The experience of sudden cardiac arrest: Becoming reawakened to life

Ketilsdóttir, Auður; Albertsdóttir, Hildur Rut; Ákadóttir, Sólveig Helga; Gunnarsdóttir, Þóra Jenný; Jónsdóttir, Helga

doi:10.1177/1474515113504864

Cited by 38 publications

(67 citation statements)

References 27 publications

(54 reference statements)

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“…This study shows that patients who suffer a cardiac arrest in hospital would like to receive information about what has happened. This is consistent with previous research on patients suffering a cardiac arrest outside the hospital context (Bremer et al, ; Dougherty et al, ; Forslund et al, ; Ketilsdottir et al, ; Palacios‐Cena et al, ; Uren & Galdas, ). Although the patients could rarely remember who had informed them, it was important for them to get information; they were less concerned about who should present the information.…”

Section: Discussionsupporting

confidence: 92%

“…Many patients were afraid that they could have another cardiac arrest, which has also been shown in previous research on patients who had a cardiac arrest outside hospital (Bremer et al, ; Ketilsdottir et al, ). The question is whether this fear can be reduced.…”

Section: Discussionsupporting

confidence: 53%

“…Our study shows that patients who suffered from cardiac arrest in hospitals have difficulty understanding what has happened. They realise that they could have died and they seek further information as Bremer et al () and Ketilsdottir et al () made clear among patients suffering from cardiac arrest outside the hospital. Ketilsdottir et al (), as well as our study, show that patients have difficulty remembering what has happened and greatly appreciated exchanging experiences with other people.…”

Section: Discussionmentioning

confidence: 99%

“…They realise that they could have died and they seek further information as Bremer et al () and Ketilsdottir et al () made clear among patients suffering from cardiac arrest outside the hospital. Ketilsdottir et al (), as well as our study, show that patients have difficulty remembering what has happened and greatly appreciated exchanging experiences with other people. Patients suffering from cardiac arrest both outside and in hospitals seem to have similar questions concerning their cardiac arrest.…”

Section: Discussionmentioning

confidence: 99%

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Revealed by degrees: Patients’ experience of receiving information after in‐hospital cardiac arrest

Klint

Sjöland

Axelsson

2019

Journal of Clinical Nursing

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Aims and objectives To describe patients’ experience of receiving information about the event after having a cardiac arrest in hospital. Background In Sweden, approximately 2,600 people per year experience cardiac arrest in hospital. After a cardiac arrest, the patient is entitled to receive information about what has occurred. This information must be provided in a way that does not do the patient more harm than good. In order to provide information to patients in a satisfactory manner for them, knowledge about how patients react to information in this situation is valuable. Design We used a qualitative approach with interviews and content analysis. Methods Twenty patients participated in face‐to‐face interviews analysed by content analysis. Consolidated criteria for reporting qualitative studies were used. Results The analysis resulted in three categories: Getting the information gradually, Understanding information received and Seeking clarity. The subcategories that emerged were as follows: Indirect information, Short and direct information, Explanatory information, Lack of information, Unsatisfactory information, Hard‐to‐understand information, Insight, Unanswered questions, Hard‐to‐formulate questions, Requesting information and Searching independently for knowledge. Conclusions The patients needed gradual and repeated information during their hospitalisation, and repeated information was continually required after their discharge from hospital. Whether or how the information was given varied. The patients’ experience was that they sometimes lacked opportunities for conversation and asking questions, while they also found it hard to formulate questions. Patients who have a cardiac arrest in hospital appear to have similar information needs to patients whose cardiac arrest takes place outside the hospital context. Relevance to clinical practice Information on the patient's cardiac arrest should be given in gradual stages, according to the patient's needs. The information needs to be repeated during the hospital stay and after discharge. Healthcare professional should gain insight into patients’ responses and create information that is adapted to the individual.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Revealed by degrees: Patients’ experience of receiving information after in‐hospital cardiac arrest

Klint

Sjöland

Axelsson

2019

Journal of Clinical Nursing

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“…There are several studies regarding patients surviving critical illness in the ICU. What those critical illness survivors and CA survivors have in common is that all of them have been really close to death . These studies have illuminated that critical illness survivors—such as the participants in the present study—struggle with emotional reactions associated with not having a coherent picture of what happened to them .…”

Section: Comprehensive Understandingmentioning

confidence: 58%

Lived experiences of surviving in‐hospital cardiac arrest

Bremer

Dahné

Stureson

et al. 2018

Scandinavian Caring Sciences

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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.

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Patients' knowledge and concerns about using the implantable cardioverter defibrillator for the primary prevention of sudden cardiac death and its correlates: A cross‐sectional study

Zakeri

Sedri

Bazmandegan

et al. 2022

Health Science Reports

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Background and Aims Sudden cardiac death (SCD) is one of the most common causes of mortality in heart failure (HF) patients with reduced ejection fraction. Patients have concerns about the disease and use the implantable cardioverter defibrillator (ICD) to reduce the effects of HF disease. The current study aims to evaluate the barriers and factors affecting the implantation of the ICD for primary prevention. Methods One hundred‐forty‐seven patients with HF were studied in public hospitals in southern Iran by using a cross‐sectional design from April 2018 to June 2019. Demographic, researcher‐made questionnaire, World Health Organization Quality of life‐BREF (WHOQOL‐BREF), general self‐efficacy questionnaires, and Multidimensional Scale of Perceived Social Support (MSPSS) were measured for investigating the barriers and impact factors in patent HF. Results Most participants were male (56.5%), married (88.4%), illiterate (54.1%), and unemployed (72.6%). 62.6% ( n = 92) of the participants did not know about HF and ICD. The total score of patients' concerns about using ICD was 47.11 ± 11.26, which showed a moderate level. The scores of knowledge about HF and ICD had a significant positive poor correlation with self‐efficacy, perceived social support and QoL. Also, the score of concerns about the ICD had a significant negative poor correlation with perceived social support. Conclusion Understanding HF patients' issues and obstacles can help us prevent sudden death. Doctors' advice has a significant impact on patients' acceptance. Poor knowledge is the most important reason for nonparticipation. Intervention is necessary to inform patients to understand the advantages and disadvantages.

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The experience of sudden cardiac arrest: Becoming reawakened to life

Abstract: The findings illustrate complex effects of the cardiac arrest on the survivor's life. Support after hospital discharge needs to be organized in a more structured fashion. The need for security and support was fundamental and should be addressed with continuity and vigilance in health care.

Cited by 38 publications

References 27 publications

Revealed by degrees: Patients’ experience of receiving information after in‐hospital cardiac arrest

Revealed by degrees: Patients’ experience of receiving information after in‐hospital cardiac arrest

Lived experiences of surviving in‐hospital cardiac arrest

Patients' knowledge and concerns about using the implantable cardioverter defibrillator for the primary prevention of sudden cardiac death and its correlates: A cross‐sectional study

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