s / Australian Critical Care 27 (2014) 43–63 45 Predictors of intensive care clinicians’ behaviour intention for three bowel management practices S. Knowles1,2,∗, L. Tak-Ming Lam3, E. McInnes2,4, J. Hardy5, D. Elliott6, S. Middleton2,4 1 St. Vincent’s Hospital, Sydney, NSW, Australia 2 Australian Catholic University, Australia 3 The Hong Kong Institute of Education, Hong Kong 4 Nursing Research Institute, SVM (2) per rectum (PR) examination; and (3) enema administration. Methods: Responses to a self-administered TPB survey distributed to all nurses and doctors within three NSW ICUs were analysed to determine predictors of behaviour intention for the above three practices. Bivariate analysis determined correlations and identified potential predictor variables,with stepwisemultiple linear regression then used to identify predictors for each practice. Results: Eighty-eight completed surveys (68% response rate) were analysed. The constructs attitude and subjective norm (social pressure) predicted behaviour intention for all practices (57-67% of variance). All predictor variables correlated positively with behaviour intention. Additional predictors were: practice 1, the item ‘I have complete control over performing’; practice 2, the item ‘I have confidence in decidingwhen to performaper rectumexam’; and practice 3, perceived behavioural control and the item ‘I have confidence in choosing correct enema’. Conclusion: ICU clinicians with positive attitudes and who experience increased social pressure are more likely to report higher levels of behaviour intention related to the three bowel management practices. Understanding behaviour intentionpredictors can enable development of targeted interventions to influence clinical practice for this important but under-explored patient care issue. Funding Acknowledgement: We would like to acknowledge receipt of scholarships from the Nurses and Midwives Board of NSW,Australia; theNational Centre for Clinical Outcomes Research (NaCCOR), Australian Catholic University; and the Curran Foundation, Sydney, Australia. Funding also was received for two consecutive years from the St. Vincent’s Clinic Foundation, Sydney Australia. http://dx.doi.org/10.1016/j.aucc.2013.10.009 The experiences of rural and remote families involved in an inter-hospital transfer to a tertiary ICU: A hermeneutic study B. Mackie1,∗, Kellett2, M. Mitchell 3, A. Tonge4 1 Centre for Rural & Remote Area Health, University of Southern Queensland, QLD, Australia 2 Centre for Health Practice Innovation, Griffith University, School of Nursing & Midwifery, QLD, Australia 3 Princess Alexandra Hospital and NHMRC Centre of Research Excellence in Nursing (NCREN), Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, QLD, Australia 4 Intensive Care Unit, Princess Alexandra Hospital, Ipswich Road Woolloongabba, QLD, Australia Background: Inter hospital transfers are necessary for the critically ill to improve their chance of survival. Rural and remote families experience significant disruption to family life when critically ill patients are required to undergo a transfer to a tertiary hospital. It is well documented that families make a significant contribution in both the acute and ongoing illness recovery of critically ill patients and that families may enter the ICU in emotional and functional crisis. What is not known is how ICU staff can better assist rural and remote families who are involved in an inter hospital transfer to a tertiary ICU. Aim: To gain an understanding of rural and remote critical care families’ needs as revealed through their experiences during an interhospital transfer to a tertiary ICU. Method: In this study, a hermeneutic phenomenological approach was adopted informed by the philosophical world views ofHeideggerandGadamer.Datacollectedbysemi structurednarrative interviews froma purposeful sample of seven rural and remote critical care family members, underwent hermeneutic analysis. Results:FourembeddedModesofBeingwithin14sharedmeanings were generated from an interpretation of being involved in the inter hospital transfer of a rural and remote critically ill patient to a tertiary ICU. Being confused, being engaged, being vulnerable and being resilient emerged as significant aspects of the rural and remote family members experience during a transfer event. Conclusion: ICU nurses have the ability to significantly influence the experience of rural and remote families during their IHT journey. This study has highlighted specific needs for rural and remote families of critically ill patients. A family centred care approach provides a framework for ICU nurses to engage involve and support rural and remote families during the uncertain, chaotic and disorientating experience known as an interhospital transfer.