Facilitators and inhibitors of traumatic brain injury transfers: A fieldwork investigation
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Facilitators and inhibitors of traumatic brain injury transfers : A fieldwork investigation. / Højbjerg, Karin; Poulsen, Ingrid; Egerod, Ingrid.
I: Nursing Open, Bind 10, Nr. 9, 2023, s. 6282-6290.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Facilitators and inhibitors of traumatic brain injury transfers
T2 - A fieldwork investigation
AU - Højbjerg, Karin
AU - Poulsen, Ingrid
AU - Egerod, Ingrid
N1 - Publisher Copyright: © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - Aim: Intensified healthcare specialization has increased the need for patient transfers. We aimed to describe in-hospital and interhospital patient transfer decisions during the traumatic brain injury (TBI) trajectory from a nursing perspective. Design: Ethnographic fieldwork. Methods: We used participant observation and interviews at three sites representing the acute, subacute and stable stages of the TBI trajectory. Deductive analysis was applied supported by transition theory. Results: During the acute stage (neurointensive care), transfer decisions were facilitated by physicians assisted by critical care nurses, in the subacute stage (highly specialized rehabilitation), transfer decisions were collaborative among in-house healthcare professionals, community staff and family, and during the stable stage (municipal rehabilitation), transfer decisions were made by non-clinical staff. Most of the resources allocated during the trajectory went towards highly specialized rehabilitation, whereas more resources are needed during the end of the trajectory. No Patient or Public Contribution: Patients and the public were not involved in this study.
AB - Aim: Intensified healthcare specialization has increased the need for patient transfers. We aimed to describe in-hospital and interhospital patient transfer decisions during the traumatic brain injury (TBI) trajectory from a nursing perspective. Design: Ethnographic fieldwork. Methods: We used participant observation and interviews at three sites representing the acute, subacute and stable stages of the TBI trajectory. Deductive analysis was applied supported by transition theory. Results: During the acute stage (neurointensive care), transfer decisions were facilitated by physicians assisted by critical care nurses, in the subacute stage (highly specialized rehabilitation), transfer decisions were collaborative among in-house healthcare professionals, community staff and family, and during the stable stage (municipal rehabilitation), transfer decisions were made by non-clinical staff. Most of the resources allocated during the trajectory went towards highly specialized rehabilitation, whereas more resources are needed during the end of the trajectory. No Patient or Public Contribution: Patients and the public were not involved in this study.
KW - decision-making
KW - health transitions
KW - nursing
KW - patient transfer
KW - qualitative research
KW - traumatic brain injury
U2 - 10.1002/nop2.1874
DO - 10.1002/nop2.1874
M3 - Journal article
C2 - 37317011
AN - SCOPUS:85161887686
VL - 10
SP - 6282
EP - 6290
JO - Nursing Open
JF - Nursing Open
SN - 2054-1058
IS - 9
ER -
ID: 367837000