Browse > Article
http://dx.doi.org/10.4094/chnr.2022.28.2.154

Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis  

Park, Jisu (Department of Nursing, Yonsei University)
Choi, Eun Kyoung (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University)
Publication Information
Child Health Nursing Research / v.28, no.2, 2022 , pp. 154-165 More about this Journal
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.
Keywords
Patient transfer; Anxiety; Concept formation; Transitional care;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Lee HJ, Lee YM. The effects of education using a relocation information guidebook on relocation stress, anxiety, and education satisfaction in family caregivers of patients in neurosurgical intensive care units. Journal of Korean Critical Care Nursing. 2015;8(2):43-54.
2 Jeong KS, Park JO. The effects of the pre-operation provision of information on the anxiety and uncertainty of mothers with a preschool child of tonsillectomy and their satisfaction with post-operation nursing. Journal of the Korea Contents Association. 2016;16(1):158-166. https://doi.org/10.5392/JKCA.2016.16.01.158   DOI
3 Oxford University Press. Oxford leader's dictionaries [Internet]. Oxford: Department of the University of Oxford; 2022 [cited 2022 February 25]. Available from: https://www.oxfordlearnersdictionaries.com/definition/english/anxiety?q=anxiety
4 North American Nursing Diagnosis Association (NANDA) International. Nursing diagnoses: definitions and classification, 2021-2023. 12th ed. Philadelphia; Thieme Medical Publishers: 2021. p. 405.
5 Hwang Y, Yang S. A study of the relationship between grit and mental well-being in middle-aged workers: the mediating effect of meaning in life and retirement anxiety. Korean Journal of Human Development. 2020;27(1):163-184. https://doi.org/10.15284/kjhd.2020.27.1.163   DOI
6 Oxford University Press. Oxford Leader's dictionaries [Internet]. Oxford: Department of the University of Oxford; 2022 [cited 2022 March 3]. Available from: https://www.oxfordlearnersdictionaries.com/definition/english/transfer_1?q=transfer
7 Tel H, Tel H. The effect of individualized education on the transfer anxiety of patients with myocardial infarction and their families. Heart and Lung. 2006;35(2):101-107. https://doi.org/10.1016/j.hrtlng.2005.09.001   DOI
8 Naef R, Von Felten S, Ernst J. Factors influencing post-ICU psychological distress in family members of critically ill patients: a linear mixed-effects model. BioPsychoSocial Medicine. 2021;15(1):4. https://doi.org/10.1186/s13030-021-00206-1   DOI
9 Lee HS, You MA, Lee SK, Son YJ. Factors influencing on burden of family members of intensive care patients: planned transfer to general ward after intensive care. Journal of the Korea Contents Association. 2014;14(5):211-223. https://doi.org/10.5392/JKCA.2014.14.05.211   DOI
10 Son Y. Development and effects of the collaborative transitional care program for continuity of care in patients transferred to general wards from ICUs. Journal of Korean Clinical Nursing Research. 2009;15(3):143-155.   DOI
11 O'Connor S, Brenner M, Coyne I. Family-centred care of children and young people in the acute hospital setting: a concept analysis. Journal of Clinical Nursing. 2019;28(17-18):3353-3367. https://doi.org/10.1111/jocn.14913   DOI
12 Linton S, Grant C, Pellegrini J. 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. 2008;24(6):329-237. https://doi.org/10.1016/j.iccn.2008.06.002   DOI
13 Yeo L. Post intensive care syndrome in parents of critically ill pediatric patients [dissertation]. Seoul: Seoul National University; 2020. p. 1-68.
14 Mitchell ML, Courtney M, Coyer F. Understanding uncertainty and minimizing families' anxiety at the time of transfer from intensive care. Nursing and Health Sciences. 2003;5(3):207-217. https://doi.org/10.1046/j.1442-2018.2003.00155.x   DOI
15 Foley AS, Davis AH. A guide to concept analysis. Clinical Nurse Specialist. 2017;31(2):70-73. https://doi.org/10.1097/NUR.0000000000000277   DOI
16 Song MK, Bang KS. Uncertainty and transfer anxiety of pediatric patients' mothers upon discharge from the pediatric intensive care unit. Korean Parent Child Health Journal. 2012;15(2):80-88.
17 Cho SH, Jung JH, Won SY, Yi YH. Development of the transitional care program and its effect on patients discharged from the intensive care units. Journal of the Korean Data Analysis Society. 2016;18(5):2741-2756.
18 Lee J, Yoon JY. Concept analysis of parents' treatment adherence for an epileptic child or adolescent. Journal of Korean Academy of Community Health Nursing. 2021;32(2):205-219. https://doi.org/10.12799/jkachn.2021.32.2.205   DOI
19 Bryant SE, McNabb K. Postintensive care syndrome. Critical Care Nursing Clinics of North America. 2019;31(4):507-516. https://doi.org/10.1016/j.cnc.2019.07.006   DOI
20 Cypress BS. Transfer out of intensive care: an evidence-based literature review. Dimensions of Critical Care Nursing. 2013;32(5): 244-261. https://doi.org/10.1097/DCC.0b013e3182a07646   DOI
21 Rodgers BL, Knafl KA. Concept development in nursing: foundations, techniques, and applications. 2nd ed. Seoul: Hakjisamedical; 2020. p. 133-135.
22 Son YJ, Hong SK, Jun EY. Concept analysis of relocation stress - focusing on patients transferred from intensive care unit to general ward. Journal of Korean Academy of Nursing. 2008;38(3):353-362. https://doi.org/10.4040/jkan.2008.38.3.353   DOI
23 Waker LO, Avant KC. Strategies for theory construction in nursing. 5th ed. Upper Saddle River, NJ: Pearson; 2013. p. 163-179.
24 Schwartz-Barcott D, Kim HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA, editors. Concept development in nursing: foundations, techniques, and applications. 2nd ed. Philadelphia, PA: Saunders; 2000. p. 129-159.
25 Yi M, Lee SW, Kim KJ, Kim MG, Kim JH, Lee KH, et al. A review study on the strategies for concept analysis. Journal of Korean Academy of Nursing. 2006;36(3):493-502. https://doi.org/10.4040/jkan.2006.36.3.493   DOI
26 Kwon HK, Song M. Role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward: becoming almost a nurse with hope and fear. Korean Journal of Adult Nursing. 2014;26(6):603-613. https://doi.org/10.7475/kjan.2014.26.6.603   DOI
27 Tang M, Xu M, Su S, Huang X, Zhang S. Post-intensive care syndrome in children: a concept analysis. Journal of Pediatric Nursing. 2021;61:417-423. https://doi.org/10.1016/j.pedn.2021.10.007   DOI
28 Berube KM, Fothergill-Bourbonnais F, Thomas M, Moreau D. 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. 2014;29 (6):586-595. https://doi.org/10.1016/j.pedn.2014.06.001   DOI
29 Brooke J, Hasan N, Slark J, Sharma P. 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. 2012;27(4):425.e9-425.e15. https://doi.org/10.1016/j.jcrc.2012.01.009   DOI
30 Kim J, Shin D. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978;21(11):69-75.
31 Mitchell ML, Courtney M. Reducing family members' anxiety and uncertainty in illness around transfer from intensive care: an intervention study. Intensive and Critical Care Nursing. 2004;20(4):223-231. https://doi.org/10.1016/j.iccn.2004.05.008   DOI
32 Chaboyer W, Thalib L, Alcorn K, Foster M. 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. 2007;23(6):362-369. https://doi.org/10.1016/j.iccn.2007.04.005   DOI
33 Kim HT. The relationship between overtraining perception, competitive state anxiety, and burnout among elite judo athletes. Korean Journal of Sport. 2021;19(3):619-629.   DOI
34 Han KY, Choi S. A study on validation of inspection tool for high school students' speaking anxiety using rasch rating model. Journal of CheongRam Korean Language Education. 2019;0(70):43-73.
35 Oxford University Press. Oxford Leader's dictionaries [Internet]. Oxford: Department of the University of Oxford; 2022 [cited 2022 March 3]. Available from: https://www.oxfordlearnersdictionaries.com/definition/english/relocation?q=relocation
36 Spielberger CD, Gorsuch RL, Lushene RE. Manual for the statetrait anxiety inventory (self-evaluation questionnaire). Palo Alto, CA: Consulting Psychologists Press; 1970. p. 20-21.
37 Carlson JM, Miller PA. Family burden, child disability, and the adjustment of mothers caring for children with epilepsy: role of social support and coping. Epilepsy and Behavior. 2017;68:168-173. https://doi.org/10.1016/j.yebeh.2017.01.013   DOI
38 Bokinskie JC. Family conferences: a method to diminish transfer anxiety. Journal of Neuroscience Nursing. 1992;24(3):129-133. https://doi.org/10.1097/01376517-199206000-00002   DOI
39 Bae JJ, Lee YE. Effect of nursing education program for mothers of hospitalized children on state anxiety and belief on parental role of mothers. Journal of the Korean Society of Maternal and Child Health. 2001;5(1):71-82.   DOI
40 Lee JP. Theoretical justification for the representativeness of participant (Sample)s' selection in qualitative research: focusing on mead's self-theory. Journal of Qualitative Inquiry. 2021;7(1):1-34.