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

Qualitative Health Research
Jonas KarlssonIsabell Fridh

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 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.

References

Jun 7, 2000·Journal of Advanced Nursing·E LatvalaS Janhonen
Sep 3, 2005·Critical Care : the Official Journal of the Critical Care Forum·Jack J M LigtenbergJan G Zijlstra
May 5, 2007·Qualitative Health Research·M Patricia Hawley, Louise Jensen
May 13, 2009·Research in Nursing & Health·Kim Kopenhaver HaidetMary Beth Happ
Nov 6, 2009·Nursing Ethics·Sheila O'Keefe-McCarthy
Nov 17, 2009·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Thomas ErikssonIngegerd Bergbom
Feb 20, 2010·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Marcus GustafssonBengt Fridlund
Sep 8, 2011·Current Opinion in Critical Care·Theodore J Iwashyna, Anthony J Courey
Feb 14, 2012·Critical Care : the Official Journal of the Critical Care Forum·Joep M DrooghJan G Zijlstra
Oct 5, 2012·Critical Care : the Official Journal of the Critical Care Forum·Helen BarrattRosalind Raine
Mar 21, 2013·Journal of Advanced Nursing·Lisbeth UhrenfeldtGabriele Meyer
May 28, 2013·Respiratory Care·Thomas C Blakeman, Richard D Branson
Aug 6, 2013·International Journal of Nursing Studies·Annelies WassenaarLisette Schoonhoven
Oct 22, 2013·JAMA : the Journal of the American Medical Association·UNKNOWN World Medical Association
Mar 26, 2014·Saudi Journal of Anaesthesia·Divya Sethi, Shalini Subramanian
Dec 3, 2014·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Adam TunlindÅsa Engström
Mar 15, 2015·International Journal of Qualitative Studies on Health and Well-being·Kristina Lykkegaard, Charlotte Delmar
Mar 22, 2015·International Journal of Nursing Studies·Chris McLeanMary Gobbi
Mar 26, 2015·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Antoine L Bailliard
Mar 27, 2015·Qualitative Health Research·Sherry DahlkeAlison Phinney
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Joep M DrooghJan G Zijlstra
May 13, 2015·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Ellen Klavestad Moen, Dagfinn Nåden
May 20, 2015·International Journal of Nursing Studies·Ingrid EgerodSissel Lisa Storli
Jul 15, 2015·Critical Care : the Official Journal of the Critical Care Forum·L Mikael BromanBjörn Frenckner
Sep 24, 2015·Nursing Science Quarterly·Maria ArmanArne Rehnsfeldt
Oct 6, 2015·Journal of Clinical Nursing·Carina PalesjöMargareta Asp
Dec 30, 2015·Nursing in Critical Care·Mona RingdalMargareta Warrén Stomberg
May 12, 2016·Intensive Care Medicine·Erik Jan van LieshoutMargreeth B Vroom
May 22, 2016·Intensive Care Medicine·Andreas Valentin, Carole Schwebel
Nov 23, 2016·Journal of Clinical Nursing·Susanne KeanPamela Ramsay
Aug 19, 2017·Journal of Intensive Care Medicine·David R JanzUNKNOWN ICU MOVE Investigators and the Pragmatic Critical Care Research Group
Sep 25, 2017·International Emergency Nursing·Cathelijne LyphoutKoen Bronselaer
Oct 20, 2017·Journal of Advanced Nursing·Rannveig J JónasdóttirHelga Jónsdóttir

❮ Previous
Next ❯

Citations

Jan 18, 2020·Scandinavian Journal of Caring Sciences·Thomas ErikssonIngegerd Bergbom
Feb 18, 2021·Nursing in Critical Care·Marius DabijaAngelica Forsberg
Dec 28, 2021·Qualitative Health Research·Stine Irene FlinterudSidsel Ellingsen

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Software Mentioned

MAXQDA
GoPro Studio

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.