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Discharge practices for the intensive care patient: A qualitative exploration in the general ward setting
- Source :
- Intensive and Critical Care Nursing. 30:292-300
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Summary Objective To explore how registered nurses (RNs) in the general ward perceive discharge processes and practices for patients recently discharged from the intensive care unit (ICU). Background Patients discharged from the ICU environment often require complicated and multifaceted care. The ward-based RN is at the forefront of the care of this fragile patient population, yet their views and perceptions have seldom been explored. Design A qualitative grounded theory design was used to guide focus group interviews with the RN participants. Methods Five semi-structured focus group interviews, including 27 RN participants, were conducted in an Australian metropolitan tertiary referral hospital in 2011. Data analyses of transcripts, field notes and memos used concurrent data generation, constant comparative analysis and theoretical sampling. Results Results yielded a core category of ‘two worlds’ stressing the disconnectedness between ICU and the ward setting. This category was divided into sub categories of ‘communication disconnect’ and ‘remember the family’. Properties of ‘what we say’, ‘what we write’, ‘transfer’ and ‘information needs’ respectively were developed within those sub-categories. Conclusion The discharge process for patients within the ICU setting is complicated and largely underappreciated. There are fundamental, misunderstood differences in prioritisation and care of patients between the areas, with a deep understanding of practice requirements of ward based RNs not being understood. The findings of this research may be used to facilitate inter departmental communications and progress practice development.
- Subjects :
- Adult
Male
Patient Transfer
Critical Care
Information needs
Critical Care Nursing
Tertiary referral hospital
Nurse's Role
Grounded theory
law.invention
Patient safety
Nursing
law
Intensive care
Humans
Medicine
Qualitative Research
business.industry
Australia
Theoretical sampling
Continuity of Patient Care
Focus Groups
Middle Aged
Focus group
Intensive care unit
Patient Discharge
Grounded Theory
Practice Guidelines as Topic
Female
business
Subjects
Details
- ISSN :
- 09643397
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Intensive and Critical Care Nursing
- Accession number :
- edsair.doi.dedup.....fdfb10c7c5f5d1ab803f02f33d90ffbc