Skip Navigation
Skip to contents

ACC : Acute and Critical Care


Author index

Page Path
HOME > Issue > Author index
Kobra Ghorbanzadeh 1 Article
Challenges of the patient transition process from the intensive care unit: a qualitative study
Kobra Ghorbanzadeh, Abbas Ebadi, Mohammadali Hosseini, Sadat Seyed Bagher Madah, Hamidreza Khankeh
Acute Crit Care. 2021;36(2):133-142.   Published online January 28, 2021
  • 11,627 View
  • 255 Download
  • 11 Web of Science
  • 13 Crossref
AbstractAbstract PDF
The transition of patients from the intensive care unit (ICU) to the general ward is challenging. This study aimed to explain the challenges that patients face during the transition process.
In this qualitative research of conventional content analysis, data collection was conducted between February 2018 and July 2019 in educational hospitals. After obtaining informed consent, purposive sampling was performed with 22 nurses, intensive care physicians, anesthesiologists, and patients and their families using in-depth semi-structured interviews until data saturation.
The content analysis yielded three main themes in the challenges patients face during the transition process from the ICU: mixed feelings regarding transition (happiness/hope, worry/uncertainty, abandonment); care break (different atmosphere, the difference between the program and the quality of care, assigning care to the patient and family, and care culture and beliefs); and search for support and information (ineffective communication, self-care capacity of patient and family, ineffective and disrupted training, and weak follow-up programs), which inflicts care shock in the patients.
The results showed that patients and their families were in a state of care shock during the ICU transition process and were sometimes disconcerted. It is necessary to design and implement care models according to the needs and challenges patients face during the transition period from ICU (patient-centered), based on the evidence available, and after considering the field of medicine and the accessibility of care in the country. The transition process can be improved and enhanced by obtaining knowledge about ICU care and related challenges as well as organizing a learning environment.


Citations to this article as recorded by  
  • The dyadic coping experience of ICU transfer patients and their spouses: A qualitative study
    Jiayi Gu, He Wang, Jiaqin Pei, Jingyu Meng, Yan Song
    Nursing in Critical Care.2024; 29(4): 672.     CrossRef
  • Transition of Intensive Care Unit Patients and Their Families to Home After Acute Hospital Care
    HyunBin You, Sharron L. Docherty, Deepshikha C. Ashana, Tolu O. Oyesanya
    AACN Advanced Critical Care.2024; 35(2): 97.     CrossRef
  • A Quality Improvement Project to Decrease Suboptimal Patient Transfers between Two Neonatal Units
    Kiane A. Douglas, Chinonye Eriobu, Ann Sanderson, Dmitry Tumin, Uduak S. Akpan
    Pediatric Quality & Safety.2023; 8(1): e635.     CrossRef
  • Patient transfer from intensive care units to general wards: An exploratory qualitative study of ward nurses' experiences of patient safety
    Mette Kure Nikolaisen, Stina Fridh, Brita Fosser Olsen
    Nursing Open.2023; 10(10): 6769.     CrossRef
  • Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals
    Anne-Marie Selzler, Leanna Lee, Dina Brooks, Raj Kohli, Louise Rose, Roger Goldstein
    Canadian Journal of Respiratory Therapy.2023;[Epub]     CrossRef
  • Family caregivers' experiences and needs of transitional care during the transfer from intensive care unit to a general ward: A qualitative study
    Yuxin Zhan, Jiaohua Yu, Yi Chen, Yufang Liu, Yingyue Wang, Yali Wan, Suyun Li
    Journal of Nursing Management.2022; 30(2): 592.     CrossRef
  • Co-development of a transitions in care bundle for patient transitions from the intensive care unit: a mixed-methods analysis of a stakeholder consensus meeting
    Brianna K. Rosgen, Kara M. Plotnikoff, Karla D. Krewulak, Anmol Shahid, Laura Hernandez, Bonnie G. Sept, Jeanna Morrissey, Kristin Robertson, Nancy Fraser, Daniel J. Niven, Sharon E. Straus, Jeanna Parsons Leigh, Henry T. Stelfox, Kirsten M. Fiest
    BMC Health Services Research.2022;[Epub]     CrossRef
  • Dietetic-Led Nutrition Interventions in Patients with COVID-19 during Intensive Care and Ward-Based Rehabilitation: A Single-Center Observational Study
    Ella Terblanche, Jessica Hills, Edie Russell, Rhiannon Lewis, Louise Rose
    Nutrients.2022; 14(5): 1062.     CrossRef
  • Factors Influencing the Decision-making of Healthcare Providers Regarding the Transition of Patients from the Intensive Care Unit to the General Ward in Iran: A Qualitative Study
    Vahid Adiban, Kobra Ghorbanzadeh, Abbas Ebadi, Mohammadali Hosseini, Sadat Seyed Bagher Maddah, Hamidreza Khankeh, Maryam Khoshbakht Pishkhani
    Indian Journal of Critical Care Medicine.2022; 26(5): 568.     CrossRef
  • Validação de manual para complementar a transição de cuidados na alta da terapia intensiva
    Martina Zucchetti, Isis Marques Severo, Isabel Cristina Echer, Daniela dos Santos Marona Borba, Carmen Lucia Silva Nectoux, Karina de Oliveira Azzolin
    Revista Gaúcha de Enfermagem.2022;[Epub]     CrossRef
  • Validation of manual to complement the transition of care at discharge from intensive care
    Martina Zucchetti, Isis Marques Severo, Isabel Cristina Echer, Daniela dos Santos Marona Borba, Carmen Lucia Silva Nectoux, Karina de Oliveira Azzolin
    Revista Gaúcha de Enfermagem.2022;[Epub]     CrossRef
  • Transición de la fase aguda a la rehabilitación del paciente crítico
    Verónica Sofia Quenorán Almeida, María Eugenia Bonilla Sánchez, Nieves Liseth Cañaveral Estrella, Eveline Prissila López Solis, Lizeth Estefanía Navas Fonseca, Brenda Brigitte Pombosa Bravo
    Salud, Ciencia y Tecnología.2022; 2(S1): 303.     CrossRef
  • Improve Communicating Uncertainty in Intensive Care Unit With Patient and Family (ICU-PF)
    Anhar Alhussaini
    Cureus.2021;[Epub]     CrossRef

ACC : Acute and Critical Care