Department of Neurosurgery, Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, Hubei, China.
Nursing Department, Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, Hubei, China.
Nurs Open. 2024 May;11(5):e2151. doi: 10.1002/nop2.2151.
To understand the real experience of family members of patients in neurosurgical intensive care unit (NICU) during intra-hospital transport (IHT), explore their inner needs and provide effective intervention measures for the construction of standardized IHT plan.
A descriptive qualitative study.
For the purposes of this study, 10 family members of IHT patients were included using a purposive sampling method. Semi-structured in-depth interviews were used to collect the data, Nvivo 11 software was used to organize the data, and Colaizzi's 7-step descriptive phenomenology method was used to analyse the data.
A total of three themes and nine subthemes were extracted, namely: Experience of emotional changes at different stages (uncertainty before transfer, complex internal activity during transit, ambivalence after transfer); Perception of problems in IHT (poor doctor-patient communication, weak awareness of risk assessment, deficiencies in the transfer procedure); Consciousness of the real needs (emotional respect and closeness, stay informed of the progression of the disease, greater social support).
Family members of patients in the NICU have complex internal experiences and multiple support needs during IHT, reflecting the need for further standardization of the transport process. In the future, we should improve the mode of safe IHT involving doctors, nurses and family members of patients, ensure the safety of patient transport, meet the social support needs of family members and improve the experience of IHT and the medical satisfaction of family members.
了解神经外科重症监护病房(NICU)患者家属在院内转运(IHT)过程中的真实体验,探讨其内在需求,为制定规范化 IHT 方案提供有效干预措施。
描述性定性研究。
本研究采用目的抽样法选取 10 名 IHT 患者家属进行研究。采用半结构式深入访谈收集资料,使用 Nvivo11 软件对资料进行整理,采用 Colaizzi 的 7 步描述现象学分析法对资料进行分析。
共提取出 3 个主题和 9 个亚主题,即:不同阶段的情绪变化体验(转运前的不确定感、转运过程中的复杂内心活动、转运后的矛盾心理);对 IHT 中问题的感知(医患沟通不畅、风险评估意识薄弱、转运程序不完善);对真实需求的意识(情感上的尊重和亲近、了解疾病进展、获得更大的社会支持)。
NICU 患者家属在 IHT 过程中内心体验复杂,存在多方面的支持需求,反映出转运流程需要进一步规范化。未来应改进包含医生、护士和患者家属的安全 IHT 模式,保障患者转运安全,满足家属的社会支持需求,提高 IHT 体验和家属的医疗满意度。