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From hope and expectation to unexpected death after cardiac surgery.

Ivarsson, Bodil LU ; Larsson, Sylvia LU ; Johnsson, Per; Lührs, Carsten LU and Sjöberg, Trygve LU (2008) In Intensive & Critical Care Nursing
Abstract
OBJECTIVE: Relatives of patients undergoing cardiac surgery expect successful outcome but sometimes complications cause death. The aim was to interview relatives of patients who have died in connection with cardiac surgery and describe their experiences of information, reception and care. METHODS: Data were obtained from semi-structured interviews with 18 relatives of deceased patients and then analysed using qualitative content analysis. RESULTS: Two main groups emerged: "Analysing the situation" with the sub-groups: knowledge of cardiac disease, the road to operation, hope and despair, information and choice and "The thin thread of life" with the sub-groups, reception, life is over, care, death as a relief, cause of death and support.... (More)
OBJECTIVE: Relatives of patients undergoing cardiac surgery expect successful outcome but sometimes complications cause death. The aim was to interview relatives of patients who have died in connection with cardiac surgery and describe their experiences of information, reception and care. METHODS: Data were obtained from semi-structured interviews with 18 relatives of deceased patients and then analysed using qualitative content analysis. RESULTS: Two main groups emerged: "Analysing the situation" with the sub-groups: knowledge of cardiac disease, the road to operation, hope and despair, information and choice and "The thin thread of life" with the sub-groups, reception, life is over, care, death as a relief, cause of death and support. CONCLUSION: Most relatives were satisfied with the information and care in connection with the operation and at the end of life. However, some aspects such as inadequate pain control and transportation of critically ill patients to other wards and hospitals could be improved. One way is to introduce a co-ordinator in order to better support patients, next of kin and colleagues without experience of cardio-thoracic surgery who need help during the patients' way from diagnosis and acceptance of cardiac surgery and through the treatment and postoperative care. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
in
Intensive & Critical Care Nursing
publisher
Elsevier
external identifiers
  • pmid:18387301
  • scopus:52049104707
ISSN
1532-4036
DOI
10.1016/j.iccn.2008.02.002
language
English
LU publication?
yes
id
a86a1ac2-f9f7-4dd0-8e6e-1b546f01edc2 (old id 1147813)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18387301?dopt=Abstract
date added to LUP
2008-05-08 11:21:58
date last changed
2017-01-01 07:31:35
@article{a86a1ac2-f9f7-4dd0-8e6e-1b546f01edc2,
  abstract     = {OBJECTIVE: Relatives of patients undergoing cardiac surgery expect successful outcome but sometimes complications cause death. The aim was to interview relatives of patients who have died in connection with cardiac surgery and describe their experiences of information, reception and care. METHODS: Data were obtained from semi-structured interviews with 18 relatives of deceased patients and then analysed using qualitative content analysis. RESULTS: Two main groups emerged: "Analysing the situation" with the sub-groups: knowledge of cardiac disease, the road to operation, hope and despair, information and choice and "The thin thread of life" with the sub-groups, reception, life is over, care, death as a relief, cause of death and support. CONCLUSION: Most relatives were satisfied with the information and care in connection with the operation and at the end of life. However, some aspects such as inadequate pain control and transportation of critically ill patients to other wards and hospitals could be improved. One way is to introduce a co-ordinator in order to better support patients, next of kin and colleagues without experience of cardio-thoracic surgery who need help during the patients' way from diagnosis and acceptance of cardiac surgery and through the treatment and postoperative care.},
  author       = {Ivarsson, Bodil and Larsson, Sylvia and Johnsson, Per and Lührs, Carsten and Sjöberg, Trygve},
  issn         = {1532-4036},
  language     = {eng},
  month        = {03},
  publisher    = {Elsevier},
  series       = {Intensive & Critical Care Nursing},
  title        = {From hope and expectation to unexpected death after cardiac surgery.},
  url          = {http://dx.doi.org/10.1016/j.iccn.2008.02.002},
  year         = {2008},
}