Intensive and Critical Care Nursing
Volume 24, Issue 4 , Pages 233-241, August 2008

Re-visiting the ICU:

Experiences of follow-up visits to an ICU after discharge: A qualitative study

  • Åsa Engström

      Affiliations

    • Division of Nursing, Department of Health Science, Luleå University of Technology, SE-971 87 Luleå, Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46 920 49 38 75; fax: +46 920 49 38 50.
  • ,
  • Staffan Andersson

      Affiliations

    • Division of Medical Science, Department of Health Science, Luleå University of Technology, SE-971 87 Luleå, Sweden
  • ,
  • Siv Söderberg

      Affiliations

    • Division of Nursing, Department of Health Science, Luleå University of Technology, SE-971 87 Luleå, Sweden

Accepted 12 March 2008.

Summary 

The aim of this study is to describe how people who have been critically ill, and their close relatives experience a post-discharge, follow-up visit to the intensive care unit (ICU) that provided the care. There is a lack of studies from such a standpoint. The study design is qualitative. A total of 18 adults participated; nine had been critically ill and nine were close relatives, all made a post-discharge follow-up visit to an ICU in the northern part of Sweden. The study data was collected through personal interviews, conducted after the follow-up visit, using a narrative approach. The data were then subjected to qualitative thematic content analysis which resulted in four themes: receiving strength from returning together; making sense of the critical-illness experience; feeling grateful to have survived and the possibility of improving the care. People who had been critically ill and close relatives felt that returning together was valuable. Meeting the staff, with whom participants felt they had developed a relationship, made it possible for them to express their gratitude for the treatment and nursing care received, and to suggest improvements. The interviews revealed that the follow-up visit was seen as an important way of learning what had happened and why during the period of critical illness.

Keywords: Intensive care, Follow-up visit, Critical illness, Experience, Qualitative thematic content analysis

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PII: S0964-3397(08)00029-3

doi:10.1016/j.iccn.2008.03.002

Intensive and Critical Care Nursing
Volume 24, Issue 4 , Pages 233-241, August 2008