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Trapped in a disrupted normality : survivors' and partners' experiences of life after a sudden cardiac arrest
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Whitehead, Laura, Tierney, Stephanie, Biggerstaff, Deborah, Perkins, Gavin D. and Haywood, Kirstie L. (2020) Trapped in a disrupted normality : survivors' and partners' experiences of life after a sudden cardiac arrest. Resuscitation, 147 . pp. 81-87. doi:10.1016/j.resuscitation.2019.12.017 ISSN 0300-9572.
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WRAP-trapped-disrupted-survivors-sudden-cardiac-Haywood-2020.pdf - Accepted Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (1314Kb) | Preview |
Official URL: https://doi.org/10.1016/j.resuscitation.2019.12.01...
Abstract
Aim of the study
Advances in resuscitation science have resulted in a growing number of out-of-hospital cardiac arrest (OHCA) survivors. However, we know very little about the natural history of recovery and the unmet needs of survivors and their partners. This qualitative study sought to address this knowledge gap to improve understanding of the consequences of surviving cardiac arrest.
Methods
In-depth qualitative interviews were undertaken separately with survivors and their partners between 3 and 12-months following the cardiac arrest. An interpretative phenomenological approach (IPA) to data analysis was adopted. Developing themes were discussed between members of the research team.
Results
8 survivors (41–79 years; 5 male; mean time 6.3 months post-hospital discharge) and 3 partners (1 male) were interviewed. The key (super-ordinate) theme of being ‘trapped in a disrupted normality’ was identified within the data. Five related subordinate themes included: existential impact, physical ramifications, emotional consequences, limiting participation in social activities and altered family roles.
Conclusion
Recovery for survivors is hindered by a wide range of physical, emotional, cognitive, social and spiritual challenges that disrupt perceptions of ‘normality’. Survivors and their carers may benefit from focussing on establishing a ‘new normal’ rather than striving to achieve a pre-cardiac social and physical position. Survivor-centred assessment should support rather than undermine this goal.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing |
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| Library of Congress Subject Headings (LCSH): | Cardiac arrest , Near-death experiences, Cardiac resuscitation | ||||||||
| Journal or Publication Title: | Resuscitation | ||||||||
| Publisher: | Elsevier Ireland Ltd | ||||||||
| ISSN: | 0300-9572 | ||||||||
| Official Date: | 1 February 2020 | ||||||||
| Dates: |
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| Volume: | 147 | ||||||||
| Page Range: | pp. 81-87 | ||||||||
| DOI: | 10.1016/j.resuscitation.2019.12.017 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 24 January 2020 | ||||||||
| Date of first compliant Open Access: | 27 December 2020 | ||||||||
| Funder: | N/a | ||||||||
| Grant number: | N/a |
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