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Transfer Between Hospitals Is a Risk Situation for Patients After Lung Cancer Surgery
VID Specialized University, Norway;Oslo University Hospital, Norway.
Oslo University Hospital, Norway;University of Oslo, Norway.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Oslo University Hospital, Norway;Karolinska Institutet.ORCID-id: 0000-0002-4108-391X
2018 (engelsk)Inngår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 41, nr 3, s. E49-E55Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Patients with lung cancer often undergo surgery shortly after diagnosis. Despite undergoing extensive operation, many patients are transferred to a local hospital a few days after surgery. Transitions between different levels of care are risky due to common medication and follow-up errors.

OBJECTIVE: The study purpose was to explore patients' experiences of transfer between hospitals after lung cancer surgery. The study aim was to improve the quality of transitional care.

METHODS: In-depth interviews with 14 patients with lung cancer (6 men, 8 women) were conducted in the patients' homes. Interviews were audiotaped, transcribed, and analyzed using the hermeneutic analysis method.

RESULTS: Patients' experience of transfer between hospitals after lung cancer surgery is one of being in a caregiver gap characterized by feeling unprepared and uncertain, feeling unprotected and not being cared for, and suffering because of inadequate organization. Patients are vulnerable and at risk of injury before and during transfer, as well as after arrival at local hospitals.

CONCLUSIONS: Study findings highlight a rarely considered risk of inadequate care before, during, and after hospital transfer of vulnerable patients. Transition between hospitals after lung cancer surgery is a part of patient care for which there are no policies or care plans and a time during which the borders of responsibility between caregivers are unclear.

IMPLICATIONS FOR PRACTICE: It is important to develop guidelines for clearly defined responsibilities during transfer between hospitals. Healthcare providers need to plan transfers with the same rigor as they do hospital care.

sted, utgiver, år, opplag, sider
Lippincott Williams & Wilkins, 2018. Vol. 41, nr 3, s. E49-E55
HSV kategori
Forskningsprogram
Hälsovetenskap, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:lnu:diva-62932DOI: 10.1097/NCC.0000000000000497ISI: 000431175900006PubMedID: 28426541Scopus ID: 2-s2.0-85018472413OAI: oai:DiVA.org:lnu-62932DiVA, id: diva2:1095045
Tilgjengelig fra: 2017-05-11 Laget: 2017-05-11 Sist oppdatert: 2019-08-29bibliografisk kontrollert

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