Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study

Transfer from critical care unit to general ward is a difficult time for critically ill patients, their relatives, and healthcare providers. Patient requires centred ICU transitional care. However, this concept is not well understood and studied. This study aimed to explore patient centred ICU trans...

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Main Author: Wentao Zhou
Format: Article
Language:English
Published: Ubiquity Press 2019-08-01
Series:International Journal of Integrated Care
Subjects:
Online Access:https://www.ijic.org/articles/5345
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spelling doaj-d59f601f0d8a4bc3a79840576bfe26752020-11-25T01:29:46ZengUbiquity PressInternational Journal of Integrated Care1568-41562019-08-0119410.5334/ijic.s35904709Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods studyWentao Zhou0National university of SingaporeTransfer from critical care unit to general ward is a difficult time for critically ill patients, their relatives, and healthcare providers. Patient requires centred ICU transitional care. However, this concept is not well understood and studied. This study aimed to explore patient centred ICU transitional care and develop a patient centred ICU transitional care framework. This study adopted a concurrent mixed methods study design, comprises an exploratory qualitative study to explore the perspectives of ICU transitional care from patients (11 face to face interview) and healthcare providers (24 healthcare providers, 4 focus group interview), and a cross sectional quantitative study (60 patients and 142 healthcare providers) to identify factors associated to both patient’s and providers’ perspective towards ICU transitional care. Thematic analysis were used to identify themes in qualitative study and logistic regression was used to identify factors in quantitative study.  The findings informed patient centred ICU transitional care is “a set of care activities carried out for and with patient before, during, after ICU transition through multi-disciplinary team collaboration within a value-driven caring culture”. And revealed patients factors (clinical severity, relocation anxiety, perception of being care), healthcare providers factors ( working location, years of working in the setting, and nurses’ educational level)  and organizational factors (transition care process, care collaboration) are significantly influencing both patients and healthcare providers’ perception towards patient centered ICU transitional care . Themes and factors identified were triangulated based on transition theory, and developed patient centered ICU transitional care framework consists of pre-requisites, transition process and outcomes for ICU transition. In conclusion, the developed patient centered ICU transitional care framework informs that engaging, enabling and empowering patients, their families, and healthcare providers are key elements to inform and achieve a patient centred ICU transitional care.https://www.ijic.org/articles/5345patient centeredicu transitional care
collection DOAJ
language English
format Article
sources DOAJ
author Wentao Zhou
spellingShingle Wentao Zhou
Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study
International Journal of Integrated Care
patient centered
icu transitional care
author_facet Wentao Zhou
author_sort Wentao Zhou
title Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study
title_short Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study
title_full Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study
title_fullStr Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study
title_full_unstemmed Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study
title_sort patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study
publisher Ubiquity Press
series International Journal of Integrated Care
issn 1568-4156
publishDate 2019-08-01
description Transfer from critical care unit to general ward is a difficult time for critically ill patients, their relatives, and healthcare providers. Patient requires centred ICU transitional care. However, this concept is not well understood and studied. This study aimed to explore patient centred ICU transitional care and develop a patient centred ICU transitional care framework. This study adopted a concurrent mixed methods study design, comprises an exploratory qualitative study to explore the perspectives of ICU transitional care from patients (11 face to face interview) and healthcare providers (24 healthcare providers, 4 focus group interview), and a cross sectional quantitative study (60 patients and 142 healthcare providers) to identify factors associated to both patient’s and providers’ perspective towards ICU transitional care. Thematic analysis were used to identify themes in qualitative study and logistic regression was used to identify factors in quantitative study.  The findings informed patient centred ICU transitional care is “a set of care activities carried out for and with patient before, during, after ICU transition through multi-disciplinary team collaboration within a value-driven caring culture”. And revealed patients factors (clinical severity, relocation anxiety, perception of being care), healthcare providers factors ( working location, years of working in the setting, and nurses’ educational level)  and organizational factors (transition care process, care collaboration) are significantly influencing both patients and healthcare providers’ perception towards patient centered ICU transitional care . Themes and factors identified were triangulated based on transition theory, and developed patient centered ICU transitional care framework consists of pre-requisites, transition process and outcomes for ICU transition. In conclusion, the developed patient centered ICU transitional care framework informs that engaging, enabling and empowering patients, their families, and healthcare providers are key elements to inform and achieve a patient centred ICU transitional care.
topic patient centered
icu transitional care
url https://www.ijic.org/articles/5345
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