Sahlgrenska University Hospital, Göteborg, Sweden.
Menzies Health Institute Queensland and the School of Nursing and Midwifery, Griffith University, Queensland, Australia.
Nurs Crit Care. 2023 Nov;28(6):854-862. doi: 10.1111/nicc.12775. Epub 2022 Apr 9.
Family members of critically ill patients often experience anxiety when their relatives are transferred from ICU to another level of care. ICU liaison nurse (ICULN) visits have been associated with improved support for patients, their families and nursing staff but has not been extensively studied in the non-English speaking setting. Yet, cross-country variations such as how hospital care is delivered and by who means that innovations such as the ICULN may not be able to be simply transferred to other contexts and may not have similar outcomes.
The aim of this study was to investigate family member's experiences with and evaluation of ICULN support service in one Swedish ICU.
A qualitative evaluation study was undertaken, recruiting family members of former ICU patients. Audio-taped in-depth interviews were conducted. Data were analysed by content analysis.
Fifteen family members were interviewed. Two categories: Minds the gap between intensive care and the next care level and providing stability in an uncertain situation were identified. The ICULN supported the family members both directly, when the ICULNs listened to their questions and met their needs, and indirectly, when the ICULNs took responsibility for the patients and their physical and psychological conditions and wellbeing.
Families valued and were satisfied with the ICULN service but also gave suggestions to improve the service in this particular hospital context.
The study showed that an ICULN support service met several needs of family members and therefore was a beneficial way to support patients and family members in the transition from the ICU to the ward.
当重症监护病房（ICU）的患者被转往其他护理级别时，其家属通常会感到焦虑。 ICU 联络护士（ICULN）的探访与为患者、他们的家属和护理人员提供更好的支持有关，但在非英语环境中尚未得到广泛研究。然而，由于医院护理的提供方式和护理人员的不同，跨越国界的差异意味着像 ICULN 这样的创新可能无法简单地转移到其他环境中，也可能不会产生类似的结果。
本研究旨在调查瑞典一家 ICU 中患者家属对 ICULN 支持服务的体验和评价。
采用定性评估研究，招募前 ICU 患者的家属。进行了录音的深入访谈。采用内容分析进行数据分析。
共对 15 名家属进行了访谈。确定了两个类别：填补重症监护与下一个护理级别之间的差距和在不确定的情况下提供稳定性。ICULN 直接支持家属，当 ICULN 倾听他们的问题并满足他们的需求时，以及间接支持，当 ICULN 负责患者及其身体和心理健康状况和幸福感时。
家属重视并对 ICULN 服务感到满意，但也针对特定医院环境提出了改进服务的建议。
这项研究表明，ICULN 支持服务满足了家属的一些需求，因此是在 ICU 向病房过渡期间支持患者和家属的有益方式。
