Dalarna University's logo and link to the university's website

du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Intrahospital transport of critically ill patients: Nurse anaesthetists' and specialist ICU nurses' experiences
School of Health, Care and Social Welfare, Mälardalen University, Västerås.
Cardiothoracic Surgery Intensive Care Unit (CTSICU), New York, New York, USA.
The Nordic Clinic, Postoperative Care within Plastic Surgery, Stockholm.
Dalarna University, School of Health and Welfare, Caring Science/Nursing. School of Health, Care and Social Welfare, Mälardalen University, Västerås; Division of Nursing, Department of Neurobiology, Care Science and Society Karolinska Institute, Stockholm.ORCID iD: 0000-0003-2511-9502
2024 (English)In: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Intrahospital transport (IHT) is often performed by nurse anaesthetists and specialist intensive care nurses. Studies have shown that IHT increases the risk of mortality and morbidity, with up to 71% negative incidents. Using checklists when preparing for an IHT is important. Several international guidelines exist to ensure IHT safety and reduce the risk of complications. However, existing guidelines are often problematic in clinical practice.

AIM: This study aimed to describe the experiences of nurse anaesthetists and specialized intensive care nurses during the IHT of adult patients with critical illnesses.

STUDY DESIGN: This study adopted a mixed-methods approach.

METHODS: Data were collected through a questionnaire completed by 66 nurses with specialist education in anaesthesia or intensive care. The data were analysed with qualitative content analysis, and the quantitative data were analysed with descriptive statistics.

RESULTS: Two categories with two subcategories each emerged from the analysis of the responses of nurse anaesthetists and specialist intensive care nurses regarding their IHT experiences: creating good circumstances (subcategories: being risk-conscious and the importance of meticulous preparations) and the importance of routines and education (subcategories: following guidelines and having adequate training).

CONCLUSION: IHT was described as a high risk for patient safety and complications. Routines with good compliance and education can positively impact patient safety during IHT. Checklists and scenario training can better prepare nurse anaesthetists and specialist intensive care nurses to manage complications that may arise during IHT, resulting in safer patient care.

RELEVANCE FOR CLINICAL PRACTICE: The findings underscore the importance of written guidelines for IHT, emphasizing awareness and adherence by the entire team. Careful pre-IHT preparations, coupled with an understanding of potential risks, are vital for ensuring patient safety. Clinical training and discussions following incidents during IHT play a crucial role in raising the collective awareness of patient safety within the entire team.

Place, publisher, year, edition, pages
2024.
Keywords [en]
intrahospital transport, nurse anaesthetist, patient safety, qualitative content analysis, specialist intensive care nurse
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-48148DOI: 10.1111/nicc.13053ISI: 001172867200001PubMedID: 38391114OAI: oai:DiVA.org:du-48148DiVA, id: diva2:1841321
Available from: 2024-02-28 Created: 2024-02-28 Last updated: 2024-03-14Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records

Marmstål Hammar, Lena

Search in DiVA

By author/editor
Marmstål Hammar, Lena
By organisation
Caring Science/Nursing
In the same journal
Nursing in Critical Care
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 10 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf