Exploring nurses' experience of transitional care in the open-heart surgery intensive care unit and its requirements: A qualitative content analysis study

过渡期护理 护理部 过程(计算) 危重护理 定性研究 医学 重症监护室 重症监护 内容分析 心理学 医疗保健 计算机科学 重症监护医学 社会科学 社会学 经济 经济增长 操作系统
作者
Sahar Khoshkesht,Masoumeh Zakerimoghadam,Maryam Esmaeili,Mehrzad Rahmanian,Shahrzad Ghiyasvandian
出处
期刊:Nursing Practice Today
标识
DOI:10.18502/npt.v9i4.11203
摘要

Background & Aim: Transitional care is considered an effective strategy to ensure continuity of care. The comprehensive investigation of this concept and its requirements during patient transfer has been neglected. The aim of this study is to explore nurses' experience of transitional care in the open-heart surgery intensive care unit and its requirements. Methods & Materials: This qualitative study was conducted using the conventional content analysis approach. A purposeful sampling method with maximum variation was performed among the nurses involved in the transfer process. Data were collected using 8 in-depth semi-structured interviews and analyzed using the Granheim and Lundman method.‎ Results: The main categories included the process of patient transfer and transitional care requirements. The sub-categories of the patient transfer process included pre-transfer, handover, and care measures after settlement in the general ward. The sub-categories of transitional care requirements included psychological preparation of the patient, the necessity of consolidating communication, maintaining continuity of care, patient education, and support, and considering the family's position in transitional care. Conclusion: The study concluded that transitional care is an interactive and dynamic process that extends from the physician's decision to transfer the patient from the ICU to the discharge phase in the general ward. Paying attention to the requirements of transitional care can provide solutions to strengthen and organize this process. Therefore, it is suggested to apply the findings of this study in planning the strategies related to transitional care.

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