Date of Award

11-4-2024

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Dr. Naghma Rizvi

Second Advisor

Sehrish Sajjad

Third Advisor

Aziz ur Rehman

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Post-MICU patients, who transition from the Medical Intensive Care Unit (MICU) to general wards, face a critical period that can significantly impact their recovery. These patients are highly vulnerable and require ongoing monitoring, yet the shift from the high-dependency care of the MICU to the general ward often leads to changes in care quality. Such disparities can result in negative outcomes, as the less intensive environment may not fully meet their complex needs. This transition is a crucial moment not only for patients and their families, who experience a mix of relief and anxiety but also for the healthcare team. The MICU nurses and staff possess specialised training to manage critical conditions, whereas, general ward care may not offer the same level of expertise. Ensuring a smooth, well-coordinated transfer is therefore essential to prevent setbacks and promote continued recovery. Objectives: This study aimed to explore perceptions regarding the quality of care provided to post[1]MICU patients transferred to general wards in a public sector hospital in Karachi, Pakistan. It focused on identifying gaps and challenges in the current care practices, as well as strategies for improving patient outcomes during this critical transition period.
Methodology: A qualitative, descriptive study was conducted at a major public sector hospital in Karachi, Pakistan. Data was collected through semi structured interviews with post-MICU patients who recently transferred from the MICU to the general wards. Participants were selected using purposive sampling. The interviews were transcribed and thematically analysed to identify key themes.
Results: Three major themes emerged from the analysis: "Standards of Care," which reflects the quality and consistency of care provided in general wards; "Challenges associated with Transition," highlighting the physical, emotional, and social problems encountered during the transfer from MICU to the general ward; and "The Bridge to Quality Care," which offers suggestions for organisational improvements to enhance the transition experience and overall care quality. Together, these themes provide a comprehensive view of patients' experiences and highlight areas for targeted improvements.
Conclusion: Improving the quality of care for post-MICU patients is vital for enhancing recovery and ensuring patient safety. Healthcare professionals should address these identified gaps related to the transition of patients from MICU to general wards as a priority. Further research is recommended to develop targeted interventions for optimizing care transitions in resource[1]constrained settings.

First Page

1

Last Page

69

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