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

Article


Mackie, Benjamin, Kellett, Ursula, 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. https://doi.org/10.1016/j.aucc.2014.04.004
Article Title

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

ERA Journal ID14054
Article CategoryArticle
AuthorsMackie, Benjamin (Author), Kellett, Ursula (Author), Mitchell, Marion (Author) and Tonge, Angela (Author)
Journal TitleAustralian Critical Care
Journal Citation27 (4), pp. 177-182
Number of Pages6
Year2014
Place of PublicationPhiladelphia, PA. United States
ISSN1036-7314
1878-1721
Digital Object Identifier (DOI)https://doi.org/10.1016/j.aucc.2014.04.004
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.

Keywordscritical care; critically ill; families; hermeneutic phenomenology; intensive care; inter-hospital transfer; relatives; rural and remote areas
ANZSRC Field of Research 2020420501. Acute care
420303. Family care
520599. Social and personality psychology not elsewhere classified
Public Notes

© 2014 Australian College of Critical Care Nurses Ltd.
Published version deposited in accordance with the copyright policy of the publisher.

Byline AffiliationsSchool of Health, Nursing and Midwifery
Griffith University
Department of Health, Queensland
Institution of OriginUniversity of Southern Queensland
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