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Intensive Crit Care Nurs. 2012 Aug;28(4):224-33. doi: 10.1016/j.iccn.2012.01.002. Epub 2012 Mar 3.

How can nurses facilitate patient's transitions from intensive care?: a grounded theory of nursing.

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1
Department of Health Sciences, Mid Sweden University, SE-85170 Sundsvall, Sweden. marie.haggstrom@miun.se

Abstract

OBJECTIVES:

Intensive care patients often experience feelings of powerlessness and vulnerability when being transferred from an intensive care unit to a general ward. The aim of this study was to develop a grounded theory of nurses care for patients in the ICU transitional care process.

METHODS:

Group interviews, individual interviews and participant observations were conducted with nurses in two hospitals in Sweden and were analysed using grounded theory.

RESULT:

The substantive theory shows the process of nursing care activities - from the contexts of the ICU and the general ward. The main concern was to achieve a coordinated, strengthening, person-centered standard of care to facilitate patient transitions. The core category "being perceptive and adjustable" was a strategy to individualise, that was related to the other categories; "preparing for a change" and "promoting the recovery". However, the nurses were forced to "balance between patient needs and the caregivers' resources" and consequently were compromising their care.

CONCLUSIONS:

To facilitate an ICU-patient's transition, individual care planning is needed. It is also essential that the patients are adequately prepared for the change to facilitate the transitional care. Knowledge about transitional needs, empowerment and patient-education seems to be important issues for facilitating transitions.

PMID:
22386583
DOI:
10.1016/j.iccn.2012.01.002
[Indexed for MEDLINE]
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