Stabilizing life: A grounded theory of surviving critical illness

G, Vogel; Joelsson‐Alm, Eva; Forinder, Ulla; Svensén, Christer; Sandgren, Anna

doi:10.1016/j.iccn.2021.103096

Cited by 10 publications

(11 citation statements)

References 45 publications

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“…Alternate phrases used to convey the concept are referred to as surrogate terms 20 . Surrogate terms that were found in the literature to encapsulate the fighter included “fighting spirit,” 14,21 “fight for survival,” 22 “fighting,” “fight in her,” 23 “fighter spirit,” 24 “fightin'” or “fight in us,” 25 and “will to fight.” 21,26 Although each of these terms captured the fight or nature of the patient's spirit, “the fighter” was an umbrella term that applied to all aspects.…”

Section: Resultsmentioning

confidence: 99%

“…Physical capability referred to the patient's cognitive ability to be situationally aware, which was not possible due to the use of certain anesthetics and technology such as a mechanical ventilator 22,23,27,28 . The physical state and functionality before the ICU admission were key elements in the overall perception of health forming the patient and family's understanding of treatments that the patient may be able to withstand and the notion that they would be able to “put up a fight.” 24 Paradoxically, previous excellent physical functioning also leads to a state of disbelief or denial regarding the patient's new health status 23 . Patients with advanced age and/or poor previous functional status were perceived to be particularly vulnerable and more willing to accept permanent change 26 .…”

Section: Resultsmentioning

confidence: 99%

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An Evolutionary Concept Analysis of the “Fighter” in the Intensive Care Unit

Moreines,

Brody,

Murali

2024

J Hosp Palliat Nurs

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The purpose of this article was to analyze the concept of “the fighter in the intensive care unit (ICU)” per the scientific literature and the impact this mentality has on care administered in the ICU. A literature review and a concept analysis based on Rodger's evolutionary method were performed to identify surrogate terms, antecedents, attributes, and consequences pertaining to the “fighter” in the ICU. Thirteen articles with a focus on “the fighter” were included in this analysis. There is a strong desire to remain optimistic and maintain high spirits as a coping mechanism in the face of extreme prognostic uncertainty. Themes that emerged from the literature were the need to find inner strength and persist in the face of adversity. The concept of “the fighter in the ICU” can serve as either adaptive or maladaptive coping, depending on the larger clinical picture. Patient experiences in the ICU are fraught with physical and psychological distress. How the patient and family unit cope during this anxiety-provoking time is based on the individual. Maintaining optimism and identifying as a fighter can be healthy ways to adapt to the circumstances. This concept analysis highlights the importance of holistic care and instilling hope particularly as patients may be nearing the end of life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

An Evolutionary Concept Analysis of the “Fighter” in the Intensive Care Unit

Moreines,

Brody,

Murali

2024

J Hosp Palliat Nurs

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“…The importance of human contact and the presence of significant others have also been described previously (Alexandersen et al, 2019 ; Fredriksen & Svensson, 2010 ; Karlsson et al, 2012 ; Lykkegaard & Delmar, 2015 ; Mylén et al, 2016 ; Tingsvik et al, 2018 ). The last decade has seen a growing body of qualitative literature regarding ICU recovery (Abdalrahim & Zeilani, 2014 ; Ågård et al, 2012 ; Apitzsch et al, 2021 ; Calkins et al, 2021 ; Corner et al, 2019 ; Deacon, 2012 ; Ewens et al, 2018 ; Jensen et al, 2017 ; Kang & Jeong, 2018 ; Kean et al, 2017 ; Maley et al, 2016 ; Nelderup et al, 2018 ; Palesjö et al, 2015 ; Thurston et al, 2020 ; Umberger & Thomas, 2019 ; Vogel et al, 2021 ). It is not surprising that our findings show overlap with these studies, such as ‘dealing with setbacks’ (Vogel et al, 2021 ), ‘learning to live in a changed body’ (Palesjö et al, 2015 ) or ‘regaining a mental balance’ (Nelderup et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

“…The last decade has seen a growing body of qualitative literature regarding ICU recovery (Abdalrahim & Zeilani, 2014 ; Ågård et al, 2012 ; Apitzsch et al, 2021 ; Calkins et al, 2021 ; Corner et al, 2019 ; Deacon, 2012 ; Ewens et al, 2018 ; Jensen et al, 2017 ; Kang & Jeong, 2018 ; Kean et al, 2017 ; Maley et al, 2016 ; Nelderup et al, 2018 ; Palesjö et al, 2015 ; Thurston et al, 2020 ; Umberger & Thomas, 2019 ; Vogel et al, 2021 ). It is not surprising that our findings show overlap with these studies, such as ‘dealing with setbacks’ (Vogel et al, 2021 ), ‘learning to live in a changed body’ (Palesjö et al, 2015 ) or ‘regaining a mental balance’ (Nelderup et al, 2018 ). However, the phenomenological descriptions provided in this study highlight the immense impact of the isolation precautions that ICU patients with COVID‐19 must endure.…”

Section: Discussionmentioning

confidence: 99%

Longing for homelikeness: A hermeneutic phenomenological analysis of patients' lived experiences in recovery from COVID‐19‐associated intensive care unit acquired weakness

Oorsouw¹,

Klooster

Koenders³

et al. 2022

Journal of Advanced Nursing

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Aims:To explore lived experiences of patients recovering from COVID-19-associated intensive care unit acquired weakness and to provide phenomenological descriptions of their recovery.Design: A qualitative study following hermeneutic phenomenology.Methods: Through purposeful sampling, 13 participants with COVID-19-associated intensive care unit acquired weakness were recruited with diversity in age, sex, duration of hospitalization and severity of muscle weakness. Semi-structured in-depth interviews were conducted from 4 to 8 months after hospital discharge, between July 2020 and January 2021. Interviews were transcribed verbatim and analysed using hermeneutic phenomenological analysis. Results:The analysis yielded five themes: 'waking up in alienation', 'valuing human contact in isolation', 'making progress by being challenged', 'coming home but still recovering' and 'finding a new balance'. The phenomenological descriptions reflect a recovery process that does not follow a linear build-up, but comes with moments of success, setbacks, trying new steps and breakthrough moments of achieving mobilizing milestones. Conclusion: Recovery from COVID-19-associated intensive care unit acquired weakness starts from a situation of alienation. Patients long for familiarity, for security and for recognition. Patients want to return to the familiar situation, back to the old, balanced, bodily self. It seems possible for patients to feel homelike again, not only by changing their outer circumstances but also by changing the understanding of themselves and finding a new balance in the altered situation. Impact: Muscle weakness impacts many different aspects of ICU recovery in critically ill patients with COVID-19-associated intensive care unit acquired weakness. Their narratives can help nurses and other healthcare professionals, both inside and outside of the intensive care unit, to empathize with patient experiences. When healthcare | 3359 van OORSOUW et al.

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“…The transfer from intensive care to a general ward is demanding and stressful for ICU patients, 1–3 but it is not only the patient that is affected by the transition. Many family members are involved and influenced by their relatives' transfers and changes in care level 4 .…”

Section: Introductionmentioning

confidence: 99%

Family member's experiences with and evaluation of an ICU Liaison Nurse Service: A qualitative study

Boerenbeker

Brandén

Chaboyer

et al. 2022

Nursing in Critical Care

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BackgroundFamily members of critically ill patients often experience anxiety when their relatives are transferred from ICU to another level of care. ICU liaison nurse (ICULN) visits have been associated with improved support for patients, their families and nursing staff but has not been extensively studied in the non‐English speaking setting. Yet, cross‐country variations such as how hospital care is delivered and by who means that innovations such as the ICULN may not be able to be simply transferred to other contexts and may not have similar outcomes.AimThe aim of this study was to investigate family member's experiences with and evaluation of ICULN support service in one Swedish ICU.Study DesignA qualitative evaluation study was undertaken, recruiting family members of former ICU patients. Audio‐taped in‐depth interviews were conducted. Data were analysed by content analysis.FindingsFifteen family members were interviewed. Two categories: Minds the gap between intensive care and the next care level and providing stability in an uncertain situation were identified. The ICULN supported the family members both directly, when the ICULNs listened to their questions and met their needs, and indirectly, when the ICULNs took responsibility for the patients and their physical and psychological conditions and wellbeing.ConclusionFamilies valued and were satisfied with the ICULN service but also gave suggestions to improve the service in this particular hospital context.Relevance to Clinical PracticeThe study showed that an ICULN support service met several needs of family members and therefore was a beneficial way to support patients and family members in the transition from the ICU to the ward.

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Stabilizing life: A grounded theory of surviving critical illness

Cited by 10 publications

References 45 publications

An Evolutionary Concept Analysis of the “Fighter” in the Intensive Care Unit

An Evolutionary Concept Analysis of the “Fighter” in the Intensive Care Unit

Longing for homelikeness: A hermeneutic phenomenological analysis of patients' lived experiences in recovery from COVID‐19‐associated intensive care unit acquired weakness

Family member's experiences with and evaluation of an ICU Liaison Nurse Service: A qualitative study

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