Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis

  • Park, Jisu (Department of Nursing, Yonsei University) ;
  • Choi, Eun Kyoung (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University)
  • Received : 2022.03.11
  • Accepted : 2022.04.02
  • Published : 2022.04.30
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Abstract

Purpose: This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Methods: The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Results: Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child's condition worsening due to the parent's caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child's physical and psychological recovery, and 4) decreased quality of life. Conclusion: It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.

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References

  1. Son Y. Development and effects of the collaborative transitional care program for continuity of care in patients transferred to general wards from ICUs. Journal of Korean Clinical Nursing Research. 2009;15(3):143-155. https://doi.org/10.22650/JKCNR.2009.15.3.143
  2. Bryant SE, McNabb K. Postintensive care syndrome. Critical Care Nursing Clinics of North America. 2019;31(4):507-516. https://doi.org/10.1016/j.cnc.2019.07.006
  3. Cypress BS. Transfer out of intensive care: an evidence-based literature review. Dimensions of Critical Care Nursing. 2013;32(5): 244-261. https://doi.org/10.1097/DCC.0b013e3182a07646
  4. Lee HS, You MA, Lee SK, Son YJ. Factors influencing on burden of family members of intensive care patients: planned transfer to general ward after intensive care. Journal of the Korea Contents Association. 2014;14(5):211-223. https://doi.org/10.5392/JKCA.2014.14.05.211
  5. Lee HJ, Lee YM. The effects of education using a relocation information guidebook on relocation stress, anxiety, and education satisfaction in family caregivers of patients in neurosurgical intensive care units. Journal of Korean Critical Care Nursing. 2015;8(2):43-54.
  6. Mitchell ML, Courtney M, Coyer F. Understanding uncertainty and minimizing families' anxiety at the time of transfer from intensive care. Nursing and Health Sciences. 2003;5(3):207-217. https://doi.org/10.1046/j.1442-2018.2003.00155.x
  7. O'Connor S, Brenner M, Coyne I. Family-centred care of children and young people in the acute hospital setting: a concept analysis. Journal of Clinical Nursing. 2019;28(17-18):3353-3367. https://doi.org/10.1111/jocn.14913
  8. Linton S, Grant C, Pellegrini J. Supporting families through discharge from PICU to the ward: the development and evaluation of a discharge information brochure for families. Intensive and Critical Care Nursing. 2008;24(6):329-237. https://doi.org/10.1016/j.iccn.2008.06.002
  9. Yeo L. Post intensive care syndrome in parents of critically ill pediatric patients [dissertation]. Seoul: Seoul National University; 2020. p. 1-68.
  10. Jeong KS, Park JO. The effects of the pre-operation provision of information on the anxiety and uncertainty of mothers with a preschool child of tonsillectomy and their satisfaction with post-operation nursing. Journal of the Korea Contents Association. 2016;16(1):158-166. https://doi.org/10.5392/JKCA.2016.16.01.158
  11. Song MK, Bang KS. Uncertainty and transfer anxiety of pediatric patients' mothers upon discharge from the pediatric intensive care unit. Korean Parent Child Health Journal. 2012;15(2):80-88.
  12. Cho SH, Jung JH, Won SY, Yi YH. Development of the transitional care program and its effect on patients discharged from the intensive care units. Journal of the Korean Data Analysis Society. 2016;18(5):2741-2756.
  13. Lee J, Yoon JY. Concept analysis of parents' treatment adherence for an epileptic child or adolescent. Journal of Korean Academy of Community Health Nursing. 2021;32(2):205-219. https://doi.org/10.12799/jkachn.2021.32.2.205
  14. Son YJ, Hong SK, Jun EY. Concept analysis of relocation stress - focusing on patients transferred from intensive care unit to general ward. Journal of Korean Academy of Nursing. 2008;38(3):353-362. https://doi.org/10.4040/jkan.2008.38.3.353
  15. Tang M, Xu M, Su S, Huang X, Zhang S. Post-intensive care syndrome in children: a concept analysis. Journal of Pediatric Nursing. 2021;61:417-423. https://doi.org/10.1016/j.pedn.2021.10.007
  16. Waker LO, Avant KC. Strategies for theory construction in nursing. 5th ed. Upper Saddle River, NJ: Pearson; 2013. p. 163-179.
  17. Schwartz-Barcott D, Kim HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA, editors. Concept development in nursing: foundations, techniques, and applications. 2nd ed. Philadelphia, PA: Saunders; 2000. p. 129-159.
  18. Rodgers BL, Knafl KA. Concept development in nursing: foundations, techniques, and applications. 2nd ed. Seoul: Hakjisamedical; 2020. p. 133-135.
  19. Yi M, Lee SW, Kim KJ, Kim MG, Kim JH, Lee KH, et al. A review study on the strategies for concept analysis. Journal of Korean Academy of Nursing. 2006;36(3):493-502. https://doi.org/10.4040/jkan.2006.36.3.493
  20. Kwon HK, Song M. Role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward: becoming almost a nurse with hope and fear. Korean Journal of Adult Nursing. 2014;26(6):603-613. https://doi.org/10.7475/kjan.2014.26.6.603
  21. Oxford University Press. Oxford leader's dictionaries [Internet]. Oxford: Department of the University of Oxford; 2022 [cited 2022 February 25]. Available from: https://www.oxfordlearnersdictionaries.com/definition/english/anxiety?q=anxiety
  22. North American Nursing Diagnosis Association (NANDA) International. Nursing diagnoses: definitions and classification, 2021-2023. 12th ed. Philadelphia; Thieme Medical Publishers: 2021. p. 405.
  23. Brooke J, Hasan N, Slark J, Sharma P. Efficacy of information interventions in reducing transfer anxiety from a critical care setting to a general ward: a systematic review and meta-analysis. Journal of Critical Care. 2012;27(4):425.e9-425.e15. https://doi.org/10.1016/j.jcrc.2012.01.009
  24. Chaboyer W, Thalib L, Alcorn K, Foster M. The effect of an ICU liaison nurse on patients and family's anxiety prior to transfer to the ward: an intervention study. Intensive and Critical Care Nursing. 2007;23(6):362-369. https://doi.org/10.1016/j.iccn.2007.04.005
  25. Hwang Y, Yang S. A study of the relationship between grit and mental well-being in middle-aged workers: the mediating effect of meaning in life and retirement anxiety. Korean Journal of Human Development. 2020;27(1):163-184. https://doi.org/10.15284/kjhd.2020.27.1.163
  26. Kim HT. The relationship between overtraining perception, competitive state anxiety, and burnout among elite judo athletes. Korean Journal of Sport. 2021;19(3):619-629. https://doi.org/10.46669/kss.2021.19.3.055
  27. Han KY, Choi S. A study on validation of inspection tool for high school students' speaking anxiety using rasch rating model. Journal of CheongRam Korean Language Education. 2019;0(70):43-73.
  28. Oxford University Press. Oxford Leader's dictionaries [Internet]. Oxford: Department of the University of Oxford; 2022 [cited 2022 March 3]. Available from: https://www.oxfordlearnersdictionaries.com/definition/english/transfer_1?q=transfer
  29. Oxford University Press. Oxford Leader's dictionaries [Internet]. Oxford: Department of the University of Oxford; 2022 [cited 2022 March 3]. Available from: https://www.oxfordlearnersdictionaries.com/definition/english/relocation?q=relocation
  30. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the statetrait anxiety inventory (self-evaluation questionnaire). Palo Alto, CA: Consulting Psychologists Press; 1970. p. 20-21.
  31. Kim J, Shin D. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978;21(11):69-75.
  32. Mitchell ML, Courtney M. Reducing family members' anxiety and uncertainty in illness around transfer from intensive care: an intervention study. Intensive and Critical Care Nursing. 2004;20(4):223-231. https://doi.org/10.1016/j.iccn.2004.05.008
  33. Bokinskie JC. Family conferences: a method to diminish transfer anxiety. Journal of Neuroscience Nursing. 1992;24(3):129-133. https://doi.org/10.1097/01376517-199206000-00002
  34. Tel H, Tel H. The effect of individualized education on the transfer anxiety of patients with myocardial infarction and their families. Heart and Lung. 2006;35(2):101-107. https://doi.org/10.1016/j.hrtlng.2005.09.001
  35. Berube KM, Fothergill-Bourbonnais F, Thomas M, Moreau D. Parents' experience of the transition with their child from a pediatric intensive care unit (PICU) to the hospital ward: searching for comfort across transitions. Journal of Pediatric Nursing. 2014;29 (6):586-595. https://doi.org/10.1016/j.pedn.2014.06.001
  36. Bae JJ, Lee YE. Effect of nursing education program for mothers of hospitalized children on state anxiety and belief on parental role of mothers. Journal of the Korean Society of Maternal and Child Health. 2001;5(1):71-82. https://doi.org/10.1023/A:1011392830732
  37. Naef R, Von Felten S, Ernst J. Factors influencing post-ICU psychological distress in family members of critically ill patients: a linear mixed-effects model. BioPsychoSocial Medicine. 2021;15(1):4. https://doi.org/10.1186/s13030-021-00206-1
  38. Lee JP. Theoretical justification for the representativeness of participant (Sample)s' selection in qualitative research: focusing on mead's self-theory. Journal of Qualitative Inquiry. 2021;7(1):1-34.
  39. Carlson JM, Miller PA. Family burden, child disability, and the adjustment of mothers caring for children with epilepsy: role of social support and coping. Epilepsy and Behavior. 2017;68:168-173. https://doi.org/10.1016/j.yebeh.2017.01.013
  40. Foley AS, Davis AH. A guide to concept analysis. Clinical Nurse Specialist. 2017;31(2):70-73. https://doi.org/10.1097/NUR.0000000000000277