From breaking point to breakthrough during the ICU stay: A qualitative study of family members' experiences of long-term intensive care patients' pathways towards survival

Journal of Clinical Nursing
Hege S HaugdahlGørill Haugan

Abstract

To explore family members' experiences of long-term intensive care unit (ICU) patients' pathways towards survival and to highlight family members' efforts to promote the patient's health during the ICU stay. Although considerable research has been devoted to the substantial burden of long-term ICU patients, less attention has been paid to health-promoting factors that facilitate patients' health and survival during ICU stays. Support from family members can improve patient outcome. However, there is little knowledge of the specific contributions provided by family members. A hermeneutic phenomenological approach, within the context of Antonovsky's salutogenic theory and Merleau-Ponty's phenomenology of the body, involving the body as the fundament of experience and understanding. In-depth qualitative interviews. Thirteen family members of long-term ICU patients were interviewed once, at six to 18 months after ICU discharge. The consolidated criteria for reporting qualitative research were used. Three themes were identified: (i) A body at a breaking point; (ii) family members' presence; and (iii) breaking through. In the perspective of the family members, their beloved ones were at a breaking point between life and death. The fa...Continue Reading

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Citations

Dec 2, 2020·Critical Care Nurse·Natalie S McAndrewMary Butler
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May 5, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Kate KynochAnnie McArdle
Jul 23, 2021·Asian Nursing Research·Bao-Huan YangYuh-Shiow Li
Aug 14, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Melissa J BloomerLaura Brooks
Aug 16, 2021·International Journal of Nursing Studies·Kat MillwardLeanne M Aitken

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