The experiences of rural and remote families involved in an inter-hospital transfer to a tertiary ICU: a hermeneutic study

Mackie, Benjamin and Kellett, Ursula and Mitchell, Marion and Tonge, Angela (2014) The experiences of rural and remote families involved in an inter-hospital transfer to a tertiary ICU: a hermeneutic study. Australian Critical Care, 27 (4). pp. 177-182. ISSN 1036-7314

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Abstract

Background: Inter-hospital transfers are necessary for critically ill patients to improve their chance of survival. Rural and remote families experience significant disruption to family life when critically ill patients are required to undergo a transfer to a tertiary hospital. What is not known is how ICU staff can assist these families who are involved in an inter-hospital transfer to a tertiary ICU.
Purpose: To gain an understanding of rural and remote critical care families' experiences during an inter-hospital transfer to a tertiary ICU.
Method: A hermeneutic phenomenological approach was adopted informed by the philosophical worldviews of Heidegger and Gadamer. Data collection occurred by in-depth conversational interviews from a purposeful sample of seven family members. Interview transcripts, field notes and diary entries formed the text which underwent hermeneutic analysis.
Findings: Being confused, being engaged, being vulnerable and being resilient emerged as significant aspects of the rural and remote family members' experience during a transfer event.
Conclusion: A better understanding of the experiences of rural and remote families during an inter-hospital transfer journey can inform the practice of ICU nurses. This study highlights the specific experiences of rural and remote families during an inter-hospital transfer journey to a tertiary ICU. It also informs nurses of the meaningful ways in which they can support these families with the uncertainty and chaos experienced as part of this journey.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2014 Australian College of Critical Care Nurses Ltd. Published version deposited in accordance with the copyright policy of the publisher.
Faculty / Department / School: Historic - Faculty of Health, Engineering and Sciences - School of Health, Nursing and Midwifery
Date Deposited: 09 Jan 2015 01:59
Last Modified: 04 Jul 2016 04:51
Uncontrolled Keywords: critical care; critically ill; families; hermeneutic phenomenology; intensive care; inter-hospital transfer; relatives; rural and remote areas
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111707 Family Care
17 Psychology and Cognitive Sciences > 1701 Psychology > 170113 Social and Community Psychology
Socio-Economic Objective: C Society > 92 Health > 9202 Health and Support Services > 920206 Health Inequalities
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health
Identification Number or DOI: 10.1016/j.aucc.2014.04.004
URI: http://eprints.usq.edu.au/id/eprint/25249

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