The user experience of critical care discharge: A meta-synthesis of qualitative research

Journal article

Bench, S and Day, T (2010). The user experience of critical care discharge: A meta-synthesis of qualitative research. International Journal of Nursing Studies. 47 (4), pp. 487-499. https://doi.org/10.1016/j.ijnurstu.2009.11.013
AuthorsBench, S and Day, T
Abstract

Objectives: This review identifies the most significant factors, which impact upon the user
experience of progress and recovery from critical illness during the first month after
discharge from critical care, and discusses these in relation to the development of effective
critical care discharge support strategies.
Design: Meta-synthesis of qualitative primary research.
Data sources: Qualitative research published in English between 1990 and 2009 was
identified using online databases: CINAHL, MEDLINE, EMBASE, British Nursing Index,
CDSR, ACP Journal Club, Cochrane library, Social Policy and Practice and PsycInfo. Studies
of adult patients, relatives/carers/significant others, which focused on experiences after
discharge from an intensive care or high dependency unit to a general ward were
retrieved.
Review methods: Following screening against inclusion/exclusion criteria, methodological
appraisal of studies was conducted using a published framework. Ten studies met the
criteria for inclusion.
Results: Five key themes emerged from the meta-synthesis: physical and psychological
symptoms; making progress; the need to know; and safety and security.
Conclusions: Findings from this meta-synthesis and other related literature supports the
existence of physical and psychological problems in the immediate period following
discharge from critical care to the ward, and suggests that patients and their families have
a desire for more control over their recovery. However, this desire is countered by a need to
feel safe and protected, culminating in an expression of dependence on healthcare staff.
Any effective support strategy needs to take account of these findings.

Keywords1110 Nursing; Nursing
Year2010
JournalInternational Journal of Nursing Studies
Journal citation47 (4), pp. 487-499
PublisherElsevier
ISSN0020-7489
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ijnurstu.2009.11.013
Publication dates
Print01 Apr 2010
Publication process dates
Deposited05 Dec 2017
Accepted15 Nov 2009
Accepted author manuscript
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Open
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