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How can nurses facilitate patient's transitions from intensive care?: A grounded theory of nursing
Mittuniversitetet.
Mittuniversitetet.
Mittuniversitetet.ORCID iD: 0000-0001-7959-606X
2012 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 28, no 4, 224-233 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: Intensive care patients often experience feelings of powerlessness and vulnerability when being transferred from an intensive care unit to a general ward. The aim of this study was to develop a grounded theory of nurses care for patients in the ICU transitional care process. Methods: Group interviews, individual interviews and participant observations were conducted with nurses in two hospitals in Sweden and were analysed using grounded theory. Result: The substantive theory shows the process of nursing care activities — from the contexts of the ICU and the general ward. The main concern was to achieve a coordinated, strengthening, person-centered standard of care to facilitate patient transitions. The core category ‘‘being perceptive and adjustable’’ was a strategy to individualise, that was related to the other categories; ‘‘preparing for a change’’ and ‘‘promoting the recovery’’. However, the nurses were forced to ‘‘balance between patient needs and the caregivers’ resources’’ and consequently were compromising their care. Conclusions: To facilitate an ICU-patient’s transition, individual care planning is needed. It is also essential that the patients are adequately prepared for the change to facilitate the transitional care. Knowledge about transitional needs, empowerment and patient-education seems to be important issues for facilitating transitions.

Place, publisher, year, edition, pages
2012. Vol. 28, no 4, 224-233 p.
Keyword [en]
Critical care, Discharge, Healthcare transitions, Person-centered care
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:esh:diva-5525DOI: 10.1016/j.iccn.2012.01.002PubMedID: 22386583Scopus ID: 2-s2.0-84863838714OAI: oai:DiVA.org:esh-5525DiVA: diva2:1065542
Available from: 2012-09-27 Created: 2016-11-30 Last updated: 2017-03-21Bibliographically approved

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Asplund, KennethKristiansen, Lisbeth
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CiteExportLink to record
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Citation style
  • apa
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  • modern-language-association-8th-edition
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More styles
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  • de-DE
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  • nn-NB
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  • Other locale
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  • asciidoc
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