Caregiver-supported nursing intervention for smoothing the transition from pediatric intensive care units to ward: protocol for a pre-post interventional study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20250989Keywords:
Transition, Children, CaregiversAbstract
Background: Transitioning patients from pediatric intensive care units (ICUs) to general wards involves high risk for adverse events, highlighting the need for structured, patient-centered transition protocols. Currently, informal transfer processes often compromise patient safety and care quality, underscoring the value of a formalized model to guide this critical phase.
Methods: This pre-post interventional study will involve caregivers of pediatric patients preparing for ICU discharge. The intervention includes a structured transition model, with targeted training and support provided to caregivers to enhance their engagement and readiness. Data on caregiver satisfaction, understanding, and quality of care metrics will be collected pre- and post-intervention to evaluate outcomes.
Conclusions: The structured intervention is anticipated to enhance caregivers' comprehension and satisfaction with the transition process, while promoting improved care quality and safety during the critical shift from ICU to ward
Trial registration: The study protocol is registered in CTRI/2023/07/054787.
Metrics
References
Herbst LA, Desai S, Benscoter D, Jerardi K, Meier KA, Statile AM. Going back to the ward-transitioning care back to the ward team. Transl Pediatr. 2018;7(4):314-25. DOI: https://doi.org/10.21037/tp.2018.08.01
Warrick D, Gonzalez-del-Rey J, Hall D, Angela S, Christine W, Jeffrey S, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. DOI: https://doi.org/10.1542/hpeds.2014-0067
de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018;190(22):E669-76. DOI: https://doi.org/10.1503/cmaj.170588
Boyd JM, Roberts DJ, Parsons Leigh J, Stelfox HT. Administrator perspectives on ICU-to-Ward transfers and content contained in existing transfer tools: a cross-sectional survey. J Gen Intern Med. 2018;33(10):1738-45. DOI: https://doi.org/10.1007/s11606-018-4590-8
Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017;43(10):1485-94. DOI: https://doi.org/10.1007/s00134-017-4910-1
de Grood C, Job McIntosh C, Boyd JM, Zjadewicz K, Parsons Leigh J, Stelfox HT; ICU Transfer Summary Consensus Panel. Identifying essential elements to include in Intensive Care Unit to hospital ward transfer summaries: a consensus methodology. J Crit Care. 2019;49:27-32. DOI: https://doi.org/10.1016/j.jcrc.2018.10.001
van Sluisveld N, Hesselink G, van derHoeven JG, Westert G, Wollersheim H, Zegers M. Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. Intensive Care Med. 2015;41(4):589-604. DOI: https://doi.org/10.1007/s00134-015-3666-8
Starmer AJ, Spector ND, Srivastava R, West DC, Rosenbluth G, Allen AD, et al. I-PASS Study Group. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803-12. DOI: https://doi.org/10.1056/NEJMsa1405556
Ghorbanzadeh K, Ebadi A, Hosseini M, Madah SSB, Khankeh H. Challenges of the patient transition process from the intensive care unit: a qualitative study. acute crit care. 2021;36(2):133-42. DOI: https://doi.org/10.4266/acc.2020.00626
AI-Yateem, Docherty C. Transition: a concept of significance to nursing and health care personnels. J Nurs Educ Pract. 2015;5:35-40. DOI: https://doi.org/10.5430/jnep.v5n5p35