Nurses' Experience of Redeployment to a New Intermediate Care Unit for Respiratory Patients: A Qualitative Study.

aimTo explore the experiences of nurses transitioning from a clinical ward to a newly established respiratory intermediate care unit (IMCU).

designA qualitative descriptive approach was adopted to capture the lived experiences of redeployed nurses. This design was selected to address the research question: What are the initial experiences of nurses transitioning from general ward settings to a newly established IMCU for respiratory patients?

methodsTwo focus groups were conducted in June 2024, involving 14 purposefully selected registered nurses. Data were analysed using Braun and Clarke's thematic analysis framework, with the study reported in line with the Standards for Reporting Qualitative Research.

resultsThe analysis revealed two interconnected themes reflecting the complexity of the redeployment experience. The first theme, 'The introspection of waiting amidst change and readiness', captures the emotional ambivalence nurses felt, characterised by anticipation, uncertainty and a perceived lack of preparedness. This phase was marked by concerns over clinical competence, fear of errors and the weight of new legal and ethical responsibilities. The second theme, 'The road to organizational change with both driving forces and obstacles', highlights nurses' concerns about physician readiness, feeling undervalued and limited involvement in planning. At the same time, nurses emphasised the importance of teamwork, structured preparation, experiential training and having the right equipment.

conclusionThe study underscores the complexity of role transitions for nurses moving into semi-critical care settings like IMCUs. It reveals the need for targeted support strategies to reduce uncertainty and enhance role readiness. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: To improve the redeployment experience and patient outcomes, healthcare organisations should prioritise structured training, tailored preceptorship programmes and inclusive decision-making processes. These measures can strengthen nurses' resilience, support workforce sustainability and ensure the delivery of high-quality, patient-centred care in intermediate care environments. IMPACT: This study highlights the significant impact of inadequate preparation and communication on redeployed nurses' experiences in respiratory IMCUs, emphasising the need for structured training and supportive team dynamics. These findings can guide healthcare leaders, nurse managers and policymakers in developing evidence-based redeployment strategies that reduce anxiety, strengthen team cohesion and ultimately improve nurse adaptation and patient care in semi-critical settings. REPORTING

methodWe used the SRQR guidelines for reporting qualitative studies. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.