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Ways of understanding cognitive impairment in cardiac arrest survivors: a phenomenographic study
Linköping University, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (iCARE)ORCID iD: 0000-0001-7865-3480
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linnaeus University, Linnaeus Knowledge Environments, Sustainable Health. Region Kalmar County, Sweden.ORCID iD: 0000-0002-0961-5250
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
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2021 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 63, article id 102994Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

Aim: To describe the variation in ways that registered nurses perceive and understand cognitive impair- ment in cardiac arrest survivors.

Design: A qualitative, inductive design with individual semi-structured interviews was applied. Data was analysed using a phenomenographic approach.

Setting: The participants were nineteen Swedish registered nurses, experienced in cardiovascular care and providing follow-up care.

Findings: The nurses perceived the cognitive impairment of the survivors in qualitatively different ways, as illustrated in two categories: ‘The perceptible and obvious’ and ‘The elusive and challenging’. The nurses perceived a variety of signs of cognitive impairment, emotional expressions related to these, and recovery from cognitive impairment. They perceived confidence in capturing cognitive function when they understood the signs of cognitive impairment as severe and obvious. However, it was per- ceived as difficult to assess cognitive function when impairments were subtle, resulting in uncertainty in terms of how to make assessments. Nurses made use of their own strategies for assessments, which were sometimes found to be inadequate when they understood that they had misinterpreted the sur- vivors’ cognitive impairment.

Conclusion: Nurses feel uncertainty regarding detecting mild impairment in cardiac arrest survivors. By involving next of kin, nurses will gain a broader understanding of survivors’ cognitive function.

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 63, article id 102994
Keywords [en]
Cardiac arrest, Cognition, Cognitive impairment, Follow-up care, Nursing, Phenomenography, Qualitative method
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-99653DOI: 10.1016/j.iccn.2020.102994ISI: 000632425200002PubMedID: 33342651Scopus ID: 2-s2.0-85099519856Local ID: 2020OAI: oai:DiVA.org:lnu-99653DiVA, id: diva2:1511712
Available from: 2020-12-20 Created: 2020-12-20 Last updated: 2023-04-17Bibliographically approved

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Bremer, AndersÅrestedt, KristoferGunnarsson, Lise-Lotte

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