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Title: Patients' experience while transitioning from the intensive care unit to a ward
Author: Cuzco, Cecilia
Delgado-Hito, Pilar
Marín Pérez, Raquel
Romero García, Marta
Martínez-Momblan, Maria Antonia
Martínez Estalella, Gemma
Carmona Delgado, Inmaculada
Nicolas, José Maria
Castro, Pedro
Keywords: Medicina intensiva
Monitoratge de pacients
Critical care medicine
Patient monitoring
Issue Date: 23-Jul-2021
Publisher: Wiley
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.
Note: Reproducció del document publicat a:
It is part of: Nursing in Critical Care, 2021, vol. 2021, p. 1-10
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ISSN: 1362-1017
Appears in Collections:Articles publicats en revistes (Infermeria Fonamental i Clínica)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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