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How can nurses facilitate patient’s transitions from intensive care?: A grounded theory of nursing
Institutionen för hälsovetenskap, Mittuniversitetet, Sundsvall.
Institutionen för hälsovetenskap, Mittuniversitetet, Sundsvall.
Institutionen för hälsovetenskap, Mittuniversitetet, Sundsvall.ORCID-id: 0000-0001-7959-606X
2012 (Engelska)Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 28, nr 4, s. 224-233Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
2012. Vol. 28, nr 4, s. 224-233
Nyckelord [en]
Critical care; Discharge; Healthcare transitions; Person-centered care
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
URN: urn:nbn:se:hig:diva-28966DOI: 10.1016/j.iccn.2012.01.002Scopus ID: 2-s2.0-84863838714OAI: oai:DiVA.org:hig-28966DiVA, id: diva2:1276063
Tillgänglig från: 2012-09-27 Skapad: 2019-01-07 Senast uppdaterad: 2019-01-07Bibliografiskt granskad

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Häggström, MarieAsplund, KennethKristiansen, Lisbeth

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