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Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety

AIM: Patient transfer from intensive care units (ICUs) to general wards is a routine part of hospital care. However, if the transfer is not optimal, it can result in increased readmissions to the ICU, increased stress and discomfort for the patient and, thus, a threat to patient safety. The aim of t...

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Autores principales: Nikolaisen, Mette Kure, Fridh, Stina, Olsen, Brita Fosser
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495723/
https://www.ncbi.nlm.nih.gov/pubmed/37386753
http://dx.doi.org/10.1002/nop2.1923
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author Nikolaisen, Mette Kure
Fridh, Stina
Olsen, Brita Fosser
author_facet Nikolaisen, Mette Kure
Fridh, Stina
Olsen, Brita Fosser
author_sort Nikolaisen, Mette Kure
collection PubMed
description AIM: Patient transfer from intensive care units (ICUs) to general wards is a routine part of hospital care. However, if the transfer is not optimal, it can result in increased readmissions to the ICU, increased stress and discomfort for the patient and, thus, a threat to patient safety. The aim of this study was to explore how general ward nurses experience patient safety during patient transfers from ICUs to general wards. DESIGN: A qualitative design based on a phenomenological approach was used. METHODS: Two focus group interviews were conducted with a total of eight nurses from a medical ward and a surgical ward at one hospital in Norway. The data were analysed using systematic text condensation. RESULTS: The nurses' experiences of patient safety during patient transfer had four themes: (1) the importance of preparedness; (2) the importance of the handover of information; (3) stress and a lack of resources and (4) a feeling of two different worlds. CONCLUSION: In order to promote patient safety, the informants highlighted the importance of being well prepared for transfer, and to have optimal handover of information. Stress, lack of resources and a feeling of two different worlds may pose threats to patient safety. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: We suggest several intervention studies testing the effect of intervention improving patient safety during the transfer process are designed, and that increased knowledge in this area is used to develop local practice recommendations. PATIENT OR PUBLIC CONTRIBUTION: The participants of this study were nurses and this contribution has been explained in the Data collection section. There was no patient contribution in this study.
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spelling pubmed-104957232023-09-13 Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety Nikolaisen, Mette Kure Fridh, Stina Olsen, Brita Fosser Nurs Open Empirical Research Qualitative AIM: Patient transfer from intensive care units (ICUs) to general wards is a routine part of hospital care. However, if the transfer is not optimal, it can result in increased readmissions to the ICU, increased stress and discomfort for the patient and, thus, a threat to patient safety. The aim of this study was to explore how general ward nurses experience patient safety during patient transfers from ICUs to general wards. DESIGN: A qualitative design based on a phenomenological approach was used. METHODS: Two focus group interviews were conducted with a total of eight nurses from a medical ward and a surgical ward at one hospital in Norway. The data were analysed using systematic text condensation. RESULTS: The nurses' experiences of patient safety during patient transfer had four themes: (1) the importance of preparedness; (2) the importance of the handover of information; (3) stress and a lack of resources and (4) a feeling of two different worlds. CONCLUSION: In order to promote patient safety, the informants highlighted the importance of being well prepared for transfer, and to have optimal handover of information. Stress, lack of resources and a feeling of two different worlds may pose threats to patient safety. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: We suggest several intervention studies testing the effect of intervention improving patient safety during the transfer process are designed, and that increased knowledge in this area is used to develop local practice recommendations. PATIENT OR PUBLIC CONTRIBUTION: The participants of this study were nurses and this contribution has been explained in the Data collection section. There was no patient contribution in this study. John Wiley and Sons Inc. 2023-06-29 /pmc/articles/PMC10495723/ /pubmed/37386753 http://dx.doi.org/10.1002/nop2.1923 Text en © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Empirical Research Qualitative
Nikolaisen, Mette Kure
Fridh, Stina
Olsen, Brita Fosser
Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety
title Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety
title_full Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety
title_fullStr Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety
title_full_unstemmed Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety
title_short Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety
title_sort patient transfer from intensive care units to general wards: an exploratory qualitative study of ward nurses' experiences of patient safety
topic Empirical Research Qualitative
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495723/
https://www.ncbi.nlm.nih.gov/pubmed/37386753
http://dx.doi.org/10.1002/nop2.1923
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