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Lived experiences of surviving in‐hospital cardiac arrest
Author(s) -
Bremer Anders,
Dahné Tova,
Stureson Lovisa,
Årestedt Kristofer,
Thylén Ingela
Publication year - 2019
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/scs.12616
Subject(s) - loneliness , abandonment (legal) , existentialism , feeling , interpretative phenomenological analysis , psychology , vulnerability (computing) , cardiopulmonary resuscitation , distress , grief , meaning (existential) , qualitative research , medicine , psychotherapist , social psychology , resuscitation , sociology , emergency medicine , social science , philosophy , computer security , epistemology , political science , computer science , law
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.