Abstract:
AIM OF THE STUDY:To understand the critical illness trajectory from patient and relative perspectives. BACKGROUND:In the context of increasing survivorship from critical illness, it is important to enhance our understanding of the subjective experience of survivors and their families. The need to consider the legacy of critical care beyond physiological survival is imperative. METHODS:Using a constructivist grounded theory methodology, in-depth interviews were undertaken with survivors of critical illness (n = 16) and family members (n = 15). Constant comparative analysis and data collection occurring concurrently with theoretical sampling commencing from the outset. EQUATOR guidelines for qualitative research (COREQ) applied. FINDINGS:Survivors of critical illness invariably experienced vivid, hallucinatory experiences which placed them in a different world or liminal space. The core difficulty can be summarised as follows: Survivors have little recall of the factual events of their critical illness but relatives have lived the whole event in a very real and ingraining manner. This can result in family members and survivors experiencing different versions of the critical illness episode. CONCLUSION:Survivors of critical illness, together with family members, experience challenges when endeavouring to readjust to life post critical care. This study has identified a middle range theory of dualistic worlds between and within the survivor and family member experiences. Exploring the dynamic interplay between intrapersonal, interpersonal and societal factors has provided theoretical insights with practice implications in relation to surviving critical illness. RELEVANCE TO CLINICAL PRACTICE:The findings from this study highlight the need for a rehabilitation infrastructure following critical illness to support the existing UK national guidance, ensuring the individual and holistic needs of survivors and their families are met. Conversations with survivors and their families around critical illness survivorship are frequently absent and needed early in the recovery period.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Page P,Simpson A,Reynolds Ldoi
10.1111/jocn.14655subject
Has Abstractpub_date
2019-02-01 00:00:00pages
603-614issue
3-4eissn
0962-1067issn
1365-2702journal_volume
28pub_type
杂志文章abstract:AIMS AND OBJECTIVES:To investigate the experience and personal impact of a group leadership course for child healthcare nurses. BACKGROUND:During their child's first year, all parents in Sweden are invited to participate in parental groups within the child health service; however, only 49% choose to participate. Despi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13446
更新日期:2017-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the didactic and social leadership in parent education groups based on a parent perspective, and to conceptualise parent experiences of the leader roles in these groups. BACKGROUND:Leadership in parent education groups has been associated with a lack of confidence in one's ability to...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12856
更新日期:2015-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate room temperature and relative humidity affecting nurses' comfort and protection in wearing N95 respirators during clinical bedside procedures. BACKGROUND:N95 respirators are most commonly used to protect healthcare workers against airborne diseases. The elastic head straps required f...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14268
更新日期:2018-04-01 00:00:00
abstract::The purpose of this study was to describe patients' learning needs after hip arthroplasty and compare them prior to and 2 weeks after hospital discharge. Data were collected in two phases from 22 surgical wards in 17 hospitals in Finland using a Canadian Patient Learning Needs Scale (Galloway et al., 1996). The first ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2002.00648.x
更新日期:2002-09-01 00:00:00
abstract:AIM:To explore the experiences of patients with coronary heart disease in China. BACKGROUND:The morbidity and mortality rates of people with coronary heart disease have been growing rapidly in the past decades in China, yet little is known about the experiences of Chinese patients with the disease. DESIGN:A qualitati...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03909.x
更新日期:2012-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate current practices in managing peripheral venous catheters through catheter lifespan, reasons for removal and identifying potential predictors of catheter complications. BACKGROUND:Peripheral venous catheter insertion is a common minimally invasive procedure performed during patient admi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13451
更新日期:2017-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To analyse the sensitivity and specificity of clinical indicators of ineffective airway clearance in children with congenital heart disease and to identify the indicators that have high predictive power. BACKGROUND:The precise establishment of nursing diagnoses has been found to be one of the facto...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the financial impact of Nightingale nursing in the mid-19th century; to identify any long-term implications of this financial impact on nursing. BACKGROUND:Previous research into the transformation of mid-19th century hospitals has suggested the importance of economic issues. We explore ...
journal_title:Journal of clinical nursing
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2702.2009.02894.x
更新日期:2009-10-01 00:00:00
abstract:AIM:The present study aimed at examining the factorial structure of the Chinese version of the State Anxiety Scale (Short form), using exploratory and confirmatory analyses. BACKGROUND:The factorial structure of the short form of the Chinese version of the State Anxiety Scale for Children has neither been examined by ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02284.x
更新日期:2008-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore hospital healthcare professionals' knowledge and attitudes towards dementia care in China. BACKGROUND:Hospital healthcare professionals deliver most diagnosis and treatment for people with dementia in China. Literature shows that healthcare professionals' knowledge and attitudes are of g...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15590
更新日期:2020-12-08 00:00:00
abstract:AIMS AND OBJECTIVES:To obtain a comprehensive understanding of the transition process of new nurses in Taiwan. Background. The transition period for new nurses can be a daunting and traumatic experience. The large number of newly graduated Taiwanese nurses who resign from their jobs within three months indicates that ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04189.x
更新日期:2013-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the effectiveness and acceptability of interventions for maintaining nasogastric tubes in adult stroke patients. BACKGROUND:Internationally, incidence of cerebral vascular disease continues to increase and stroke is the largest cause of complex disability in adults. Dysphagia is comm...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14013
更新日期:2018-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the connection between +6 nursing leadership and enhanced patient safety. BACKGROUND:Critical reports from the Institute of Medicine in 1999 and Francis QC report of 2013 indicate that healthcare organisations, inclusive of nursing leadership, were remiss or inconsistent in fostering a c...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13980
更新日期:2018-03-01 00:00:00
abstract:AIM:To evaluate further the psychometric properties of the Chinese version of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depression in Chinese patients with coronary heart disease (CHD) in Xian, China. BACKGROUND:There is considerable evidence that anxiety and depression...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02736.x
更新日期:2009-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the levels and causes of work-related frustration among senior nurses. BACKGROUND:Role changes and the associated expectations and setbacks faced by senior middle-aged nurses can easily result in low morale. Therefore, working setbacks experienced by senior nurses must be investigate...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13241
更新日期:2016-07-01 00:00:00
abstract:AIM:To explore the nurse-patient interaction in terminally ill situations in acute care, focusing on the nurses' preparation for loss. BACKGROUND:Caring for dying patients can be a distressing and sometimes even threatening experience for nurses. Despite the vast body of literature on nurse/patient interaction and the...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02437.x
更新日期:2009-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study develops a new instrument, the Spiritual Care Intervention-Provision Scale, and assesses its psychometric properties in an Arab Muslim nurse sample. The Spiritual Care Intervention-Provision Scale was developed to measure the frequency with which nurses provided aspects of spiritual care....
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13174
更新日期:2016-08-01 00:00:00
abstract:AIM:The purpose of this study was to assess gender effects on family demands, social support and caregiver burden as well as to examine contributing factors of caregiver burden in caring for family members with mental illness. BACKGROUND:Providing continued care and support for people with mental illness is demanding ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03315.x
更新日期:2010-12-01 00:00:00
abstract::Home apnoea and cardiorespiratory monitors are commonly used in the UK, the rest of Europe and USA in infants at increased risk of 'sudden infant death'. The efficacy of apnoea and cardiorespiratory monitors remains unknown. The use of transcutaneous oxygen monitoring is presented as an alternative method of home moni...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.1996.5.5.297
更新日期:1996-09-01 00:00:00
abstract:AIM:The aim was to determine the opinions of nurse managers about career planning and development for nurses in hospitals. BACKGROUND:Career planning and development are defined as an important and necessary tool in the development of nurses as professionals and in retaining nurses in a facility. DESIGN:A descriptive...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02906.x
更新日期:2009-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To highlight what was important to parents with respect to consultation groups at well-child clinics. BACKGROUND:Parents managing of their role as parents affect the child's health and are therefore an important priority for public health. Well-child clinics in Norway practise consultations in grou...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12528
更新日期:2014-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the relationships of work-related factors (e.g., autonomy, work schedule, supervisory and peer support) to nurses' job satisfaction and intent to leave their current position. BACKGROUND:Low job satisfaction and high turnover of nurses are major problems for health care. To improve nurse...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12987
更新日期:2015-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To assess intensive care unit nurses' knowledge of intensive care unit delirium and delirium assessment before and after an educational intervention. In addition, nurses' perception on the usefulness of a delirium assessment tool and barriers against delirium assessment were assessed as secondary ob...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14525
更新日期:2018-11-01 00:00:00
abstract:AIM:The purpose of this study was to explore the paternal role of fathers of very low birth weight infants during their first year of life. BACKGROUND:Following birth, very low birth weight infants often require extended hospitalisation and long-term care. The birth experience and the infant's hospitalisation often ov...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02487.x
更新日期:2009-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate medical and nursing staff's perceptions of and self-confidence in facilitating family presence during resuscitation in a paediatric hospital setting. BACKGROUND:Family presence during resuscitation is the attendance of family members in a location that affords visual or physical cont...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13176
更新日期:2016-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore whether and how eHealth resources targeted to families during the perinatal period effectively reach a diverse population or further oppress marginalised groups. BACKGROUND:eHealth is often intended to reach a broad population, thus health content must be relatively generalised which lim...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14592
更新日期:2018-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The objective of this study was to change the anthropometric, clinical, biochemical indicators and the rate of metabolic syndrome among obese adults in community. BACKGROUND:Obesity is an indicator of metabolic syndrome and cardiometabolic diseases. Obesity increases national health care expenditur...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.13301
更新日期:2016-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe Jordanian mothers' perceptions of nursing support provided during hospitalisation of their children and identify socio-demographic characteristic of mothers and children associated with mothers' perceptions of nursing support. BACKGROUND:Nursing support is crucial to mothers to ease and...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04278.x
更新日期:2013-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to describe how nurses document their subjective assessment of the patients' cognitive status in the patients' records and to compare this documentation with an assessment made using a validated evaluation instrument in older patients with a hip fracture. BACKGROUND:There ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01296.x
更新日期:2006-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore patients', families' and health professionals' experiences of a long-stay patient in an intensive care unit. BACKGROUND:The fast-paced technologically driven intensive care unit environment, designed for a short patient stay, supports the provision of complex physiologically focused care...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14184
更新日期:2018-06-01 00:00:00