Staff perception of patient discharge from ICU to ward-based care

The quality of information exchange between intensive care unit (ICU) and ward nurses, when patients are transferred out of intensive care, is important to the continuity of safe care.

This research aimed to explore nurses' experiences of the discharge process from ICU to the ward environment.

The study was conducted in a New Zealand Metropolitan hospital, using an exploratory descriptive design we adapted a questionnaire based on Whittaker and Ball's research on ICU patient handover.

The questionnaires were then analysed using a descriptive thematic approach.

The response rate of 48% included 45 ICU and 47 ward nurses. Key findings were that the written and verbal communication needs differ dependent upon setting and the timing of a discharge. Timing of handover also requires negotiation.

Being able to negotiate the timing and nature of handover is important for nurses. In addition, standardized approaches to communication are believed to enhance patient safety.

Standardized handover, with content and processes that are mutually negotiated, is crucial to providing the safest environment for patients.