The Patient and Family Perioperative Experience During Transfer of Care: A Qualitative Inquiry

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• 作者：Sonja E. Stutzman ; PhDAuthor Vitae ; DaiWai M. Olson ; PhD ; RN ; CCRN ; FNCSAuthor Vitae ; Philip E. Greilich ; MDAuthor Vitae ; Kamal Abdulkadir ; BSN ; RNAuthor Vitae ; Michael A. Rubin ; MD ; MAAuthor Vitae
• 关键词：patient transfer ; transfer of care ; hand-over communication ; patient-centered care ; qualitative research
• 刊名：AORN Journal
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：105
• 期：2
• 页码：193-202
• 全文大小：1000 K
• 卷排序：105

文摘

Patient transfers between the OR and intensive care unit are high-risk events. Previous studies regarding mechanisms to improve these transfers do not account for the perspectives of family members or patients. Using transfer-of-care reports from health care providers, we performed a qualitative study of patient and family member perspectives by transcribing, coding, and analyzing seven interviews using hermeneutic cycling, which revealed three main themes: communication, clinical interaction, and clinician demeanor. Participants reported that anxiety about the plan of care and its outcomes eased when they had more frequent communication with members of the clinical team, observed the team interacting with one another, and felt the clinicians’ demeanors were confident. The results of this study showed that families perceived that clinicians who communicated the timing and frequency of protocols and procedures improved patient care. Clinician training on empathy, professionalism, and accessibility may increase patient and family satisfaction and decrease negative interactions between clinicians and patients and their family members.