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The Patient’s Situation During Interhospital Intensive Care Unit-to-Unit Transfers : A Hermeneutical Observational Study

Karlsson, Jonas ; Eriksson, Thomas ; Lindahl, Berit LU and Fridh, Isabell (2019) In Qualitative Health Research 29(12). p.1687-1698
Abstract

Interhospital intensive care unit-to-unit transfers are an increasing phenomenon, earlier mainly studied from a patient safety perspective. Using data from video recordings and participant observations, the aim was to explore and interpret the observed nature of the patient’s situation during interhospital intensive care unit-to-unit transfers. Data collection from eight transfers resulted in over 7 hours of video material and field notes. Using a hermeneutical approach, three themes emerged: being visible and invisible; being in a constantly changing space; and being a fettered body in constant motion. The patient’s situation can be viewed as an involuntary journey, one where the patient exists in a constantly changing space drifting... (More)

Interhospital intensive care unit-to-unit transfers are an increasing phenomenon, earlier mainly studied from a patient safety perspective. Using data from video recordings and participant observations, the aim was to explore and interpret the observed nature of the patient’s situation during interhospital intensive care unit-to-unit transfers. Data collection from eight transfers resulted in over 7 hours of video material and field notes. Using a hermeneutical approach, three themes emerged: being visible and invisible; being in a constantly changing space; and being a fettered body in constant motion. The patient’s situation can be viewed as an involuntary journey, one where the patient exists in a constantly changing space drifting in and out of the health personnel’s attention and where movements from the journey become part of the patient’s body. Interhospital transfers of vulnerable patients emerge as a complex task, challenging the health personnel’s ability to maintain a caring atmosphere around these patients.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
critical care, hermeneutics, intensive care, participant observation, patient safety, patient transfer, qualitative, qualitative studies, Sweden, transportation of patients, video recording
in
Qualitative Health Research
volume
29
issue
12
pages
1687 - 1698
publisher
SAGE Publications
external identifiers
  • scopus:85062470019
  • pmid:30810097
ISSN
1049-7323
DOI
10.1177/1049732319831664
language
English
LU publication?
no
id
7d73164c-e004-4828-b95d-b5bd2741e847
date added to LUP
2020-03-25 16:37:24
date last changed
2020-03-26 03:00:04
@article{7d73164c-e004-4828-b95d-b5bd2741e847,
  abstract     = {<p>Interhospital intensive care unit-to-unit transfers are an increasing phenomenon, earlier mainly studied from a patient safety perspective. Using data from video recordings and participant observations, the aim was to explore and interpret the observed nature of the patient’s situation during interhospital intensive care unit-to-unit transfers. Data collection from eight transfers resulted in over 7 hours of video material and field notes. Using a hermeneutical approach, three themes emerged: being visible and invisible; being in a constantly changing space; and being a fettered body in constant motion. The patient’s situation can be viewed as an involuntary journey, one where the patient exists in a constantly changing space drifting in and out of the health personnel’s attention and where movements from the journey become part of the patient’s body. Interhospital transfers of vulnerable patients emerge as a complex task, challenging the health personnel’s ability to maintain a caring atmosphere around these patients.</p>},
  author       = {Karlsson, Jonas and Eriksson, Thomas and Lindahl, Berit and Fridh, Isabell},
  issn         = {1049-7323},
  language     = {eng},
  number       = {12},
  pages        = {1687--1698},
  publisher    = {SAGE Publications},
  series       = {Qualitative Health Research},
  title        = {The Patient’s Situation During Interhospital Intensive Care Unit-to-Unit Transfers : A Hermeneutical Observational Study},
  url          = {http://dx.doi.org/10.1177/1049732319831664},
  doi          = {10.1177/1049732319831664},
  volume       = {29},
  year         = {2019},
}