Discharge practices for the intensive care patient: A qualitative exploration in the general ward setting.
Objective: To explore how registered nurses (RNs) in the general ward perceive discharge processes and practices for patients recently discharged from the intensive care unit (ICU). Background: Patients discharged from the ICU environment often require complicated and multifaceted care. The ward-bas...
| Publicado en: | Intensive & Critical Care Nursing Vol. 30; no. 5; pp. 292 - 301 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103992316&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103992316 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09643397 DOI jtl: Intensive & Critical Care Nursing issn: 09643397 maglogo: N pubinfo: dt: 2014 vid: 30 iid: 5 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 103992316 97520204 10.1016/j.iccn.2014.04.004 NLM24907890 103992316 ppf: 292 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Discharge practices for the intensive care patient: A qualitative exploration in the general ward setting. aug: au: Cognet, Stephanie Coyer, Fiona affil: Royal Brisbane & Women’s Hospital, Herston, Queensland 4006, Australia sug: subj: Critical Care Nursing Nursing Staff, Hospital Nursing Practice Intensive Care Units Nursing Units Transfer, Intrahospital Patient Discharge Nurse Attitudes Hand Off (Patient Safety) Grounded Theory Human Focus Groups Semi-Structured Interview Hospitals, Urban Queensland Record Review Field Notes Constant Comparative Method Theoretical Sample Registered Nurses Symbolic Interactionism Male Female Adult Middle Age Aged Job Experience Critically Ill Patients Nurse-Patient Relations Nursing Records Family Nurse-Patient Ratio Professional-Family Relations Communication Inpatients Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective: To explore how registered nurses (RNs) in the general ward perceive discharge processes and practices for patients recently discharged from the intensive care unit (ICU). Background: Patients discharged from the ICU environment often require complicated and multifaceted care. The ward-based RN is at the forefront of the care of this fragile patient population, yet their views and perceptions have seldom been explored. Design: A qualitative grounded theory design was used to guide focus group interviews with the RN participants. Methods: Five semi-structured focus group interviews, including 27 RN participants, were conducted in an Australian metropolitan tertiary referral hospital in 2011. Data analyses of transcripts, field notes and memos used concurrent data generation, constant comparative analysis and theoretical sampling. Results: Results yielded a core category of ‘two worlds’ stressing the disconnectedness between ICU and the ward setting. This category was divided into sub categories of ‘communication disconnect’ and ‘remember the family’. Properties of ‘what we say’, ‘what we write’, ‘transfer’ and ‘information needs’ respectively were developed within those sub-categories. Conclusion: The discharge process for patients within the ICU setting is complicated and largely underappreciated. There are fundamental, misunderstood differences in prioritisation and care of patients between the areas, with a deep understanding of practice requirements of ward based RNs not being understood. The findings of this research may be used to facilitate inter departmental communications and progress practice development. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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