Patients' experience while transitioning from the intensive care unit to a ward

Area of Science:

• Critical Care Medicine
• Patient Experience
• Qualitative Research

Background:

• Intensive care unit (ICU) patients often experience emotional distress and post-traumatic stress disorder (PTSU) after discharge, a condition known as post-intensive care syndrome (PICS).
• Understanding patient needs during the transition from ICU to general ward is vital for enhancing patient-centered care and improving patient outcomes.

Purpose of the Study:

• To describe the patient experience during the transition from the intensive care unit (ICU) to a general ward setting.

Main Methods:

• A descriptive qualitative study design was employed.
• Data were collected through in-depth interviews with patients.
• Qualitative content analysis was used to analyze the interview data, adhering to Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.

Main Results:

• Forty-eight in-depth interviews were conducted.
• A primary theme identified was the impact on emotional well-being, encompassing four categories and six subcategories.
• The transition from ICU was described as a significant shock for patients.

Conclusions:

• Patient transition from the ICU necessitates careful planning and attention to information needs and emotional well-being before, during, and after the move.
• Nurses must understand patient experiences during transfer to identify and address needs and concerns effectively.
• Implementing strategies like ICU Liaison Nurses, nurse outreach programs, mental health nurse consultation, and patient empowerment during ICU discharge is essential for improved patient care.