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Critical care nurses’ lived experiences of interhospital intensive care unit-to-unit transfers: A phenomenological hermeneutical study

Karlsson, Jonas ; Eriksson, Thomas ; Lindahl, Berit LU ; Schildmeijer, Kristina and Fridh, Isabell (2020) In Intensive and Critical Care Nursing 61.
Abstract
Objective
To explore critical care nurses’ lived experiences of transferring intensive care patients between hospitals.
Methods
A phenomenological hermeneutic approach using data generated through individual interviews with 11 critical care registered nurses.
Setting
Two general intensive care units in Sweden.
Findings
Five themes were identified: it depends on me; your care makes a difference; being exposed; depending on interprofessional relationships; and sensing professional growth. These themes were synthesised into a comprehensive understanding showing how transferring intensive care patients between hospitals meant being on an ambivalent journey together with the patient but also on a journey within... (More)
Objective
To explore critical care nurses’ lived experiences of transferring intensive care patients between hospitals.
Methods
A phenomenological hermeneutic approach using data generated through individual interviews with 11 critical care registered nurses.
Setting
Two general intensive care units in Sweden.
Findings
Five themes were identified: it depends on me; your care makes a difference; being exposed; depending on interprofessional relationships; and sensing professional growth. These themes were synthesised into a comprehensive understanding showing how transferring intensive care patients between hospitals meant being on an ambivalent journey together with the patient but also on a journey within yourself in your own development and growth, where you, as a nurse, constantly are torn between contradictory feelings and experiences.
Conclusion
Interhospital intensive care unit-to-unit transfers can be a challenging task for critical care nurses but also an important opportunity for professional growth. During the transfer, nurses become responsible for the patient, their colleagues and the entire transfer process. In a time of an increasing number of interhospital intensive care unit-to-unit transfers, this study illuminates the risk for missed nursing care, showing that the critical care nurse has an important role in protecting the patient from harm and safeguarding dignified care. (Less)
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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Critical care Critical care nursing Transfer Patient transfer Caring Phenomenological research Hermeneutics Qualitative research, Qualitative studies
in
Intensive and Critical Care Nursing
volume
61
publisher
Elsevier
external identifiers
  • pmid:32859478
  • scopus:85089860422
ISSN
1532-4036
DOI
10.1016/j.iccn.2020.102923
language
English
LU publication?
no
id
a52c891f-7cf9-4a1c-a172-38ec7ce9ab90
date added to LUP
2021-03-02 15:20:11
date last changed
2022-04-27 00:32:49
@article{a52c891f-7cf9-4a1c-a172-38ec7ce9ab90,
  abstract     = {{Objective<br/>To explore critical care nurses’ lived experiences of transferring intensive care patients between hospitals.<br/>Methods<br/>A phenomenological hermeneutic approach using data generated through individual interviews with 11 critical care registered nurses.<br/>Setting<br/>Two general intensive care units in Sweden.<br/>Findings<br/>Five themes were identified: it depends on me; your care makes a difference; being exposed; depending on interprofessional relationships; and sensing professional growth. These themes were synthesised into a comprehensive understanding showing how transferring intensive care patients between hospitals meant being on an ambivalent journey together with the patient but also on a journey within yourself in your own development and growth, where you, as a nurse, constantly are torn between contradictory feelings and experiences.<br/>Conclusion<br/>Interhospital intensive care unit-to-unit transfers can be a challenging task for critical care nurses but also an important opportunity for professional growth. During the transfer, nurses become responsible for the patient, their colleagues and the entire transfer process. In a time of an increasing number of interhospital intensive care unit-to-unit transfers, this study illuminates the risk for missed nursing care, showing that the critical care nurse has an important role in protecting the patient from harm and safeguarding dignified care.}},
  author       = {{Karlsson, Jonas and Eriksson, Thomas and Lindahl, Berit and Schildmeijer, Kristina and Fridh, Isabell}},
  issn         = {{1532-4036}},
  keywords     = {{Critical care Critical care nursing Transfer Patient transfer Caring Phenomenological research Hermeneutics Qualitative research, Qualitative studies}},
  language     = {{eng}},
  month        = {{08}},
  publisher    = {{Elsevier}},
  series       = {{Intensive and Critical Care Nursing}},
  title        = {{Critical care nurses’ lived experiences of interhospital intensive care unit-to-unit transfers: A phenomenological hermeneutical study}},
  url          = {{http://dx.doi.org/10.1016/j.iccn.2020.102923}},
  doi          = {{10.1016/j.iccn.2020.102923}},
  volume       = {{61}},
  year         = {{2020}},
}