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Lived experiences of surviving in-hospital cardiac arrest
Linnaeus Univ, Fac Hlth & Life Sci, Kalmar Vaxjo, Sweden;Kalmar Cty Council, Div Emergency Med Serv, Kalmar, Sweden.ORCID iD: 0000-0001-7865-3480
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care. Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden;Linkoping Univ, Dept Anaesthesiol & Intens Care, Linkoping, Sweden.
Linnaeus Univ, Fac Hlth & Life Sci, Kalmar Vaxjo, Sweden;Kalmar Cty Council, Res Sect, Kalmar, Sweden.
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2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 1, p. 156-164Article in journal (Refereed) Published
Abstract [en]

Background: Out-of-hospital cardiac arrest survivors suffer from psychological distress and cognitive impairments. They experience existential insecurity and vulnerability and are striving to return to a life in which well-being and the meaning of life have partly changed. However, research highlighting the experiences of in-hospital cardiac arrest survivors is lacking. This means that evidence for postresuscitation care has largely been extrapolated from studies on out-of-hospital cardiac arrest survivors, without considering potential group differences. Studies investigating survivors' experiences of an in-hospital cardiac arrest are therefore needed.

Aim: To illuminate meanings of people's lived experiences of surviving an in-hospital cardiac arrest.

Design: An explorative, phenomenological hermeneutic method to illuminate meanings of lived experiences.

Method: Participants were identified through the Swedish national register of cardiopulmonary resuscitation and recruited from two hospitals. A purposive sample of eight participants, 53-99 years old, who survived an in-hospital cardiac arrest 1-3 years earlier, was interviewed.

Findings: The survivors were striving to live in everyday life and striving for security. The struggle to reach a new identity meant an existence between restlessness and a peace of mind, searching for emotional well-being and bodily abilities. The search for existential wholeness meant a quest for understanding and explanation of the fragmented cardiac arrest event and its existential consequences. The transition from hospital to home meant a transition from care and protection to uncertainty and vulnerability with feelings of abandonment, which called for a search for security and belonging, away from isolation and loneliness.

Conclusion: Surviving an in-hospital cardiac arrest can be further understood by means of the concept of hospital-to-home transition. Following hospital discharge, patients felt vulnerable and abandoned when pending between denial and acceptance of the 'new' life. Hence, the healthcare system should play a significant role when it comes to facilitate cardiac arrest survivors' security during hospital-to-home transition.

Place, publisher, year, edition, pages
2019. Vol. 33, no 1, p. 156-164
Keywords [en]
cardiac arrest, hospitals, lived experiences, nursing, phenomenological hermeneutics
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-381839DOI: 10.1111/scs.12616ISI: 000462154100016PubMedID: 30329171OAI: oai:DiVA.org:uu-381839DiVA, id: diva2:1305047
Funder
Swedish Heart Lung FoundationMedical Research Council of Southeast Sweden (FORSS)Available from: 2019-04-15 Created: 2019-04-15 Last updated: 2019-04-15Bibliographically approved

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