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논문 기본 정보

자료유형
학술저널
저자정보
Kobra Ghorbanzadeh (University of Social Welfare and Rehabilitation Sciences) Abbas Ebadi (Baqiyatallah University of Medical Sciences) Mohammad Ali Hosseini (University of Social Welfare and Rehabilitation Sciences) Sadat Seyed Bagher Madah (University of Social Welfare and Rehabilitation Sciences) Hamidreza Khankeh (University of Social Welfare and Rehabilitation Sciences)
저널정보
대한중환자의학회 Acute and Critical Care Acute and Critical Care 제36권 제2호
발행연도
2021.1
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133 - 142 (10page)

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Background The transition of patients from the intensive care unit (ICU) to the general ward is challenging. This study aimed to explain the challenges that patients face during the transition process. Methods In this qualitative research of conventional content analysis, data collection was conducted between February 2018 and July 2019 in educational hospitals. After obtaining informed consent, purposive sampling was performed with 22 nurses, intensive care physicians, anesthesiologists, and patients and their families using in-depth semi-structured interviews until data saturation. Results The content analysis yielded three main themes in the challenges patients face during the transition process from the ICU: mixed feelings regarding transition (happiness/hope, worry/uncertainty, abandonment); care break (different atmosphere, the difference between the program and the quality of care, assigning care to the patient and family, and care culture and beliefs); and search for support and information (ineffective communication, self-care capacity of patient and family, ineffective and disrupted training, and weak follow-up programs), which inflicts care shock in the patients. Conclusions The results showed that patients and their families were in a state of care shock during the ICU transition process and were sometimes disconcerted. It is necessary to design and implement care models according to the needs and challenges patients face during the transition period from ICU (patient-centered), based on the evidence available, and after considering the field of medicine and the accessibility of care in the country. The transition process can be improved and enhanced by obtaining knowledge about ICU care and related challenges as well as organizing a learning environment.
#intensive care unit #patient transfer #transition care #qualitative research.

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참고문헌 (38)

참고문헌 신청
Rosa RG / 2016 / The impact of critical care transition programs on outcomes after intensive care unit (ICU) discharge: can we get there from here? / J Thorac Dis 8:1374~1376 google schola Buchner DL / 2015 / Prospective cohort study protocol to describe the transfer of patients from intensive care units to hospital wards / BMJ Open 5:e007913 google schola Ramsay P / 2014 / Intensive care survivors’experiences of ward-based care : Meleis’ theory of nursing transitions and role development among critical care outreach services / J Clin Nurs 23:605~615 google schola Herbst LA / 2018 / Going back to the ward : transitioning care back to the ward team / Transl Pediatr 7:314~325 google schola Kralik D / 2006 / Transition : a literature review / J Adv Nurs 55:320~329 google schola

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