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Family members' lived experiences when a loved one undergoes an interhospital intensive care unit‐to‐unit transfer: A phenomenological hermeneutical study

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  • Jonas Karlsson
  • Thomas Eriksson
  • Berit Lindahl
  • Isabell Fridh

Abstract

Aims and objectives To reveal meanings of family members' lived experiences when a loved one undergoes an interhospital intensive care unit‐to‐unit transfer. Background Interhospital intensive care unit‐to‐unit transfers take place between different hospitals and their respective intensive care units (ICUs). These types of transfers are an increasing phenomenon but are sparsely studied from the family members' perspective. Indeed, the patient's critical illness and care can have a major impact on family members. During the transfer process, there is a demand for the involved intensive care health personnel to make family members feel safe and cared for. Design A qualitative design based on phenomenological hermeneutics. Methods The study was conducted at two Swedish general ICUs. Data were generated through individual in‐depth interviews with seven family members and analysed using a phenomenological hermeneutical approach. The Criteria for Reporting Qualitative Research principles were applied in the conduct and reporting of this study. Results Four themes that reveal meanings of family members' lived experiences were developed: losing your safe haven, dealing with uncertainty, carrying your own and others' burdens and a wish to be close. Conclusions The study reveals that an interhospital intensive care unit‐to‐unit transfer affects the whole family and is characterised by family members experiencing many negative feelings. The findings also illustrate that being a family member when a loved one is transferred means being exposed to the core existential elements of being human, such as loneliness and searching for meaning. Relevance to clinical practice The study highlights the importance of maintaining a family‐centred approach during the transfer process. Our findings can provide deeper knowledge for intensive care health personnel, better preparing them for the delicate task of providing family‐centred care during the interhospital intensive care unit‐to‐unit transfer process.

Suggested Citation

  • Jonas Karlsson & Thomas Eriksson & Berit Lindahl & Isabell Fridh, 2020. "Family members' lived experiences when a loved one undergoes an interhospital intensive care unit‐to‐unit transfer: A phenomenological hermeneutical study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(19-20), pages 3721-3730, October.
  • Handle: RePEc:wly:jocnur:v:29:y:2020:i:19-20:p:3721-3730
    DOI: 10.1111/jocn.15402
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    References listed on IDEAS

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    1. Gro Frivold & Åshild Slettebø & Bjørg Dale, 2016. "Family members’ lived experiences of everyday life after intensive care treatment of a loved one: a phenomenological hermeneutical study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(3-4), pages 392-402, February.
    2. Pauline Wong & Pranee Liamputtong & Susan Koch & Helen Rawson, 2017. "Barriers to regaining control within a constructivist grounded theory of family resilience in ICU: Living with uncertainty," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4390-4403, December.
    3. Pauline Wong & Pranee Liamputtong & Susan Koch & Helen Rawson, 2019. "Searching for meaning: A grounded theory of family resilience in adult ICU," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(5-6), pages 781-791, March.
    4. Josefin Rahmqvist Linnarsson & Jennifer Bubini & Kent‐Inge Perseius, 2010. "Review: a meta‐synthesis of qualitative research into needs and experiences of significant others to critically ill or injured patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(21‐22), pages 3102-3111, November.
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