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

Author:

Wentao Zhou

National university of Singapore, SG
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Abstract

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.

How to Cite: Zhou W. Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study. International Journal of Integrated Care. 2019;19(4):590. DOI: http://doi.org/10.5334/ijic.s3590
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Published on 08 Aug 2019.

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