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Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -  

Son, Youn-Jung (Department of Nursing, Soonchunhyang University)
Hong, Sung-Kyung (Department of Nursing, Hyejeon College)
Jun, Eun-Young (Department of Nursing, Soonchunhyang University)
Publication Information
Journal of Korean Academy of Nursing / v.38, no.3, 2008 , pp. 353-362 More about this Journal
Abstract
Purpose: This study was conducted to analyze and clarify the meaning of the concept for relocation stress -focusing on patients transferred from an intensive care unit to a general ward. Methods: This study used Walker and Avant's process of concept analysis. Results: Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control. Conclusion: Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.
Keywords
Intensive Care Unit; Relocation Stress; Concept Analysis;
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Times Cited By KSCI : 3  (Citation Analysis)
Times Cited By Web Of Science : 0  (Related Records In Web of Science)
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1 Mitchell, M. L., Courtney, M., & Coyer, F. (2003). Understanding uncertainty and minimizing families'anxiety at the time of transfer from intensive care. Nursing &Health Sciences, 5, 207-217   DOI   ScienceOn
2 Walker, L. O., & Avant, K. C. (2005). Strategies for theory construction in nursing (4th ed.). Upper Saddle River, NJ: Prentice hall
3 Jo, S. J. (2005). Relocation of public agencies and the local response: a case of Daegu metropolitan city. Journal of Regional Studies, 13 (3), 35-54
4 Koegh, S. (2001). Parent's experiences of the transfer of their child from PICU to the ward: A phenomenological study. Nursing in Critical Care, 6, 7-13
5 Leith, B. A. (1998). Transfer anxiety in critical care patients and their family members. Critical Care Nurse, 18(4), 24-32
6 Schactman, M. (1987). Transfer stress in patients after myocardial infarct. Focus on Critical Care, 14(2), 34-37   PUBMED
7 Jones, C., & O'Donnell, C. (1994). After intensive care-what then? Intensive &Critical Care Nursing, 10(2), 89-92   DOI   ScienceOn
8 Lim, J. Y. (2003). A comparison of cost between home care and hospital care: According to subject's general characteristics. Journal of Korean Academy of Nursing, 33, 246-255   DOI
9 Nisbett, R. E. (2004). The geography of thought (I.C. Choi, Trans.) Paju: Gimm-Young Publishing
10 Koh, C. K. (2007). Patients'anxiety in intensive care units its related factors. Journal of Korean Academy of Nursing, 37, 586-593   과학기술학회마을   DOI
11 Saarmann, L. (1993). Transfer out of critical care: Freedom or fear? Critical Care Nursing Quarterly, 16, 78-85   DOI   PUBMED
12 Hall-Smith, J., Ball, C., & Coakley, J. (1997). Follow-up services and the development of a clinical nurse specialist in intensive care. Intensive &Critical Care Nursing, 13, 243-248   DOI   ScienceOn
13 Kim, Y. H., Koo, M. J., Kim, S. H., Kim, Y. M., Lee, N. Y., & Chang, K. O. (2007). The experiences of patients in intensive care units (ICU). Journal of Korean Academy of Nursing, 37, 924-931   과학기술학회마을   DOI
14 Walding, M. F. (1991). Pain, anxiety and powerlessness. Journal of Advanced Nursing, 16, 388-397   DOI
15 Jenkins, D. A., & Rogers, M. (1995). Transfer anxiety in patients with myocardial infarction. British Journal of Nursing, 4, 1248-1252   DOI   PUBMED
16 Schumacher, K. L., & Meleis, A. I. (1994). Transitions: A central concept in nursing. Image-the Journal of Nursing Scholarship, 26, 119- 127   DOI   ScienceOn
17 Ahn, K. O., Hong, J. Y., Kim, Y., & Jung, K. Y. (2006). Appropriate interhospital transfer of emergent patient. Journal of the Korean Society of Emergency Medicine, 17, 138-145
18 Coyle, M. A. (2001). Transfer anxiety: preparing to leave intensive care. Intensive &Critical Care Nursing, 17, 138-143   DOI   ScienceOn
19 Meleis, A. I., Sawyer, L. M., Im, E. O., Hilfinger Messias, D. K., & Schumacher, K. (2000). Experiencing transitions: An emerging middle range theory. Advances in Nursing Science, 23, 12-28   PUBMED
20 Carpenito, L. J. (2000). Nursing diagnosis: Application to clinical practice (8th ed.). Philadelphia: J. B. Lippincott
21 Suh, C. S. (2004). Encyclopedia of Korean Culture. Seoul: The Korean Culture Globalization Headquarters
22 Minjungserim Editorial Board. (2006). Minjung essence korean dictionary. Paju: Minjungseorim
23 Kang, M. G. (2006). Administrative capital relocation, decentralization, and balanced regional development: an untold story. Korean Journal of Public Administration, 44, 29-54
24 Sharp, S. (1996). Understanding stress in the ICU setting. British Journal of Nursing, 5, 369-373
25 Cutler, L., & Garner, M. (1995). Reducing relocation stress after discharge from the intensive therapy unit. Intensive & Critical Care Nursing, 11, 333-335   DOI   ScienceOn
26 Collins Cobuild Editorial Board. (1999). Collins Cobuild English dictionary. London: Harper Collins Publishers
27 McKinney, A. A., & Melby, V. (2002). Relocation stress in critical care: A review of the literature. Journal of Clinical Nursing, 11, 149-157   DOI   ScienceOn
28 Strahan, E. H., & Brown, R. J. (2005). A qualitative study of the experiences of patients following transfer from intensive care. Intensive &Critical Care Nursing, 21, 160-171   DOI   ScienceOn
29 Wu C., & Coyer, F. (2007). Reconsidering the transfer of patients from the intensive care unit to the ward: A case study approach. Nursing &Health Sciences, 9, 48-53   DOI   ScienceOn
30 Kao, H. F., Travis, S. S., & Acton, G. J. (2004). Relocation to a longterm care facility: working with patients before, during, and after. Journal of Psychosocial Nursing and Mental Health Servies, 42(3), 10-16   DOI