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在安全的手中:重症监护期间患者在院内转运的体验。

In safe hands: Patients' experiences of intrahospital transport during intensive care.

机构信息

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, PO Box 457, SE-405 30 Gothenburg, Sweden.

出版信息

Intensive Crit Care Nurs. 2020 Aug;59:102853. doi: 10.1016/j.iccn.2020.102853. Epub 2020 Mar 26.

DOI:10.1016/j.iccn.2020.102853
PMID:32223920
Abstract

OBJECTIVES

Intrahospital transports are associated with complications and adverse events in intensive care patients. Yet, little is known about how patients' percive these tranfers. Thus, this study aimed to explore patients' experiences of the intrahospital transport process.

RESEARCH DESIGN

An exploratory qualitative study compromising interviews with twelve patients. Data were analysed using thematic analysis.

SETTING

Two intensive care units in a university hospital setting.

MAIN OUTCOME

An understanding of patients' experiences of the intrahospital transport process.

FINDINGS

The main finding was patients' description of "being in safe hands" during the transport. Patients' experience of transports as feasible and safe was reflected in the first main theme, "feeling prepared and safeguarded". The second theme, "being on the move", described patients' perceptions of the transport; although they were aware of movement, the transport was viewed as a minor event during their stay. The third theme, "entrusting myself to others", revealed how patients handed over control and decision making to the staff, confident that they would look after their best interest.

CONCLUSIONS

Patients perceived intrahospital transports as an acceptable and safe process. Findings suggest that patients' experience could be improved by being provided with accurate and timely information and preparedness for transport-related events.

摘要

目的

院内转运与重症监护患者的并发症和不良事件有关。然而,人们对患者如何看待这些转运知之甚少。因此,本研究旨在探讨患者对院内转运过程的体验。

研究设计

一项探索性定性研究,对 12 名患者进行了访谈。使用主题分析对数据进行分析。

设置

大学医院的两个重症监护病房。

主要结果

了解患者对院内转运过程的体验。

发现

主要发现是患者对转运过程中“处于安全手中”的描述。患者对转运可行且安全的体验反映在第一个主要主题“感到有准备和受到保护”中。第二个主题“移动中”描述了患者对转运的看法;尽管他们意识到了移动,但他们认为转运是他们住院期间的一个小事件。第三个主题“信任他人”揭示了患者如何将控制权和决策权交给工作人员,相信他们会照顾自己的最大利益。

结论

患者认为院内转运是一种可接受和安全的过程。研究结果表明,通过向患者提供准确和及时的信息以及对转运相关事件的准备,可以改善患者的体验。

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