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Anju Lata answered on
Mar 18 2021
6
Field, K., Prinjha, S. & Rowan, K. 'One patient amongst many': a qualitative analysis of intensive care unit patients' experiences of transfe
ing to the general ward. Crit Care 12, R21 (2008). https:
doi.org/10.1186/cc6795
This article performs qualitative analysis of na
atives of 40 former intensive care patients to identify their experience of relocation stress while they were being transfe
ed from ICU to high dependency wards. Methodology involved variation sampling to obtain a wider range of experiences and perform interviews of the participants at the ICU. The results found that most patients suffer relocation stress due to anxiety related to leaving a protected environment, nursing care, communication and support at intensive care. ICU and general wards have different functions. The patients do not receive adequate compatible care in the general ward which causes anxiety and stress.
Two weaknesses of this study are: First, the researchers do not have independent information about the staff expertise and facilities available at the hospitals. It limits their ability to assess the exact cause of stress in patients at these hospitals. For instance, sometimes, the scarcity of resources and shortage of staff also results into inadequate patient care. However this factor is not clearly mentioned in the study which reduces its reliability at ground level. Secondly, the participants had got treated many months ago, so there may be recall bias in their responses. The study is based on recalled na
atives which might have manipulated by the people, depending on their ability to remember exact scenario they faced few months ago.
Thomas also felt fairly secure at ICU as there was a high level of care. However, a transition of shift between progressive ward and general ward made him feel frustrated, vulnerable and exposed. Relocation from Progressive Unit (PU) to General Ward, then back to Progressive Unit and then to general ward distu
ed his real comfort zone. Two times he could not be put back in the bed until evening and was left sitting in the bedside chair for 12 hours. As such instances he felt highly threatened and vulnerable. The reason of such treatment may be that at ICU Units or PU wards, the patients are provided one- to- one care. But in the general wards, the patients feel like they are ‘one patient among many’. There are communication
eakdowns between the staff of two wards. For example, Thomas felt like he was left to struggle without physical strength to manage his mobility and personal care. Thomas felt like his basic needs like toileting and cleaning have been overlooked at general ward. It made him traumatized and shocked several times as he was unable to manage his personal care on his own. According to this study, the main cause of such behavior may be because the nurses at general ward are quite busy to pay enough attention to each patient and one-to-one support is not always available for all the patients.
Hashim,F.,& Hussin,R.(2012). Family Needs of Patient Admitted to Intensive Care Unit in a Public Hospital. Procedia- Social and Behavioral Sciences. 36(1). 103-111. https:
doi.org/10.1016/j.sbspro.2012.03.012
This study aimed to identify the requirements of the family members whose relatives are admitted to the ICU. It also prioritized the identified needs of the family members at a teaching hospital in Malaysia. The methodology involves a questionnaire distributed to 100 participants. All the collected responses were computed through descriptive statistics like standard deviation and mean. The results found that the basic needs of the family members of the patients were information, assurance, proximity and comfort of the patient. They need to know the outcome of the patient, they need to be phone called at home to inform about any...