Häggström Marie, Asplund Kenneth, Kristiansen Lisbeth
Int J Health Care Qual Assur. 2014;27(2):123-39. doi: 10.1108/IJHCQA-09-2012-0090.
Admission to and transfer from an intensive care unit affects not only the patient but also his or her relatives. The authors aimed to investigate relatives' perceptions of quality of care during a patient's transfer process from an intensive care unit to a general ward.
DESIGN/METHODOLOGY/APPROACH: The study had a mixed method design that included quantitative data and answers to open questions. The participants were 65 relatives of patients who received care in an ICU. They were recruited from two hospitals in Sweden.
A majority perceived the transfer process as important, but analysis also showed that the participants rated it as an area for improvements. The relatives wanted participation, personal insight and control, respectful encounters, proximity, reassurance, continuous quality, reconnection and feedback. The relatives' participation in the transfer process was perceived as inadequate by 61 per cent, and the support that was received after the ICU discharge was perceived as inadequate by 53 per cent. The patients' length of stay in the ICU affected the relatives' perceptions of the quality of care. Overall, the relatives seemed to desire that the transfer process includes a continuous care, a competent staff, available information throughout the transfer process and personal involvement in the care, both before and after the transfer from the ICU.
RESEARCH LIMITATIONS/IMPLICATIONS: The conclusion of this study is that relatives' needs and seeking for a well-planned ICU transitional process organisation with continuous quality before and after transfer, informational strategies that encourage the relatives to be involved and an organisation with competence throughout the healthcare chain are vital for quality.
The conclusion of this study is that relatives' needs and seeking for a well-planned ICU transitional process organisation with continuous quality before and after transfer, informational strategies that encourage the relatives to be involved and an organisation with competence throughout the healthcare chain are vital for quality.
ORIGINALITY/VALUE: The findings have important implications for nursing and nursing management. A relative's perception of the quality of care before and after transfer from ICU may be a valuable source to evaluate the ICU transitional care.
入住重症监护病房（ICU）及转出该病房不仅会影响患者，还会对其亲属产生影响。作者旨在调查亲属对患者从重症监护病房转至普通病房过程中护理质量的看法。
设计/方法/途径：本研究采用混合方法设计，包括定量数据和对开放性问题的回答。参与者为65名在重症监护病房接受护理的患者的亲属。他们来自瑞典的两家医院。
大多数人认为转院过程很重要，但分析也表明，参与者将其评为有待改进的领域。亲属们希望能够参与其中、获得个人见解和控制权、得到尊重的对待、保持亲近、获得安心感、持续的质量保障、重新建立联系以及得到反馈。61%的人认为亲属在转院过程中的参与不足，53%的人认为重症监护病房出院后所获得支持不足。患者在重症监护病房的住院时间影响亲属对护理质量的看法。总体而言，亲属们似乎希望转院过程包括持续护理、专业的工作人员、在整个转院过程中都能获取信息以及在转院前后都能亲身参与护理。
研究局限性/启示：本研究的结论是，亲属对精心规划的重症监护病房过渡过程组织的需求以及对转院前后持续质量的追求、鼓励亲属参与的信息策略以及整个医疗保健链具备专业能力的组织对质量至关重要。
本研究的结论是，亲属对精心规划的重症监护病房过渡过程组织的需求以及对转院前后持续质量的追求、鼓励亲属参与的信息策略以及整个医疗保健链具备专业能力的组织对质量至关重要。
原创性/价值：研究结果对护理及护理管理具有重要意义。亲属对从重症监护病房转院前后护理质量的看法可能是评估重症监护病房过渡护理的宝贵依据。
