In several implications for clinical practice and can provide

            In this nursing study, Bunkenborg and co-authors tackled
about the effectiveness of nurses’ communication practice in transferring out
patients from the Intensive Care Unit (ICU) to the General Medical or Surgery
Ward. They aimed to dive into nursing practice and perception of engaging in endorsement
when handing over critically ill patients from their units to general wards,
and on how effective the sharing of information was. To be able to complete
this study, the researchers utilized an exploritative, qualitative design with
focused ethnography as the methodology. The study was conducted at a University
Hospital with 350-bed capacity. The institutions’ Intensive Care Unit (ICU) can
accommodate up to nine monitoring beds, which is composed of 70 registered
nurses assigned at the unit, of which 56 of the registered nurses completed a
2-year postgraduate course in intensive and critical care. Participants were
observed in 22 clinical situations where endorsing patients from the ICU to
general ward on November and December 2015. The observation was subsequently
followed by focus group interviews for data collection with ethical
considerations. The establishment of rigour was addressed by four criterias
involved in trustworthiness, these are: credibility, confirmability,
dependability and transferability (Lincoln and Guba, 1985; Graneheim and
Lundman, 2004). The average time in handing over patients in this study lasted
between 2-22 minutes. In 18 of the 22 cases, the patient was discharged to one
of the medical units and four patients were transferred out to the orthopaedic
surgery ward. Research shows that the lack of shared goals between Intensive
Care Unit nurses and General ward nurses caused loss of information and has
potential risk to the safety of patients.  The authors believed that findings in this
study have several implications for clinical practice and can provide evidenced
based solutions.