A qualitative meta‐synthesis of patients' experiences of intra‐ and inter‐hospital transitions

Lisbeth Uhrenfeldt; Hanne Aagaard; Elisabeth O.C. Hall; Liv Fegran; Mette Spliid Ludvigsen; Gabriele Meyer

doi:10.1111/jan.12134

journal article Mar 20, 2013

A qualitative meta‐synthesis of patients' experiences of intra‐ and inter‐hospital transitions

Lisbeth Uhrenfeldt Hanne Aagaard Elisabeth O.C. Hall Liv Fegran

Mette Spliid Ludvigsen

Gabriele Meyer

Journal of Advanced Nursing Vol. 69 No. 8 pp. 1678-1690 · Wiley

View at Publisher Save 10.1111/jan.12134

Abstract

AbstractAimTo aggregate, interpret and synthesize findings from qualitative studies of patients' experiences on being transferred/in transition from one hospital to another or from one ward to another.BackgroundStudies about patients' experiences of transfer focused on concepts such as transfer stress, transfer anxiety, and translocation syndrome; however, a meta‐synthesis on experiences of transition across different patient populations was lacking.DesignThe meta‐synthesis approach was based on the guidelines by Sandelowski and Barroso.Data sourceSix electronic databases were searched for articles published between the years 1999‐2011, based on the target phenomenon: patients' experiences of transition after transfer between hospitals or units. Reference lists of included articles were screened for eligible papers.Review methodsData were analysed into meta‐summary and meta‐synthesis. The qualitative content analysis process started with a search for common themes, concepts, and metaphors.ResultsFourteen qualitative studies were included. Three main categories were identified: transfer as unpredictable, scary and stressful; transfer as recovery and relief; and transfer as sliding into insignificance. The meta‐synthesis showed patients' experiences of transitions as critical events where nurses need to focus on patient outcome of transfer as safe, predictable, and individual.ConclusionIt was difficult for patients to leave their experiences behind when feeling unimportant. Evidence existed for clinical nurses to continue the development of care quality and safety for patients in transfer/transition. Intervention studies and policy development to improve transfers and transitions for patients are recommended.

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Details

Published: Mar 20, 2013
Vol/Issue: 69(8)
Pages: 1678-1690
License: View

Authors

L

Lisbeth Uhrenfeldt

Department of Public Health Aarhus University Horsens Hospital Research Unit Horsens Denmark

H

Hanne Aagaard

Department of Public Health Aarhus University Aarhus University Hospital Denmark

E

Elisabeth O.C. Hall

Department of Public Health Aarhus University Denmark

L

Liv Fegran

Faculty of Health and Sports University of Agder Kristiansand Norway; Research Unit Sørlandet hospital Kristiansand Norway

M

Mette Spliid Ludvigsen

Aarhus University Hospital Denmark

G

Gabriele Meyer

University of Witten/Herdecke Germany

Cite This Article

Lisbeth Uhrenfeldt, Hanne Aagaard, Elisabeth O.C. Hall, et al. (2013). A qualitative meta‐synthesis of patients' experiences of intra‐ and inter‐hospital transitions. Journal of Advanced Nursing, 69(8), 1678-1690. https://doi.org/10.1111/jan.12134

A qualitative meta‐synthesis of patients' experiences of intra‐ and inter‐hospital transitions

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