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Ward nurses´ experiences of the discharge process between ICU and general ward
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0002-2729-1923
2018 (English)In: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 23, no 3, p. 127-133Article in journal (Refereed) Published
Abstract [en]

Background: ICU discharges are challenging practices that carry risks for patients. Despite the existing body of knowledge, there are still difficulties in clinical practice concerning unplanned ICU discharges, specifically where there is no step-down unit.

 

Aim: The aim of this study was to explore general ward nurses´ experiences of caring for patients being discharged from an ICU.

 

Design and Methods: Data were collected from focus groups and in-depth interviews with a total of 16 nurses from three different hospitals in Sweden. An inductive qualitative design was chosen.

 

Findings: The analysis revealed three themes that reflect the challenges in nursing former ICU patients: a vulnerable patient, nurses’ powerlessness and organisational structure. The nurses described the challenge of nursing a fragile patient based on several aspects. They expressed feeling unrealistic demands when caring for a fragile former ICU patient. The demands were related to their own profession and knowledge regarding how to care for this group of patients. The organisational structure had an impact on how the nurses’ caring practice could be realised. This evoked ethical concerns that the nurses had to cope with, as the organisation’s care guidelines did not always favour the patients. 

                                                                                                                                             

Conclusions and Relevance to Clinical Practice: The structure of the organisation and its leadership seem to have a significant impact on the nurses´ ability to offer patients the care they need. Moreover, this study sheds light on the need for extended outreach services in order to meet the needs of patients after the intensive care period.

Place, publisher, year, edition, pages
United Kingdom: British Association of Critical Care Nurses , 2018. Vol. 23, no 3, p. 127-133
Keywords [en]
Critical care, Patient discharge, General ward, Patient care, Qualitative research
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-13541DOI: 10.1111/nicc.12336OAI: oai:DiVA.org:hb-13541DiVA, id: diva2:1174868
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-06-14Bibliographically approved

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Kauppi, Wivica

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