How can nurses facilitate patient's transitions from intensive care?

Häggström, Marie; Asplund, Kenneth; Kristiansen, Lisbeth

doi:10.1016/j.iccn.2012.01.002

Cited by 47 publications

(49 citation statements)

References 36 publications

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“…Also important are resources (time, staffing) and knowledge—essential components in order to manage the organization of a safe transfer process from the ICU to a general ward. Nurses' intention to support patients in ICU transitional care often is balanced against the organization's demands, work stress, and time restraint [53]. A recent study showed that nursing care hours per patient in the ICU and skill that mix significantly contribute to prevention of bloodstream infections and a shorter length-of-stay in the ICU [54].…”

Section: Discussionmentioning

confidence: 99%

Organizing Safe Transitions from Intensive Care

Häggström

Bäckström

2014

Nursing Research and Practice

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Background. Organizing and performing patient transfers in the continuum of care is part of the work of nurses and other staff of a multiprofessional healthcare team. An understanding of discharge practices is needed in order to ultimate patients' transfers from high technological intensive care units (ICU) to general wards. Aim. To describe, as experienced by intensive care and general ward staff, what strategies could be used when organizing patient's care before, during, and after transfer from intensive care. Method. Interviews of 15 participants were conducted, audio-taped, transcribed verbatim, and analyzed using qualitative content analysis. Results. The results showed that the categories secure, encourage, and collaborate are strategies used in the three phases of the ICU transitional care process. The main category; a safe, interactive rehabilitation process, illustrated how all strategies were characterized by an intention to create and maintain safety during the process. A three-way interaction was described: between staff and patient/families, between team members and involved units, and between patient/family and environment. Discussion/Conclusions. The findings highlight that ICU transitional care implies critical care rehabilitation. Discharge procedures need to be safe and structured and involve collaboration, encouraging support, optimal timing, early mobilization, and a multidiscipline approach.

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Section: Discussionmentioning

confidence: 99%

Organizing Safe Transitions from Intensive Care

Häggström

Bäckström

2014

Nursing Research and Practice

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“…2016; 9(3):e8001. High Anxiety(score 60 -80) 7 (6.4) few steps during rehabilitation (10,11). The findings of this study showed that transmission from intensive care to the general wards is a major source of anxiety for the patient; for instance Ratray et al in a study on anxiety of patients, who were transferred from intensive care to the general ward, estimated 37 percent (12).…”

Section: Discussionmentioning

confidence: 59%

Prevalence of Anxiety in the Process of Transferring Patients From Cardiac Surgery Intensive Care Unit to the General Ward

Zakerimoghadam¹,

Ghyasvandian²,

Asayesh³

et al. 2016

Crit Care Nurs J

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Background: Researches have shown that in some countries where patients are transferred from intensive care to the general ward, they experience mental challenges, including anxiety. However, in Iran no researches have been done on this subject. Objectives: The aim of this study was to evaluate the prevalence of anxiety in patients transferred from the intensive care unit to the general ward. Methods: This study was a cross-sectional study. Samples of this study included 110 patients transferred from the intensive care unit to the general ward. Spielberger's questionnaire was used to collect data. To analyze the data, the SPSS version 16 software was used. Results: After entering variables in the multivariate logistic regression model, it was found, that there was only a significant relationship between gender and anxiety. Statistical data showed that 63.6% of patients had moderate anxiety. Conclusions: According to the study, the subjects had high levels of anxiety, thus providing a platform for learning how to deal with anxiety seems to be required for these patients. The study also found that being female is directly related to the level of anxiety in these patients. Therefore, more attention to females during transfer from the intensive care to the general ward is important.

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“…28,29 Multiple studies have demonstrated that medical-surgical nurses and critical care nurses collectively aim for this process to remain patient centered [28][29][30][31] ; however, both practice groups individually prioritize and emphasize different components and timing priorities of these transfers. Interestingly, most evidence surrounding the communication between critical care nurses and medical-surgical nurses is focused on the critical care nurses' observations, prioritization, and practice throughout the handoff process.…”

Section: Nurse Handoff/transfer Reportmentioning

confidence: 99%

“…Interestingly, most evidence surrounding the communication between critical care nurses and medical-surgical nurses is focused on the critical care nurses' observations, prioritization, and practice throughout the handoff process. 15,29,31 The neonatal and specialty pediatric patient populations, Vital to successful care coordination is communication and integration of patients, patients' families, and caregivers in the process of care transfer.…”

Section: Nurse Handoff/transfer Reportmentioning

confidence: 99%

“…Researchers also showed the potential for improved outcomes associated with improved streamlined care. 1,31,59 Although institutional space, staffing, and financial constraints may limit the development and implementation of transitional care units, it may be possible to include several aspects of transitional care within the confines of the critical care unit. Initiatives within the critical care unit that are directed toward increased patient autonomy in performing self-care and promoting functional independence and mobility are key milestones for transition from the critical care unit to the medical-surgical care area.…”

Section: Transitional Care Unitsmentioning

confidence: 99%

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Role of Transitional Care Measures in the Prevention of Readmission After Critical Illness

Peters

2017

Critical Care Nurse

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Transitioning from the critical care unit to the medical-surgical care area is vital to patients’ recovery and resolution of critical illness. Such transitions are necessary to optimize use of available hospital resources to meet patient care needs. One in 10 patients discharged from the intensive care unit are readmitted to the unit during their hospitalization. Critical care readmission is associated with significant increases in illness acuity, overall length of stay, and health care costs as well as a potential 4-fold increased risk of mortality. Patients with complex illness, multiple comorbid conditions, and a prolonged initial stay in the critical care unit are at an increased risk of being readmitted to the critical care unit and experiencing poor outcomes. Implementing nurse-driven measures that support continuity of care and consistent communication practices such as critical care outreach services, transitional communication tools, discharge planning, and transitional care units improves transitions of patients from the critical care environment and reduces readmission rates.

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How can nurses facilitate patient's transitions from intensive care?

Cited by 47 publications

References 36 publications

Organizing Safe Transitions from Intensive Care

Organizing Safe Transitions from Intensive Care

Prevalence of Anxiety in the Process of Transferring Patients From Cardiac Surgery Intensive Care Unit to the General Ward

Role of Transitional Care Measures in the Prevention of Readmission After Critical Illness

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