Raquel
Núñez Delgado, Anna
Romero‐García, Marta
Martínez‐Momblan, María Antonia
Martínez Estalella, Gemma
Carmona Delgado, Inmaculada
Nicolas, José María
Castro, Pedro
description Background Intensive care unit (ICU) patients can experience emotional distress and post‐traumatic stress disorder when they leave the ICU, also referred to as post‐intensive care syndrome. A deeper understanding of what patients go through and what they need while they are transitioning from the ICU to the general ward may provide input on how to strengthen patient‐centred care and, ultimately, contribute to a positive experience. Aim To describe the patients' experience while transitioning from the ICU to a general ward. Design A descriptive qualitative study. Method Data were gathered through in‐depth interviews and analysed using a qualitative content analysis. The qualitative study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines. Findings Forty‐eight interviews were conducted. Impact on emotional well‐being emerged as a main theme, comprising four categories with six subcategories. Conclusion Transition from the ICU can be a shock for the patient, leading to the emergence of a need for information, and an impact on emotional well‐being that has to be planned for carefully and addressed prior to, during, and following transition from the ICU to the general ward. Relevance to clinical practice It is essential that nurses understand patients' experiences during transfer, identifying needs and concerns to be able to develop and implement new practices such as ICU Liaison Nurse or Nurse Outreach for the follow‐up of these patients, the inclusion of a consultant mental health nurse, and the application of patient empowerment during ICU discharge.
doi_str_mv 10.1111/nicc.12697
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A deeper understanding of what patients go through and what they need while they are transitioning from the ICU to the general ward may provide input on how to strengthen patient‐centred care and, ultimately, contribute to a positive experience. Aim To describe the patients' experience while transitioning from the ICU to a general ward. Design A descriptive qualitative study. Method Data were gathered through in‐depth interviews and analysed using a qualitative content analysis. The qualitative study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines. Findings Forty‐eight interviews were conducted. Impact on emotional well‐being emerged as a main theme, comprising four categories with six subcategories. Conclusion Transition from the ICU can be a shock for the patient, leading to the emergence of a need for information, and an impact on emotional well‐being that has to be planned for carefully and addressed prior to, during, and following transition from the ICU to the general ward. Relevance to clinical practice It is essential that nurses understand patients' experiences during transfer, identifying needs and concerns to be able to develop and implement new practices such as ICU Liaison Nurse or Nurse Outreach for the follow‐up of these patients, the inclusion of a consultant mental health nurse, and the application of patient empowerment during ICU discharge.</description><identifier>ISSN: 1362-1017</identifier><identifier>EISSN: 1478-5153</identifier><identifier>DOI: 10.1111/nicc.12697</identifier><identifier>PMID: 34402141</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>content analysis ; Continuity of care ; Critical Care - psychology ; Critical Illness - psychology ; Health psychology ; Humans ; ICU discharge ; ICU transfer ; ICU transition ; Intensive care ; Intensive Care Units ; Patient-centered care ; Patients ; Patients' Rooms ; Post traumatic stress disorder ; post‐intensive care syndrome ; post‐traumatic stress disorders ; Qualitative Research ; relocation stress ; Stress</subject><ispartof>Nursing in critical care, 2022-05, Vol.27 (3), p.419-428</ispartof><rights>2021 The Authors. published by John Wiley &amp; Sons Ltd on behalf of British Association of Critical Care Nurses.</rights><rights>2021 The Authors. Nursing in Critical Care published by John Wiley &amp; Sons Ltd on behalf of British Association of Critical Care Nurses.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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A deeper understanding of what patients go through and what they need while they are transitioning from the ICU to the general ward may provide input on how to strengthen patient‐centred care and, ultimately, contribute to a positive experience. Aim To describe the patients' experience while transitioning from the ICU to a general ward. Design A descriptive qualitative study. Method Data were gathered through in‐depth interviews and analysed using a qualitative content analysis. The qualitative study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines. Findings Forty‐eight interviews were conducted. Impact on emotional well‐being emerged as a main theme, comprising four categories with six subcategories. 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Delgado‐Hito, Pilar ; Marín Pérez, Raquel ; Núñez Delgado, Anna ; Romero‐García, Marta ; Martínez‐Momblan, María Antonia ; Martínez Estalella, Gemma ; Carmona Delgado, Inmaculada ; Nicolas, José María ; Castro, Pedro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4597-36298c580d310c2f7423aa34149e8b421e64b563d4936ac35055c75186ba7c243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>content analysis</topic><topic>Continuity of care</topic><topic>Critical Care - psychology</topic><topic>Critical Illness - psychology</topic><topic>Health psychology</topic><topic>Humans</topic><topic>ICU discharge</topic><topic>ICU transfer</topic><topic>ICU transition</topic><topic>Intensive care</topic><topic>Intensive Care Units</topic><topic>Patient-centered care</topic><topic>Patients</topic><topic>Patients' Rooms</topic><topic>Post traumatic stress disorder</topic><topic>post‐intensive care syndrome</topic><topic>post‐traumatic stress disorders</topic><topic>Qualitative Research</topic><topic>relocation stress</topic><topic>Stress</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cuzco, Cecilia</creatorcontrib><creatorcontrib>Delgado‐Hito, Pilar</creatorcontrib><creatorcontrib>Marín Pérez, Raquel</creatorcontrib><creatorcontrib>Núñez Delgado, Anna</creatorcontrib><creatorcontrib>Romero‐García, Marta</creatorcontrib><creatorcontrib>Martínez‐Momblan, María Antonia</creatorcontrib><creatorcontrib>Martínez Estalella, Gemma</creatorcontrib><creatorcontrib>Carmona Delgado, Inmaculada</creatorcontrib><creatorcontrib>Nicolas, José María</creatorcontrib><creatorcontrib>Castro, Pedro</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing in critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cuzco, Cecilia</au><au>Delgado‐Hito, Pilar</au><au>Marín Pérez, Raquel</au><au>Núñez Delgado, Anna</au><au>Romero‐García, Marta</au><au>Martínez‐Momblan, María Antonia</au><au>Martínez Estalella, Gemma</au><au>Carmona Delgado, Inmaculada</au><au>Nicolas, José María</au><au>Castro, Pedro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients' experience while transitioning from the intensive care unit to a ward</atitle><jtitle>Nursing in critical care</jtitle><addtitle>Nurs Crit Care</addtitle><date>2022-05</date><risdate>2022</risdate><volume>27</volume><issue>3</issue><spage>419</spage><epage>428</epage><pages>419-428</pages><issn>1362-1017</issn><eissn>1478-5153</eissn><abstract>Background Intensive care unit (ICU) patients can experience emotional distress and post‐traumatic stress disorder when they leave the ICU, also referred to as post‐intensive care syndrome. A deeper understanding of what patients go through and what they need while they are transitioning from the ICU to the general ward may provide input on how to strengthen patient‐centred care and, ultimately, contribute to a positive experience. Aim To describe the patients' experience while transitioning from the ICU to a general ward. Design A descriptive qualitative study. Method Data were gathered through in‐depth interviews and analysed using a qualitative content analysis. The qualitative study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines. Findings Forty‐eight interviews were conducted. Impact on emotional well‐being emerged as a main theme, comprising four categories with six subcategories. Conclusion Transition from the ICU can be a shock for the patient, leading to the emergence of a need for information, and an impact on emotional well‐being that has to be planned for carefully and addressed prior to, during, and following transition from the ICU to the general ward. Relevance to clinical practice It is essential that nurses understand patients' experiences during transfer, identifying needs and concerns to be able to develop and implement new practices such as ICU Liaison Nurse or Nurse Outreach for the follow‐up of these patients, the inclusion of a consultant mental health nurse, and the application of patient empowerment during ICU discharge.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>34402141</pmid><doi>10.1111/nicc.12697</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6118-8970</orcidid><orcidid>https://orcid.org/0000-0001-7077-3648</orcidid><orcidid>https://orcid.org/0000-0003-2201-4879</orcidid><orcidid>https://orcid.org/0000-0002-5364-5270</orcidid><orcidid>https://orcid.org/0000-0002-5742-8919</orcidid><orcidid>https://orcid.org/0000-0002-7093-5982</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects content analysis
Continuity of care
Critical Care - psychology
Critical Illness - psychology
Health psychology
Humans
ICU discharge
ICU transfer
ICU transition
Intensive care
Intensive Care Units
Patient-centered care
Patients
Patients' Rooms
Post traumatic stress disorder
post‐intensive care syndrome
post‐traumatic stress disorders
Qualitative Research
relocation stress
Stress
title Patients' experience while transitioning from the intensive care unit to a ward
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