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Intrahospital transport of critically ill patients: Nurse anaesthetists' and specialist ICU nurses' experiences
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0001-8008-8169
Cardiothorac Surg Intens Care Unit CTSICU, New York, NY USA..
Nord Clin, Postoperat Care Plast Surg, Stockholm, Sweden..
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Dalarna Univ, Sch Hlth & Welf, Falun, Sweden.;Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Stockholm, Sweden..ORCID iD: 0000-0003-2511-9502
2024 (English)In: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153Article in journal (Refereed) Published
Abstract [en]

BackgroundIntrahospital 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. AimThis study aimed to describe the experiences of nurse anaesthetists and specialized intensive care nurses during the IHT of adult patients with critical illnesses. Study DesignThis study adopted a mixed-methods approach. MethodsData 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. ResultsTwo 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). ConclusionIHT 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 PracticeThe 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
WILEY , 2024.
Keywords [en]
intrahospital transport, nurse anaesthetist, patient safety, qualitative content analysis, specialist intensive care nurse
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-66240DOI: 10.1111/nicc.13053ISI: 001172867200001PubMedID: 38391114Scopus ID: 2-s2.0-85186448592OAI: oai:DiVA.org:mdh-66240DiVA, id: diva2:1844187
Available from: 2024-03-13 Created: 2024-03-13 Last updated: 2024-03-20Bibliographically approved

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Skoglund, KarinMarmstål Hammar, Lena

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