James Stephen, Quirke Sara, McBride-Henry Karen
S James, Charge Nurse Manager, Intensive Care Unit, Wellington Hospital, Wellington, New Zealand.
Nurs Crit Care. 2013 Nov;18(6):297-306. doi: 10.1111/nicc.12001. Epub 2013 Jan 20.
The quality of information exchange between intensive care unit (ICU) and ward nurses, when patients are transferred out of intensive care, is important to the continuity of safe care.
This research aimed to explore nurses' experiences of the discharge process from ICU to the ward environment.
The study was conducted in a New Zealand Metropolitan hospital, using an exploratory descriptive design we adapted a questionnaire based on Whittaker and Ball's research on ICU patient handover.
The questionnaires were then analysed using a descriptive thematic approach.
The response rate of 48% included 45 ICU and 47 ward nurses. Key findings were that the written and verbal communication needs differ dependent upon setting and the timing of a discharge. Timing of handover also requires negotiation.
Being able to negotiate the timing and nature of handover is important for nurses. In addition, standardized approaches to communication are believed to enhance patient safety.
Standardized handover, with content and processes that are mutually negotiated, is crucial to providing the safest environment for patients.
当患者转出重症监护病房时，重症监护病房（ICU）护士与病房护士之间的信息交换质量对于安全护理的连续性至关重要。
本研究旨在探索护士在患者从ICU转至病房过程中的出院经历。
该研究在新西兰一家大都市医院进行，采用探索性描述性设计，我们基于惠特克和鲍尔关于ICU患者交接的研究改编了一份问卷。
然后使用描述性主题分析法对问卷进行分析。
48%的回复率包括45名ICU护士和47名病房护士。主要发现是书面和口头沟通需求因环境和出院时间而异。交接时间也需要协商。
能够协商交接的时间和性质对护士很重要。此外，标准化的沟通方式被认为可以提高患者安全性。
标准化交接，其内容和流程经过相互协商，对于为患者提供最安全的环境至关重要。
