A Safety-Support-Cooperation Model-Based Nursing Program for ICU Stroke Patients: development and Clinical Application

INTERVENTION: Usual Care Group:1. Before transfer The physician contacts the patient’s family members and informs them of the scheduled transfer time. 2. During transfer The primary ICU nurse calls the family members to notify them of the transfer time and relevant procedures, and reminds them to wait outside the ICU in advance on the transfer day. The family members are also informed of the receiving ward, bed number, and personal belongings to prepare. The ICU nurse communicates with the ward nurses by phone, briefing them on the patient’s current condition and planned transfer time, conducting necessary coordination, and clarifying the nursing supplies and medical equipment required by the receiving ward. Accompanied by the family members, the ICU nurse transfers the patient to the general ward. Throughout the transfer process, the nurse closely monitors changes in the patient’s clinical status to ensure safe transportation. 3. After transfer The primary ICU nurse and the primary ward nurse complete the bedside handover. The entire transfer process is then finished.;Intervention Group:1. Before transfer (1) A qualified ICU liaison nurse takes the lead and organizes joint ward rounds with the multidisciplinary team (MDT). The team conducts a systematic assessment of key indicators, including airway status, blood oxygen saturation, sputum characteristics, swallowing and cough function, and risk of infection, to accurately identify high‐risk patients. (2) Meanwhile, the psychological status of patients and their family members is evaluated. Professional psychological counseling and health education on disease management and care skills are provided. The transfer process, as well as core care essentials such as airway management and aspiration prevention, are explained in advance. CONDITION: Stroke PRIMARY OUTCOME: Incidence rate of adverse events within 7 days; SECONDARY OUTCOME: Anxiety and depression levels of family members;Family members' satisfaction;48‐h post‐transfer ICU readmission rate; INCLUSION CRITERIA: 1. Patients were aged 18 years or older; 2. Patients met the Diagnostic Criteria for Major Cerebrovascular Diseases in China (2019); 3. Patients had been admitted to the ICU for a duration of at least 48 hours; 4. Patients were scheduled for transfer from the ICU to general wards; 5. Patients were admitted to the ICU for stroke for the first time.