Advanced

Family members' lived experiences when a loved one undergoes an interhospital intensive care unit-to-unit transfer : A phenomenological hermeneutical study

Karlsson, Jonas ; Eriksson, Thomas ; Lindahl, Berit LU and Fridh, Isabell (2020) In Journal of Clinical Nursing
Abstract

Aims and objectives: To reveal meanings of family members' lived experiences when a loved one undergoes an interhospital intensive care unit-to-unit transfer. Background: Interhospital intensive care unit-to-unit transfers take place between different hospitals and their respective intensive care units (ICUs). These types of transfers are an increasing phenomenon but are sparsely studied from the family members' perspective. Indeed, the patient's critical illness and care can have a major impact on family members. During the transfer process, there is a demand for the involved intensive care health personnel to make family members feel safe and cared for. Design: A qualitative design based on phenomenological hermeneutics. Methods: The... (More)

Aims and objectives: To reveal meanings of family members' lived experiences when a loved one undergoes an interhospital intensive care unit-to-unit transfer. Background: Interhospital intensive care unit-to-unit transfers take place between different hospitals and their respective intensive care units (ICUs). These types of transfers are an increasing phenomenon but are sparsely studied from the family members' perspective. Indeed, the patient's critical illness and care can have a major impact on family members. During the transfer process, there is a demand for the involved intensive care health personnel to make family members feel safe and cared for. Design: A qualitative design based on phenomenological hermeneutics. Methods: The study was conducted at two Swedish general ICUs. Data were generated through individual in-depth interviews with seven family members and analysed using a phenomenological hermeneutical approach. The Criteria for Reporting Qualitative Research principles were applied in the conduct and reporting of this study. Results: Four themes that reveal meanings of family members' lived experiences were developed: losing your safe haven, dealing with uncertainty, carrying your own and others' burdens and a wish to be close. Conclusions: The study reveals that an interhospital intensive care unit-to-unit transfer affects the whole family and is characterised by family members experiencing many negative feelings. The findings also illustrate that being a family member when a loved one is transferred means being exposed to the core existential elements of being human, such as loneliness and searching for meaning. Relevance to clinical practice: The study highlights the importance of maintaining a family-centred approach during the transfer process. Our findings can provide deeper knowledge for intensive care health personnel, better preparing them for the delicate task of providing family-centred care during the interhospital intensive care unit-to-unit transfer process.

(Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
critical care, family, intensive care, interhospital transfer, nursing, patient transfer, phenomenological hermeneutic research, qualitative research, qualitative studies, transportation of patients
in
Journal of Clinical Nursing
publisher
Wiley-Blackwell
external identifiers
  • pmid:32644235
  • scopus:85088145945
ISSN
0962-1067
DOI
10.1111/jocn.15402
language
English
LU publication?
yes
id
35d0a04b-d4c7-4c35-8338-46f984f1721d
date added to LUP
2020-07-30 11:25:09
date last changed
2020-08-05 05:48:44
@article{35d0a04b-d4c7-4c35-8338-46f984f1721d,
  abstract     = {<p>Aims and objectives: To reveal meanings of family members' lived experiences when a loved one undergoes an interhospital intensive care unit-to-unit transfer. Background: Interhospital intensive care unit-to-unit transfers take place between different hospitals and their respective intensive care units (ICUs). These types of transfers are an increasing phenomenon but are sparsely studied from the family members' perspective. Indeed, the patient's critical illness and care can have a major impact on family members. During the transfer process, there is a demand for the involved intensive care health personnel to make family members feel safe and cared for. Design: A qualitative design based on phenomenological hermeneutics. Methods: The study was conducted at two Swedish general ICUs. Data were generated through individual in-depth interviews with seven family members and analysed using a phenomenological hermeneutical approach. The Criteria for Reporting Qualitative Research principles were applied in the conduct and reporting of this study. Results: Four themes that reveal meanings of family members' lived experiences were developed: losing your safe haven, dealing with uncertainty, carrying your own and others' burdens and a wish to be close. Conclusions: The study reveals that an interhospital intensive care unit-to-unit transfer affects the whole family and is characterised by family members experiencing many negative feelings. The findings also illustrate that being a family member when a loved one is transferred means being exposed to the core existential elements of being human, such as loneliness and searching for meaning. Relevance to clinical practice: The study highlights the importance of maintaining a family-centred approach during the transfer process. Our findings can provide deeper knowledge for intensive care health personnel, better preparing them for the delicate task of providing family-centred care during the interhospital intensive care unit-to-unit transfer process.</p>},
  author       = {Karlsson, Jonas and Eriksson, Thomas and Lindahl, Berit and Fridh, Isabell},
  issn         = {0962-1067},
  language     = {eng},
  month        = {07},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {Family members' lived experiences when a loved one undergoes an interhospital intensive care unit-to-unit transfer : A phenomenological hermeneutical study},
  url          = {http://dx.doi.org/10.1111/jocn.15402},
  doi          = {10.1111/jocn.15402},
  year         = {2020},
}