In this nursing study, Bunkenborg and co-authors tackledabout the effectiveness of nurses’ communication practice in transferring outpatients from the Intensive Care Unit (ICU) to the General Medical or SurgeryWard. They aimed to dive into nursing practice and perception of engaging in endorsementwhen handing over critically ill patients from their units to general wards,and on how effective the sharing of information was. To be able to completethis study, the researchers utilized an exploritative, qualitative design withfocused ethnography as the methodology. The study was conducted at a UniversityHospital with 350-bed capacity. The institutions’ Intensive Care Unit (ICU) canaccommodate up to nine monitoring beds, which is composed of 70 registerednurses assigned at the unit, of which 56 of the registered nurses completed a2-year postgraduate course in intensive and critical care. Participants wereobserved in 22 clinical situations where endorsing patients from the ICU togeneral ward on November and December 2015.
The observation was subsequentlyfollowed by focus group interviews for data collection with ethicalconsiderations. The establishment of rigour was addressed by four criteriasinvolved in trustworthiness, these are: credibility, confirmability,dependability and transferability (Lincoln and Guba, 1985; Graneheim andLundman, 2004). The average time in handing over patients in this study lastedbetween 2-22 minutes.
In 18 of the 22 cases, the patient was discharged to oneof the medical units and four patients were transferred out to the orthopaedicsurgery ward. Research shows that the lack of shared goals between IntensiveCare Unit nurses and General ward nurses caused loss of information and haspotential risk to the safety of patients. The authors believed that findings in thisstudy have several implications for clinical practice and can provide evidencedbased solutions.