Effect of Liaison Nurse Service on Transfer Anxiety of Patients Transferred From the Cardiac Surgery Intensive Care Unit to the General Ward

Jodaki, Kurosh; Ghyasvandian, Shahrzad; Abbasi, Mohammad; Kazemnejad, Anoshirvan; Zakerimoghadam, Masoumeh

doi:10.5812/nmsjournal.33478

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…The study results by Tabanejad et al (2014) were also consistent with the current ones, showing that using liaison nurse services has increased patient and family satisfaction with the services of liaison nurses [ 19 ]. Another study showed that after providing liaison nurse services, the anxiety in the intervention group subjects was significantly reduced, reflecting the impact of the services on patients’ transfer anxiety during the transfer from the coronary ICU [ 23 ]. Another study also reported decreased patients' anxiety after receiving the desired services [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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The role of the ICU liaison nurse services on anxiety in family caregivers of patients after ICU discharge during COVID-19 pandemic: a randomized controlled trial

et al. 2022

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Background With the onset of the COVID-19 pandemic and the need to maintain social distancing and changes in wards' structure, families no longer access the routine support they received during the hospitalization of their patients in the ICU. This study aimed to determine the effects of ICU liaison nurse services on the anxiety in patients’ family caregivers after ICU discharge during the COVID-19 pandemic. Methods This randomized controlled trial was performed in western Iran from February 2020, to March 2021. Sixty subjects were selected from the family caregivers of the patients transferred from the ICU and were randomly assigned to the control (n = 30) and the intervention groups (n = 30). The control group received routine transfer care. In the intervention group, liaison nurse services were offered in 4 dimensions: patient support, family support, training, support of the ward’s staff, and the evaluation of the destination ward. The participants’ anxiety was measured using the Spielberger State Anxiety Inventory immediately after the patient transfer and 6 h after admission to the general ward. Data analyzed with SPSS V16, descriptive and inferential statistics, including Chi-square test, Mann–Whitney test, Wilcoxon test, and Generalized Linear Model with cumulative logit link function. Results were reported at a 0.05 significance level. Results A statistically significant difference was observed in baseline anxiety levels (P = 0.035) and age group (P < 0.001) between the intervention and control groups. After moderating baseline anxiety levels, the age group, and marital status, the impact of the intervention was significant (X2 = 10.273, df = 1, P < 0.001), meaning that the intervention could reduce the relative chances of developing higher levels of anxiety by 92.1% (OR: 0.08, 95%CI: 0.017–0.373, P < 0.001). Conclusions This study confirmed the positive impact of nursing services on reducing anxiety in family caregivers during the COVID-19 pandemic. It is recommended to use these services, especially during the COVID-19 condition, to facilitate the patient transfer, support the patient's family, and reduce the health care gap between the ICU and the ward.

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Section: Discussionmentioning

confidence: 99%

“…In general, the evidence shows that little research has been conducted on the liaison nurse, especially in Iran and during the COVID-19 pandemic, showing different results [ 4 , 21 – 23 ]. According to a study conducted by the current researcher in Iran, liaison nurse services are emerging as a nascent field.…”

Section: Introductionmentioning

confidence: 99%

The role of the ICU liaison nurse services on anxiety in family caregivers of patients after ICU discharge during COVID-19 pandemic: a randomized controlled trial

et al. 2022

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“…Transition from intensive care unit to a general ward is a stress and anxiety-producing event for patients and their families. 19,25 Discharge from ICU is equally as traumatic as admission. 13 There is also a myriad of physical, psychological/emotional, and environmental sequelae, as well as effects in the provision of care related to patient's discharge from critical care.…”

Section: Exemplars: 2 Evidenced-based Systematic Reviews Using Meanin...mentioning

confidence: 99%

“…However, research shows that there are varied negative consequences as well. Transition from intensive care unit to a general ward is a stress and anxiety-producing event for patients and their families 19,25 . Discharge from ICU is equally as traumatic as admission 13 .…”

Section: Exemplars: 2 Evidenced-based Systematic Reviews Using Meanin...mentioning

confidence: 99%

Asking “Meaning Questions” in Evidence-Based Reviews and the Utility of Qualitative Findings in Practice

Cypress¹

2021

Dimens Crit Care Nurs

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Evidence-based practice (EBP) systematic reviews are mostly conducted using etiology, diagnosis, therapy, prevention, and prognosis question format. "Meaning" or qualitative questions are very rarely used. The purpose of this article is to discuss qualitative findings' contribution to EBP through asking "meaning questions" in conducting systematic reviews and the utilization of the results to practice. Two EBP systematic review exemplars using meaning questions including the relevance and utilization of qualitative findings in health care decision-making, practice, and policy are presented.There is a need to instill an evidence-based mindset into systematic reviews that balance scientific knowledge gained through empirical research and evidence from qualitative studies. This is turn will increase awareness among clinicians and decision makers on the different ways in which qualitative evidence can be used and applied in practice.

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A Whirlpool of Stress in Families of Intensive Care Unit Patients: A Qualitative Multicenter Study

Aghaie

Anoosheh

Foroughan

et al. 2021

Critical Care Nurse

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Background Family members of patients admitted to the intensive care unit must tolerate high levels of stress, making them emotionally and physically vulnerable. However, little is known about the kinds of stress family members may experience. Objective To explore perceived stress in the families of patients admitted to the intensive care unit. Methods This qualitative content analysis study involved 23 family members of patients admitted to intensive care units. Participants were drawn from family members of patients hospitalized in intensive care units of 3 public and 2 private hospitals. Data were collected through semistructured interviews. Results Three themes emerged from the data: “distrust,” “repeated stress exposure,” and “a whirlpool of persistent negative emotional-physical state.” The first theme had 2 categories: “fearful mindset” and “negative beliefs about professional caregivers.” The second theme also had 2 categories: “fear of the future” and “sustained accumulation of tensions.” The third theme had 3 categories: “impaired mental health,” “impaired physical health,” and “impaired family function.” Conclusions The findings of this study may help critical care nurses better understand the nature and sources of family stresses during a patient’s intensive care unit stay. Supervisory nurses should alert their staff to these issues so that family care programs can address them, thereby reducing family members’ risk of posttraumatic stress disorder and post–intensive care syndrome-family.

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Effect of Liaison Nurse Service on Transfer Anxiety of Patients Transferred From the Cardiac Surgery Intensive Care Unit to the General Ward

Cited by 4 publications

References 12 publications

The role of the ICU liaison nurse services on anxiety in family caregivers of patients after ICU discharge during COVID-19 pandemic: a randomized controlled trial

The role of the ICU liaison nurse services on anxiety in family caregivers of patients after ICU discharge during COVID-19 pandemic: a randomized controlled trial

Asking “Meaning Questions” in Evidence-Based Reviews and the Utility of Qualitative Findings in Practice

A Whirlpool of Stress in Families of Intensive Care Unit Patients: A Qualitative Multicenter Study

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