HyunBin You is a PhD candidate, School of Nursing, Duke University, DUMC 3322, 307 Trent Drive, Durham, NC 27710 (
Sharron L. Docherty is Associate Professor, School of Nursing, and Associate Professor, Department of Medicine, Duke University, Durham, North Carolina.
AACN Adv Crit Care. 2024 Jun 15;35(2):97-108. doi: 10.4037/aacnacc2024982.
Patients in the intensive care unit (ICU) increasingly are expected to eventually return home after acute hospital care. Yet transitional care for ICU patients and their families is often delayed until the patient is about to be transferred to another location or level of care. Transitions theory is a middle-range nursing theory that aims to provide guidance for safe and effective nursing care and research while an individual experiences a transition. Intensive care unit nurses are well positioned to provide ICU transitional care planning early. This article applies the transitions theory as a theoretical model to guide the study of the transition to home after acute hospital care for ICU patients and their families. This theory application can help ICU nurses provide holistic patient- and family-centered transitional care to achieve optimal outcomes by addressing the predischarge and postdischarge needs of patients and families.
重症监护病房(ICU)的患者在急性医院治疗后,越来越期望最终能返回家中。然而,ICU 患者及其家属的过渡护理通常会延迟到患者即将转往其他地点或护理级别时才开始。过渡理论是一种中等范围的护理理论,旨在为个人经历过渡时提供安全有效的护理和研究指导。ICU 护士非常适合尽早进行 ICU 过渡护理计划。本文将过渡理论应用于理论模型,以指导 ICU 患者及其家属在急性医院治疗后返回家中的研究。这一理论应用可以帮助 ICU 护士通过解决患者和家庭的出院前和出院后的需求,为患者和家庭提供整体的以患者为中心的过渡护理,从而实现最佳的结果。