{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T06:35:52Z","timestamp":1776926152595,"version":"3.51.2"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Respiratory infectious disease epidemics challenge global public health. Critically ill patients need specialized care, making interhospital transfer pivotal for resource optimization; however, it carries substantial risks. The objective of the current study was to identify the risk factors for interhospital transfer of critically ill patients with respiratory infectious diseases and formulate response strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semistructured interviews were conducted with 12 research subjects, and the interview contents were analyzed via NVIVO11.0 software in accordance with Colaizzi\u2019s method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five major risk factors have been identified:\n                      <jats:italic>Insufficient organizational and policy support; Shortage of staffing capacity and allocation; Obstacles in task execution and communication; Limitations of transport tools and equipment;<\/jats:italic>\n                      and\n                      <jats:italic>Limitations of environment and patient status<\/jats:italic>\n                      . Moreover, five corresponding coping strategies were proposed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings underscore the perceived importance of organizational support, standardized protocols, specialized training, and optimized equipment in enhancing transfer safety, providing a foundation for refining clinical practices. Future research is needed to empirically validate the effectiveness of these strategies across diverse healthcare settings and scale their implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1785370","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T05:36:37Z","timestamp":1776922597000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Identification of risk factors and response strategies in interhospital transfer of critically ill patients with respiratory infectious diseases: a qualitative study"],"prefix":"10.3389","volume":"14","author":[{"given":"Xiaoyu","family":"Tang","sequence":"first","affiliation":[{"name":"School of Nursing, Southern Medical University","place":["Guangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiwei","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Nursing, Chinese PLA General Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qinghua","family":"Dong","sequence":"additional","affiliation":[{"name":"School of Nursing, Southern Medical University","place":["Guangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minye","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, Chinese PLA General Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianjie","family":"Chen","sequence":"additional","affiliation":[{"name":"Phase I Clinical Trial Ward, 5th Medical Center of the Chinese PLA General Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhengji","family":"He","sequence":"additional","affiliation":[{"name":"School of Nursing, Southern Medical University","place":["Guangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qun","family":"Xiao","sequence":"additional","affiliation":[{"name":"School of Nursing, Southern Medical University","place":["Guangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Zhi","sequence":"additional","affiliation":[{"name":"Department of Nursing, Chinese PLA General Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Disease Control and Prevention, 6th Medical Center of PLA General Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Ma","sequence":"additional","affiliation":[{"name":"School of Nursing, Southern Medical University","place":["Guangzhou, China"]},{"name":"Department of Nursing, Chinese PLA General Hospital","place":["Beijing, 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