Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis
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Purpose: This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Methods: The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Results: Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child’s condition worsening due to the parent’s caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child’s physical and psychological recovery, and 4) decreased quality of life. Conclusion: It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.
Abstract
Purpose: This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Methods: The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Results: Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child’s condition worsening due to the parent’s caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child’s physical and psychological recovery, and 4) decreased quality of life. Conclusion: It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.
참고문헌 (40)
- 손연정, "중환자실 환자의 간호지속성 유지를 위한 중환자실-병동간 연계형 전환간호 프로그램 개발 및 효과", 임상간호연구, 15(3), pp.143~155 (2009), 병원간호사회
- Bryant SE, "Postintensive care syndrome", Critical Care Nursing Clinics of North America, 31(4), pp.507~516 (2019)[DOI]
- Cypress BS, "Transfer out of intensive care : an evidence-based literature review", Dimensions of Critical Care Nursing, 32(5), pp.244~261 (2013)[DOI]
- 이혜숙, "일반병동 전실예정의 중환자실 환자 가족의 부담감 영향 요인", 한국콘텐츠학회 논문지, 14(5), pp.211~223 (2014), 한국콘텐츠학회[DOI]
- 이현주, "전실정보 가이드북을 이용한 교육이 신경외과 중환자실 환자가족의 전실스트레스, 불안 및 교육만족도에 미치는 효과", 중환자간호학회지, 8(2), pp.43~54 (2015), 한국중환자간호학회
- Mitchell ML, "Understanding uncertainty and minimizing families' anxiety at the time of transfer from intensive care", Nursing and Health Sciences, 5(3), pp.207~217 (2003)[DOI]
- O'Connor S, "Family-centred care of children and young people in the acute hospital setting : a concept analysis", Journal of Clinical Nursing, 28(17-18), pp.3353~3367 (2019)[DOI]
- Linton S, "Supporting families through discharge from PICU to the ward : the development and evaluation of a discharge information brochure for families", Intensive and Critical Care Nursing, 24(6), pp.329~237 (2008)[DOI]
- Yeo L., "Post intensive care syndrome in parents of critically ill pediatric patients", pp.2020
- 정경숙, "수술 전 정보제공이 학령전기 편도선절제술 환아 어머니의 불안, 불확실성 및 수술 후 간호만족도에 미치는 효과", 한국콘텐츠학회 논문지, 16(1), pp.158~166 (2016), 한국콘텐츠학회[DOI]
- Song MK, "Uncertainty and transfer anxiety of pediatric patients' mothers upon discharge from the pediatric intensive care unit", Korean Parent Child Health Journal, 15(2), pp.80~88 (2012)
- 조수현, "중환자실 퇴실 환자를 위한 전환간호 프로그램 개발 및 적용 효과", Journal of The Korean Data Analysis Society, 18(5), pp.2741~2756 (2016), 한국자료분석학회
- 이준아, "뇌전증 아동 ․ 청소년 부모의 치료이행 개념분석", 지역사회간호학회지, 32(2), pp.205~219 (2021), 한국지역사회간호학회
- 손연정, "전실 스트레스(relocation stress)의 개념분석- 중환자실에서 일반 병실로 전실하는 환자를 중심으로 -", Journal of Korean Academy of Nursing, 38(3), pp.353~362 (2008), 한국간호과학회
- Tang M, "Post-intensive care syndrome in children : a concept analysis", Journal of Pediatric Nursing, 61, pp.417~423 (2021)[DOI]
- Waker LO, "Strategies for theory construction in nursing", pp.163~179 (2013), Pearson
- Schwartz-Barcott D, "Concept development in nursing: foundations, techniques, and applications", pp.129~159 (2000), Saunders
- Rodgers BL, "Concept development in nursing: foundations, techniques, and applications", pp.133~135 (2020), Hakjisamedical
- 이명선, "개념분석 전략에 관한 문헌고찰 연구", Journal of Korean Academy of Nursing, 36(4), pp.493~502 (2006), 한국간호과학회
- 권희경, "중환자실에서 일반병동으로 전실하는 환자 가족 돌봄제공자의 역할 적응 과정: 희망과 두려움 속에서 반(半)간호사 되어가기", 성인간호학회지, 26(6), pp.603~613 (2014), 한국성인간호학회[DOI]
- "Oxford leader's dictionaries" (2022)[URL]
- North American Nursing Diagnosis Association (NANDA) International, "Nursing diagnoses: definitions and classification, 2021-2023", pp.405~ (2021), Thieme Medical Publishers
- Brooke J, "Efficacy of information interventions in reducing transfer anxiety from a critical care setting to a general ward : a systematic review and meta-analysis", Journal of Critical Care, 27(4), pp.425.e9~425.e15 (2012)
- Chaboyer W, "The effect of an ICU liaison nurse on patients and family's anxiety prior to transfer to the ward : an intervention study", Intensive and Critical Care Nursing, 23(6), pp.362~369 (2007)[DOI]
- 황예은, "중년 근로자의 그릿과 정신적 안녕감: 삶의 의미와 은퇴불안의 매개효과", 인간발달연구, 27(1), pp.163~184 (2020), 한국인간발달학회[DOI]
- 김헌태, "엘리트 유도선수의 과훈련인식, 경쟁상태불안, 탈진의 관계", 한국스포츠학회, 19(3), pp.619~629 (2021), 한국스포츠학회[DOI]
- 한금영, "Rasch 모형을 활용한고등학생의 말하기불안 검사도구 타당화 연구", 청람어문교육, (70), pp.43~73 (2019), 청람어문교육학회[DOI]
- "Oxford Leader's dictionaries" (2022)[URL]
- "Oxford Leader's dictionaries" (2022)[URL]
- Spielberger CD, "Manual for the statetrait anxiety inventory (self-evaluation questionnaire)", pp.20~21 (1970), Consulting Psychologists Press
- Kim J, "A study based on the standardization of the STAI for Korea", New Medical Journal, 21(11), pp.69~75 (1978)
- Mitchell ML, "Reducing family members' anxiety and uncertainty in illness around transfer from intensive care : an intervention study", Intensive and Critical Care Nursing, 20(4), pp.223~231 (2004)[DOI]
- Bokinskie JC, "Family conferences : a method to diminish transfer anxiety", Journal of Neuroscience Nursing, 24(3), pp.129~133 (1992)[DOI]
- Tel H, "The effect of individualized education on the transfer anxiety of patients with myocardial infarction and their families", Heart and Lung, 35(2), pp.101~107 (2006)[DOI]
- Berube KM, "Parents' experience of the transition with their child from a pediatric intensive care unit(PICU)to the hospital ward : searching for comfort across transitions", Journal of Pediatric Nursing, 29(6), pp.586~595 (2014)[DOI]
- 배정자, "입원아동 어머니를 위한 간호교육 프로그램이 어머니의 상태불안과 부모역할확신에 미치는 효과", 한국모자보건학회지, 5(1), pp.71~82 (2001), 한국모자보건학회
- Naef R, "Factors influencing post-ICU psychological distress in family members of critically ill patients : a linear mixed-effects model", BioPsychoSocial Medicine, 15(1), pp.4~ (2021)[DOI]
- 이정표, "질적연구 참여자(표본) 선정의 대표성에 대한 이론적 정당화: Mead의 자아이론을 중심으로", 질적탐구, 7(1), pp.1~34 (2021), 한국질적탐구학회
- Carlson JM, "Family burden, child disability, and the adjustment of mothers caring for children with epilepsy : role of social support and coping", Epilepsy and Behavior, 68, pp.168~173 (2017)[DOI]
- Foley AS, "A guide to concept analysis", Clinical Nurse Specialist, 31(2), pp.70~73 (2017)[DOI]