Malaysian ICU nurses’ constructive response to critical ill patients transition/ experience: Qualitative analysis

• Main Authors: Mohamed Ludin, Salizar, Parker, Steve, Arbon, Paul
• Format: Conference or Workshop Item
• Language: English; English
• Published: 2013
• Subjects: RT Nursing
• Online Access: http://irep.iium.edu.my/33518/4/BACCN2013Conferenceprogramme-V21.pdf; http://irep.iium.edu.my/33518/7/Oral_PPT_BACCN_2013_-_FOR_IREP_090314.pdf; http://irep.iium.edu.my/33518/
• Institution: Universiti Islam Antarabangsa Malaysia

Background: Providing support for critically ill patients throughout their transition(s) while in the Intensive Care Unit and following transfer is an important element of the nursing process during hospitalisation for critical illness. Because nurses are the primary caregivers in critical care contexts, nurses’ response to transition experience is important and can facilitate better nursing care. To date, apart from the associated discussion of discharge planning issues, little is known about nurses’ response to the critically ill patients and their families’ experience of transition. Aim: This study aim to explore nurses’ view on their reaction to critically ill patients while in transition period. Method: An interpretive descriptive research approach was used to describe and interpret the findings from an ethnographic stance. In this study, focus group (n=25), and in-depth individual interviews (n=10) were conducted sequentially in four Malaysian tertiary hospitals (7ICUs) within a seven month period, in 2008. Data were subjected to qualitative thematic analysis. Results: Three themes emerged from the data shows nurses’ constructive response to patients’ and families experience: therapeutic used of self, education and enduring family centred-care. Conclusion: The findings demonstrated the extensiveness of nurses’ responses to critically ill patients’ transition and the journey of care. The major implication of this study is to understand that nurses also experience the period of transition by being resilience and sustainable to cope with patients’ situation in any part of their work. Whatever they do, they to try to cope with current situation depriving the patients’ quality care.