Youn-Jung Son; Sung-Kyung Hong; Eun Young Jun

doi:10.4040/jkan.2008.38.3.353

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 38(3); 2008 > Article

Original Article
Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -: Youn-Jung Son, Sung-Kyung Hong, Eun Young Jun; Journal of Korean Academy of Nursing 2008;38(3):353-362.
DOI: https://doi.org/10.4040/jkan.2008.38.3.353
Published online: June 30, 2008

¹Assistant Professor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.

²Full-time Instructor, Department of Nursing, Hyejeon College, Hongseong, Korea.

³Part-time Instructor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.

Address reprint requests to: Jun, Eun Young. A-402, Gong-Jak APT, Yeouido-dong, Yeongdeungpo-gu, Seoul 150-875, Korea. Tel: 82-17-275-0653, Fax: 82-41-575-9347, 1991young1@hanmail.net

• Received: March 1, 2008 • Accepted: March 31, 2008

14 Views
0 Download
6 Scopus

Full Article

Download PDF

Abstract
NOTES
REFERENCES

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

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRD) (KRF-2006-331-E00391).

REFERENCES

1. Ahn KO, Hong JY, Kim Y, Jung KY. Appropriate interhospital transfer of emergent patient. Journal of the Korean Society of Emergency Medicine. 2006;17:138–145.
2. Carpenito LJ. Nursing diagnosis: Application to clinical practice. 2000;8th ed.Philadelphia, J. B. Lippincott.
3. Collins Cobuild Editorial Board. Collins Cobuild English dictionary. 1999;London, Harper Collins Publishers.
4. Coyle MA. Transfer anxiety: preparing to leave intensive care. Intensive & Critical Care Nursing. 2001;17:138–143.Article
5. Cutler L, Garner M. Reducing relocation stress after discharge from the intensive therapy unit. Intensive & Critical Care Nursing. 1995;11:333–335.Article
6. Hall-Smith J, Ball C, Coakley J. Follow-up services and the development of a clinical nurse specialist in intensive care. Intensive & Critical Care Nursing. 1997;13:243–248.Article
7. Jenkins DA, Rogers M. Transfer anxiety in patients with myocardial infarction. British Journal of Nursing. 1995;4:1248–1252.Article PubMed
8. Jo SJ. Relocation of public agencies and the local response: a case of Daegu metropolitan city. Journal of Regional Studies. 2005;13(3):35–54.
9. Jones C, O'Donnell C. After intensive care-what then? Intensive & Critical Care Nursing. 1994;10(2):89–92.Article
10. Kang MG. Administrative capital relocation, decentralization, and balanced regional development: an untold story. Korean Journal of Public Administration. 2006;44:29–54.
11. Kao HF, Travis SS, Acton GJ. Relocation to a long-term care facility: working with patients before, during, and after. Journal of Psychosocial Nursing and Mental Health Servies. 2004;42(3):10–16.
12. Kim YH, Koo MJ, Kim SH, Kim YM, Lee NY, Chang KO. The experiences of patients in intensive care units (ICU). Journal of Korean Academy of Nursing. 2007;37:924–931.Article PubMed PDF
13. Koegh S. Parent's experiences of the transfer of their child from PICU to the ward: A phenomenological study. Nursing in Critical Care. 2001;6:7–13.
14. Koh CK. Patient's anxiety in intensive care units its related factors. Journal of Korean Academy of Nursing. 2007;37:586–593.PubMed
15. Leith BA. Transfer anxiety in critical care patients and their family members. Critical Care Nurse. 1998;18(4):24–32.Article PubMed PDF
16. Lim JY. A comparison of cost between home care and hospital care: According to subject's general characteristics. Journal of Korean Academy of Nursing. 2003;33:246–255.Article PubMed PDF
17. McKinney AA, Melby V. Relocation stress in critical care: A review of the literature. Journal of Clinical Nursing. 2002;11:149–157.Article PubMed
18. Meleis AI, Sawyer LM, Im EO, Hilfinger Messias DK, Schumacher K. Experiencing transitions: An emerging middle range theory. Advances in Nursing Science. 2000;23:12–28.Article
19. Minjungserim Editorial Board. Minjung essence korean dictionary. 2006;Paju, Minjungseorim.
20. Mitchell ML, Courtney M, Coyer F. Understanding uncertainty and minimizing families' anxiety at the time of transfer from intensive care. Nursing & Health Sciences. 2003;5:207–217.Article
21. Nisbett RE. Choi IC . The geography of thought. 2004;Paju, Gimm-Young Publishing.
22. Saarmann L. Transfer out of critical care: Freedom or fear? Critical Care Nursing Quarterly. 1993;16:78–85.Article PubMed
23. Schactman M. Transfer stress in patients after myocardial infarct. Focus on Critical Care. 1987;14(2):34–37.
24. Schumacher KL, Meleis AI. Transitions: A central concept in nursing. Image-the Journal of Nursing Scholarship. 1994;26:119–127.Article PubMed
25. Sharp S. Understanding stress in the ICU setting. British Journal of Nursing. 1996;5:369–373.Article PubMed
26. Strahan EH, Brown RJ. A qualitative study of the experiences of patients following transfer from intensive care. Intensive & Critical Care Nursing. 2005;21:160–171.Article
27. Suh CS. Encyclopedia of Korean Culture. 2004;Seoul, The Korean Culture Globalization Headquarters.
28. Walding MF. Pain, anxiety and powerlessness. Journal of Advanced Nursing. 1991;16:388–397.Article PubMed
29. Walker LO, Avant KC. Strategies for theory construction in nursing. 2005;4th ed.Upper Saddle River, NJ, Prentice hall.
30. Wu C, Coyer F. Reconsidering the transfer of patients from the intensive care unit to the ward: A case study approach. Nursing & Health Sciences. 2007;9:48–53.Article

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

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

J Korean Acad Nurs. 2008;38(3):353-362. Published online June 30, 2008

DOI: https://doi.org/10.4040/jkan.2008.38.3.353

XML Download

We recommend

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