The Role of the Patients’ Companion in the Transitional Care from the Open Heart Surgery ICU to the Cardiac Surgery Ward: A Qualitative Content Analysis

Document Type: Original Article

Authors

1 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;

2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;

Abstract

Background: The patients’ companions can help improve transitional care as an important missing
link, but their role is not clear. The aim of this study was to explore the role of the patients’ companion
in the transitional care from the open heart surgery intensive care unit (OH-ICU) to the cardiac surgery
ward.
Methods: This was a qualitative descriptive study using conventional content analysis that was
conducted from September 2019 to February 2020 in Tehran, Iran. Purposeful sampling method with
maximum variation was performed among the patients eligible for transfer to the cardiac surgery
ward, their companions, nurses, and physicians in charge of transferring from the OH-ICU to the
ward. 27 in-depth and semi-structured interviews were conducted with 25 participants , and data were
analyzed using the Granheim and Lundman method. The data were managed using the MAXQDA
software (version 10.0).
Results: Based on our analysis, the theme “Dual role of the patients’ companion” and its two categories,
“Companion as a facilitator” and “Companion as an inhibitor”, were extracted. Emotional support,
satisfaction of basic needs, care arm, alarm bell, and communication bridge were the sub-categories of
the first category, and Interfering with care and creation of tension were those of the second category.
Conclusion: We concluded that the patients’ companions can play an important role in transitional
care, especially as emotional support and system assistants due to the structure of the health care
system and Iranian cultural context . Therefore, it is suggested that the patients’ companion should be
considered as a member of the transition team and accompany them in this process by informing and
supporting them.

Keywords


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