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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Korean Acad Nurs</journal-id>
<journal-id journal-id-type="publisher-id">JKAN</journal-id>
<journal-title>Journal of Korean Academy of Nursing</journal-title>
<issn pub-type="ppub">1598-2874</issn>
<publisher>
<publisher-name>Korean Society of Nursing Science</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.4040/jkan.2008.38.3.353</article-id>
<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<name>
<surname>Son</surname>
<given-names>Youn-Jung</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Hong</surname>
<given-names>Sung-Kyung</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<name>
<surname>Jun</surname>
<given-names>Eun Young</given-names>
</name>
<degrees></degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>

</contrib-group>

<aff id="A1"><label>1</label>Assistant Professor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.</aff>
<aff id="A2"><label>2</label>Full-time Instructor, Department of Nursing, Hyejeon College, Hongseong, Korea.</aff>
<aff id="A3"><label>3</label>Part-time Instructor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.</aff>

<author-notes>
<corresp>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, <email>1991young1@hanmail.net</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>06</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2008</year>
</pub-date>
<volume>38</volume>
<issue>3</issue>
<fpage>353</fpage>
<lpage>362</lpage>
<history>
<date date-type="received">
<day>01</day>
<month>03</month>
<year>2008</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>03</month>
<year>2008</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2008 Korean Society of Nursing Science</copyright-statement>
<copyright-year>2008</copyright-year>
</permissions>

<abstract>
<sec>
<title>Purpose</title>
<p>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.</p>
</sec>
<sec>
<title>Methods</title>
<p>This study used Walker and Avant's process of concept analysis.</p>
</sec>
<sec>
<title>Results</title>
<p>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.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Intensive Care Unit</kwd>
<kwd>Relocation Stress</kwd>
<kwd>Concept Analysis</kwd>
</kwd-group>
</article-meta>
</front>

<back>

<fn-group>
<fn fn-type="supported-by">
  <p>This work was supported by the <grant-sponsor>Korea Research Foundation</grant-sponsor> Grant funded by the Korean Government (MOEHRD) (<grant-num>KRF-2006-331-E00391</grant-num>).</p>
</fn>
</fn-group>

<ref-list>
  <ref id="B1">
    <label>1</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Ahn</surname>
          <given-names>KO</given-names>
        </name>
        <name>
          <surname>Hong</surname>
          <given-names>JY</given-names>
        </name>
        <name>
          <surname>Kim</surname>
          <given-names>Y</given-names>
        </name>
        <name>
          <surname>Jung</surname>
          <given-names>KY</given-names>
        </name>
      </person-group>
      <article-title>Appropriate interhospital transfer of emergent patient</article-title>
      <source>Journal of the Korean Society of Emergency Medicine</source>
      <year>2006</year>
      <volume>17</volume>
      <fpage>138</fpage>
      <lpage>145</lpage>
    </nlm-citation>
  </ref>

  <ref id="B2">
    <label>2</label>
    <nlm-citation citation-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Carpenito</surname>
          <given-names>LJ</given-names>
        </name>
      </person-group>
      <source>Nursing diagnosis: Application to clinical practice</source>
      <year>2000</year>
      <edition>8th ed.</edition>
      <publisher-loc>Philadelphia</publisher-loc>
      <publisher-name>J. B. Lippincott</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B3">
    <label>3</label>
    <nlm-citation citation-type="book">
      <collab>Collins Cobuild Editorial Board</collab>
      <source>Collins Cobuild English dictionary</source>
      <year>1999</year>
      <publisher-loc>London</publisher-loc>
      <publisher-name>Harper Collins Publishers</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B4">
    <label>4</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Coyle</surname>
          <given-names>MA</given-names>
        </name>
      </person-group>
      <article-title>Transfer anxiety: preparing to leave intensive care</article-title>
      <source>Intensive &#x0026; Critical Care Nursing</source>
      <year>2001</year>
      <volume>17</volume>
      <fpage>138</fpage>
      <lpage>143</lpage>
    </nlm-citation>
  </ref>

  <ref id="B5">
    <label>5</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Cutler</surname>
          <given-names>L</given-names>
        </name>
        <name>
          <surname>Garner</surname>
          <given-names>M</given-names>
        </name>
      </person-group>
      <article-title>Reducing relocation stress after discharge from the intensive therapy unit</article-title>
      <source>Intensive &#x0026; Critical Care Nursing</source>
      <year>1995</year>
      <volume>11</volume>
      <fpage>333</fpage>
      <lpage>335</lpage>
    </nlm-citation>
  </ref>

  <ref id="B6">
    <label>6</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Hall-Smith</surname>
          <given-names>J</given-names>
        </name>
        <name>
          <surname>Ball</surname>
          <given-names>C</given-names>
        </name>
        <name>
          <surname>Coakley</surname>
          <given-names>J</given-names>
        </name>
      </person-group>
      <article-title>Follow-up services and the development of a clinical nurse specialist in intensive care</article-title>
      <source>Intensive &#x0026; Critical Care Nursing</source>
      <year>1997</year>
      <volume>13</volume>
      <fpage>243</fpage>
      <lpage>248</lpage>
    </nlm-citation>
  </ref>

  <ref id="B7">
    <label>7</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Jenkins</surname>
          <given-names>DA</given-names>
        </name>
        <name>
          <surname>Rogers</surname>
          <given-names>M</given-names>
        </name>
      </person-group>
      <article-title>Transfer anxiety in patients with myocardial infarction</article-title>
      <source>British Journal of Nursing</source>
      <year>1995</year>
      <volume>4</volume>
      <fpage>1248</fpage>
      <lpage>1252</lpage>
    </nlm-citation>
  </ref>

  <ref id="B8">
    <label>8</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Jo</surname>
          <given-names>SJ</given-names>
        </name>
      </person-group>
      <article-title>Relocation of public agencies and the local response: a case of Daegu metropolitan city</article-title>
      <source>Journal of Regional Studies</source>
      <year>2005</year>
      <volume>13</volume>
      <issue>3</issue>
      <fpage>35</fpage>
      <lpage>54</lpage>
    </nlm-citation>
  </ref>

  <ref id="B9">
    <label>9</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Jones</surname>
          <given-names>C</given-names>
        </name>
        <name>
          <surname>O'Donnell</surname>
          <given-names>C</given-names>
        </name>
      </person-group>
      <article-title>After intensive care-what then?</article-title>
      <source>Intensive &#x0026; Critical Care Nursing</source>
      <year>1994</year>
      <volume>10</volume>
      <issue>2</issue>
      <fpage>89</fpage>
      <lpage>92</lpage>
    </nlm-citation>
  </ref>

  <ref id="B10">
    <label>10</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kang</surname>
          <given-names>MG</given-names>
        </name>
      </person-group>
      <article-title>Administrative capital relocation, decentralization, and balanced regional development: an untold story</article-title>
      <source>Korean Journal of Public Administration</source>
      <year>2006</year>
      <volume>44</volume>
      <fpage>29</fpage>
      <lpage>54</lpage>
    </nlm-citation>
  </ref>

  <ref id="B11">
    <label>11</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kao</surname>
          <given-names>HF</given-names>
        </name>
        <name>
          <surname>Travis</surname>
          <given-names>SS</given-names>
        </name>
        <name>
          <surname>Acton</surname>
          <given-names>GJ</given-names>
        </name>
      </person-group>
      <article-title>Relocation to a long-term care facility: working with patients before, during, and after</article-title>
      <source>Journal of Psychosocial Nursing and Mental Health Servies</source>
      <year>2004</year>
      <volume>42</volume>
      <issue>3</issue>
      <fpage>10</fpage>
      <lpage>16</lpage>
    </nlm-citation>
  </ref>

  <ref id="B12">
    <label>12</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kim</surname>
          <given-names>YH</given-names>
        </name>
        <name>
          <surname>Koo</surname>
          <given-names>MJ</given-names>
        </name>
        <name>
          <surname>Kim</surname>
          <given-names>SH</given-names>
        </name>
        <name>
          <surname>Kim</surname>
          <given-names>YM</given-names>
        </name>
        <name>
          <surname>Lee</surname>
          <given-names>NY</given-names>
        </name>
        <name>
          <surname>Chang</surname>
          <given-names>KO</given-names>
        </name>
      </person-group>
      <article-title>The experiences of patients in intensive care units (ICU)</article-title>
      <source>Journal of Korean Academy of Nursing</source>
      <year>2007</year>
      <volume>37</volume>
      <fpage>924</fpage>
      <lpage>931</lpage>
    </nlm-citation>
  </ref>

  <ref id="B13">
    <label>13</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Koegh</surname>
          <given-names>S</given-names>
        </name>
      </person-group>
      <article-title>Parent's experiences of the transfer of their child from PICU to the ward: A phenomenological study</article-title>
      <source>Nursing in Critical Care</source>
      <year>2001</year>
      <volume>6</volume>
      <fpage>7</fpage>
      <lpage>13</lpage>
    </nlm-citation>
  </ref>

  <ref id="B14">
    <label>14</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Koh</surname>
          <given-names>CK</given-names>
        </name>
      </person-group>
      <article-title>Patient's anxiety in intensive care units its related factors</article-title>
      <source>Journal of Korean Academy of Nursing</source>
      <year>2007</year>
      <volume>37</volume>
      <fpage>586</fpage>
      <lpage>593</lpage>
    </nlm-citation>
  </ref>

  <ref id="B15">
    <label>15</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Leith</surname>
          <given-names>BA</given-names>
        </name>
      </person-group>
      <article-title>Transfer anxiety in critical care patients and their family members</article-title>
      <source>Critical Care Nurse</source>
      <year>1998</year>
      <volume>18</volume>
      <issue>4</issue>
      <fpage>24</fpage>
      <lpage>32</lpage>
    </nlm-citation>
  </ref>

  <ref id="B16">
    <label>16</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Lim</surname>
          <given-names>JY</given-names>
        </name>
      </person-group>
      <article-title>A comparison of cost between home care and hospital care: According to subject's general characteristics</article-title>
      <source>Journal of Korean Academy of Nursing</source>
      <year>2003</year>
      <volume>33</volume>
      <fpage>246</fpage>
      <lpage>255</lpage>
    </nlm-citation>
  </ref>

  <ref id="B17">
    <label>17</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>McKinney</surname>
          <given-names>AA</given-names>
        </name>
        <name>
          <surname>Melby</surname>
          <given-names>V</given-names>
        </name>
      </person-group>
      <article-title>Relocation stress in critical care: A review of the literature</article-title>
      <source>Journal of Clinical Nursing</source>
      <year>2002</year>
      <volume>11</volume>
      <fpage>149</fpage>
      <lpage>157</lpage>
    </nlm-citation>
  </ref>

  <ref id="B18">
    <label>18</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Meleis</surname>
          <given-names>AI</given-names>
        </name>
        <name>
          <surname>Sawyer</surname>
          <given-names>LM</given-names>
        </name>
        <name>
          <surname>Im</surname>
          <given-names>EO</given-names>
        </name>
        <name>
          <surname>Hilfinger Messias</surname>
          <given-names>DK</given-names>
        </name>
        <name>
          <surname>Schumacher</surname>
          <given-names>K</given-names>
        </name>
      </person-group>
      <article-title>Experiencing transitions: An emerging middle range theory</article-title>
      <source>Advances in Nursing Science</source>
      <year>2000</year>
      <volume>23</volume>
      <fpage>12</fpage>
      <lpage>28</lpage>
    </nlm-citation>
  </ref>

  <ref id="B19">
    <label>19</label>
    <nlm-citation citation-type="book">
      <collab>Minjungserim Editorial Board</collab>
      <source>Minjung essence korean dictionary</source>
      <year>2006</year>
      <publisher-loc>Paju</publisher-loc>
      <publisher-name>Minjungseorim</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B20">
    <label>20</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Mitchell</surname>
          <given-names>ML</given-names>
        </name>
        <name>
          <surname>Courtney</surname>
          <given-names>M</given-names>
        </name>
        <name>
          <surname>Coyer</surname>
          <given-names>F</given-names>
        </name>
      </person-group>
      <article-title>Understanding uncertainty and minimizing families' anxiety at the time of transfer from intensive care</article-title>
      <source>Nursing &#x0026; Health Sciences</source>
      <year>2003</year>
      <volume>5</volume>
      <fpage>207</fpage>
      <lpage>217</lpage>
    </nlm-citation>
  </ref>

  <ref id="B21">
    <label>21</label>
    <nlm-citation citation-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Nisbett</surname>
          <given-names>RE</given-names>
        </name>
      </person-group>
      <person-group person-group-type="translator">
        <name>
          <surname>Choi</surname>
          <given-names>IC</given-names>
        </name>
      </person-group>
      <source>The geography of thought</source>
      <year>2004</year>
      <publisher-loc>Paju</publisher-loc>
      <publisher-name>Gimm-Young Publishing</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B22">
    <label>22</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Saarmann</surname>
          <given-names>L</given-names>
        </name>
      </person-group>
      <article-title>Transfer out of critical care: Freedom or fear?</article-title>
      <source>Critical Care Nursing Quarterly</source>
      <year>1993</year>
      <volume>16</volume>
      <fpage>78</fpage>
      <lpage>85</lpage>
    </nlm-citation>
  </ref>

  <ref id="B23">
    <label>23</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Schactman</surname>
          <given-names>M</given-names>
        </name>
      </person-group>
      <article-title>Transfer stress in patients after myocardial infarct</article-title>
      <source>Focus on Critical Care</source>
      <year>1987</year>
      <volume>14</volume>
      <issue>2</issue>
      <fpage>34</fpage>
      <lpage>37</lpage>
    </nlm-citation>
  </ref>

  <ref id="B24">
    <label>24</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Schumacher</surname>
          <given-names>KL</given-names>
        </name>
        <name>
          <surname>Meleis</surname>
          <given-names>AI</given-names>
        </name>
      </person-group>
      <article-title>Transitions: A central concept in nursing</article-title>
      <source>Image-the Journal of Nursing Scholarship</source>
      <year>1994</year>
      <volume>26</volume>
      <fpage>119</fpage>
      <lpage>127</lpage>
    </nlm-citation>
  </ref>

  <ref id="B25">
    <label>25</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Sharp</surname>
          <given-names>S</given-names>
        </name>
      </person-group>
      <article-title>Understanding stress in the ICU setting</article-title>
      <source>British Journal of Nursing</source>
      <year>1996</year>
      <volume>5</volume>
      <fpage>369</fpage>
      <lpage>373</lpage>
    </nlm-citation>
  </ref>

  <ref id="B26">
    <label>26</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Strahan</surname>
          <given-names>EH</given-names>
        </name>
        <name>
          <surname>Brown</surname>
          <given-names>RJ</given-names>
        </name>
      </person-group>
      <article-title>A qualitative study of the experiences of patients following transfer from intensive care</article-title>
      <source>Intensive &#x0026; Critical Care Nursing</source>
      <year>2005</year>
      <volume>21</volume>
      <fpage>160</fpage>
      <lpage>171</lpage>
    </nlm-citation>
  </ref>

  <ref id="B27">
    <label>27</label>
    <nlm-citation citation-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Suh</surname>
          <given-names>CS</given-names>
        </name>
      </person-group>
      <source>Encyclopedia of Korean Culture</source>
      <year>2004</year>
      <publisher-loc>Seoul</publisher-loc>
      <publisher-name>The Korean Culture Globalization Headquarters</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B28">
    <label>28</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Walding</surname>
          <given-names>MF</given-names>
        </name>
      </person-group>
      <article-title>Pain, anxiety and powerlessness</article-title>
      <source>Journal of Advanced Nursing</source>
      <year>1991</year>
      <volume>16</volume>
      <fpage>388</fpage>
      <lpage>397</lpage>
    </nlm-citation>
  </ref>

  <ref id="B29">
    <label>29</label>
    <nlm-citation citation-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Walker</surname>
          <given-names>LO</given-names>
        </name>
        <name>
          <surname>Avant</surname>
          <given-names>KC</given-names>
        </name>
      </person-group>
      <source>Strategies for theory construction in nursing</source>
      <year>2005</year>
      <edition>4th ed.</edition>
      <publisher-loc>Upper Saddle River, NJ</publisher-loc>
      <publisher-name>Prentice hall</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B30">
    <label>30</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Wu</surname>
          <given-names>C</given-names>
        </name>
        <name>
          <surname>Coyer</surname>
          <given-names>F</given-names>
        </name>
      </person-group>
      <article-title>Reconsidering the transfer of patients from the intensive care unit to the ward: A case study approach</article-title>
      <source>Nursing &#x0026; Health Sciences</source>
      <year>2007</year>
      <volume>9</volume>
      <fpage>48</fpage>
      <lpage>53</lpage>
    </nlm-citation>
  </ref>
</ref-list>

</back>

</article>