Evidence map›Paper›PMID 29866892›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2018

Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study.

Chloe de Grood, Jeanna Parsons Leigh, Sean M Bagshaw, Peter M Dodek, Robert A Fowler, Alan J Forster, Jamie M Boyd, Henry T Stelfox

2 registry-linked trialsOpen access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04527627 nacompletednot on this mapstarted 2019, after this paper: background citation

Development and Evaluation of a Nursing Intervention in the Patient Being Discharged From the Intensive Care Unit: a Protocol for Mixed Methods Research

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2019 to 2021Enrolled178ConditionsAnxiety, DepressionArmsNursing Empowerment Intervention
NCT06979414 nacompletednot on this mapstarted 2024, after this paper: background citation

Nurse-Led Transfer Programme With Patient Relatives: The Effect of Reducing Transfer Anxiety in Cardiovascular Surgery ICU Patients

TypeinterventionalSponsorYakup AkyüzRan2024 to 2025Enrolled150ConditionsTransfer Anxiety, Intensive Care Unit Discharge, Cardiac Surgery Recovery, Postoperative AnxietyArmsNurse-led Transfer Programme with Family Involvement
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Nursing Interventions for Patient Empowerment during Intensive Care Unit Discharge: A Systematic Review.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Chloe de GroodAlberta Health Services (Stelfox, Bagshaw); W21C Research and Innovation Centre (de Grood), O'Brien Institute for Public Health (Parsons Leigh, Stelfox), Department of Critical Care Medicine (Parsons Leigh, Stelfox, Boyd), and Department of Community Health Sciences (Parsons Leigh, Stelfox, de Grood), University of Calgary, Calgary, Alta.; Department of Critical Care Medicine (Bagshaw), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Division of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences (Dodek), St. Paul's Hospital and University of British Columbia, Vancouver, BC; Departments of Medicine and Critical Care Medicine (Fowler), Sunnybrook Hospital, University of Toronto, Toronto, Ont.; Department of Medicine (Forster), The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Jeanna Parsons LeighAlberta Health Services (Stelfox, Bagshaw); W21C Research and Innovation Centre (de Grood), O'Brien Institute for Public Health (Parsons Leigh, Stelfox), Department of Critical Care Medicine (Parsons Leigh, Stelfox, Boyd), and Department of Community Health Sciences (Parsons Leigh, Stelfox, de Grood), University of Calgary, Calgary, Alta.; Department of Critical Care Medicine (Bagshaw), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Division of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences (Dodek), St. Paul's Hospital and University of British Columbia, Vancouver, BC; Departments of Medicine and Critical Care Medicine (Fowler), Sunnybrook Hospital, University of Toronto, Toronto, Ont.; Department of Medicine (Forster), The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont. jjparson@ucalgary.ca.
Sean M BagshawAlberta Health Services (Stelfox, Bagshaw); W21C Research and Innovation Centre (de Grood), O'Brien Institute for Public Health (Parsons Leigh, Stelfox), Department of Critical Care Medicine (Parsons Leigh, Stelfox, Boyd), and Department of Community Health Sciences (Parsons Leigh, Stelfox, de Grood), University of Calgary, Calgary, Alta.; Department of Critical Care Medicine (Bagshaw), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Division of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences (Dodek), St. Paul's Hospital and University of British Columbia, Vancouver, BC; Departments of Medicine and Critical Care Medicine (Fowler), Sunnybrook Hospital, University of Toronto, Toronto, Ont.; Department of Medicine (Forster), The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Peter M DodekAlberta Health Services (Stelfox, Bagshaw); W21C Research and Innovation Centre (de Grood), O'Brien Institute for Public Health (Parsons Leigh, Stelfox), Department of Critical Care Medicine (Parsons Leigh, Stelfox, Boyd), and Department of Community Health Sciences (Parsons Leigh, Stelfox, de Grood), University of Calgary, Calgary, Alta.; Department of Critical Care Medicine (Bagshaw), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Division of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences (Dodek), St. Paul's Hospital and University of British Columbia, Vancouver, BC; Departments of Medicine and Critical Care Medicine (Fowler), Sunnybrook Hospital, University of Toronto, Toronto, Ont.; Department of Medicine (Forster), The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Robert A FowlerAlberta Health Services (Stelfox, Bagshaw); W21C Research and Innovation Centre (de Grood), O'Brien Institute for Public Health (Parsons Leigh, Stelfox), Department of Critical Care Medicine (Parsons Leigh, Stelfox, Boyd), and Department of Community Health Sciences (Parsons Leigh, Stelfox, de Grood), University of Calgary, Calgary, Alta.; Department of Critical Care Medicine (Bagshaw), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Division of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences (Dodek), St. Paul's Hospital and University of British Columbia, Vancouver, BC; Departments of Medicine and Critical Care Medicine (Fowler), Sunnybrook Hospital, University of Toronto, Toronto, Ont.; Department of Medicine (Forster), The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Alan J ForsterAlberta Health Services (Stelfox, Bagshaw); W21C Research and Innovation Centre (de Grood), O'Brien Institute for Public Health (Parsons Leigh, Stelfox), Department of Critical Care Medicine (Parsons Leigh, Stelfox, Boyd), and Department of Community Health Sciences (Parsons Leigh, Stelfox, de Grood), University of Calgary, Calgary, Alta.; Department of Critical Care Medicine (Bagshaw), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Division of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences (Dodek), St. Paul's Hospital and University of British Columbia, Vancouver, BC; Departments of Medicine and Critical Care Medicine (Fowler), Sunnybrook Hospital, University of Toronto, Toronto, Ont.; Department of Medicine (Forster), The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Jamie M BoydAlberta Health Services (Stelfox, Bagshaw); W21C Research and Innovation Centre (de Grood), O'Brien Institute for Public Health (Parsons Leigh, Stelfox), Department of Critical Care Medicine (Parsons Leigh, Stelfox, Boyd), and Department of Community Health Sciences (Parsons Leigh, Stelfox, de Grood), University of Calgary, Calgary, Alta.; Department of Critical Care Medicine (Bagshaw), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Division of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences (Dodek), St. Paul's Hospital and University of British Columbia, Vancouver, BC; Departments of Medicine and Critical Care Medicine (Fowler), Sunnybrook Hospital, University of Toronto, Toronto, Ont.; Department of Medicine (Forster), The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Henry T StelfoxAlberta Health Services (Stelfox, Bagshaw); W21C Research and Innovation Centre (de Grood), O'Brien Institute for Public Health (Parsons Leigh, Stelfox), Department of Critical Care Medicine (Parsons Leigh, Stelfox, Boyd), and Department of Community Health Sciences (Parsons Leigh, Stelfox, de Grood), University of Calgary, Calgary, Alta.; Department of Critical Care Medicine (Bagshaw), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Division of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences (Dodek), St. Paul's Hospital and University of British Columbia, Vancouver, BC; Departments of Medicine and Critical Care Medicine (Fowler), Sunnybrook Hospital, University of Toronto, Toronto, Ont.; Department of Medicine (Forster), The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Alberta Health Services · CAUniversity of British Columbia · CACentre for Advancing Health Outcomes · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransfer of patient care from an intensive care unit (ICU) to a hospital ward is often challenging, high risk and inefficient. We assessed patient and provider perspectives on barriers and facilitators to high-quality transfers and recommendations to improve the transfer process.

methodsWe conducted semistructured interviews of participants from a multicentre prospective cohort study of ICU transfers conducted at 10 hospitals across Canada. We purposively sampled 1 patient, 1 family member of a patient, 1 ICU provider, and 1 ward provider at each of the 8 English-speaking sites. Qualitative content analysis was used to derive themes, subthemes and recommendations.

resultsThe 35 participants described 3 interrelated, overarching themes perceived as barriers or facilitators to high-quality patient transfers: resource availability, communication and institutional culture. Common recommendations suggested to improve ICU transfers included implementing standardized communication tools that streamline provider-provider and provider-patient communication, using multimodal communication to facilitate timely, accurate, durable and mutually reinforcing information transfer; and developing procedures to manage delays in transfer to ensure continuity of care for patients in the ICU waiting for a hospital ward bed.

interpretationPatient and provider perspectives attribute breakdown of ICU-to-ward transfers of care to resource availability, communication and institutional culture. Patients and providers recommend standardized, multimodal communication and transfer procedures to improve quality of care.

Indexed as

Intensive Care UnitsPatient TransferCanadaCommunicationContinuity of Patient CareFamilyFemaleHumansMalePatient SatisfactionProcess Assessment, Health CareProfessional-Patient RelationsProspective StudiesQualitative Research

Identifiers

PMID29866892
PMCPMC5988518
OpenAlexW2807314897

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.