Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Nurs Manag. 2022 Mar;30(2):592-599. doi: 10.1111/jonm.13518. Epub 2021 Dec 1.
To explore the family caregivers' experiences and needs of transitional care during the transfer from an intensive care unit to a general ward in China.
The transfer of patients from the intensive care unit to the ward is a vulnerable time for patients and caregivers, exposing the risk of readmission and death. However, there are few qualitative studies on the family caregivers' views of transitional care for their loved ones in China.
With a qualitative research design, 15 interviews were conducted with 15 family caregivers of hospitalized patients transferred from the neurosurgery ICU to the general ward. Colaizzi's (1978) method of data analysis was performed using the NVivo 11.0 software.
Based on data analysis, four themes were obtained: perception of transfer decision, the experience of transitional care, the obstacles to maintaining care efficiency and demand for transitional care.
In order to enhance the continuity of care and improve patient safety during the transfer from an ICU to a general ward in China, priorities should be given to the implementation of effective strategies and methods, including providing psychological and emotional support, encouraging active participation of caregivers, and various communication and collaboration procedures.
The findings from this study can be used as a guide to better preparation and awareness among health care professionals to achieve the much-needed demands of family caregivers, as well as the increased quality of transitional care.
探索中国重症监护病房向普通病房过渡期间家庭照顾者的体验和需求。
患者从重症监护病房转移到病房是患者和照顾者脆弱的时刻，暴露了再次入院和死亡的风险。然而，在中国，关于家庭照顾者对其亲人过渡护理观点的定性研究很少。
采用定性研究设计，对 15 名从神经外科重症监护病房转至普通病房的住院患者的 15 名家庭照顾者进行了 15 次访谈。使用 NVivo 11.0 软件对 Colaizzi（1978）的数据分析方法进行了分析。
基于数据分析，得出了四个主题：对转移决策的感知、过渡护理体验、维持护理效率的障碍和对过渡护理的需求。
为了提高中国从重症监护病房向普通病房转移过程中的连续性护理和患者安全性，应优先考虑实施有效策略和方法，包括提供心理和情感支持、鼓励照顾者积极参与以及各种沟通和协作程序。
本研究结果可作为护理管理人员的指南，使卫生保健专业人员更好地做好准备和提高认识，以满足家庭照顾者的迫切需求，并提高过渡护理质量。
