Evidence map›Paper›PMID 34343884›Full record

SynthesisInternational journal of nursing studies2021

Delirium-related distress in the ICU: A qualitative meta-synthesis of patient and family perspectives and experiences.

Leanne M Boehm, Abigail C Jones, Abeer A Selim, Claudia Virdun, Cornelia F Garrard, Rachel L Walden, E Wesley Ely, Annmarie Hosie

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of nursing studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 9 pooled it
8.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 9 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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  7. Promoting patient-centered care in CAR-T therapy for hematologic malignancy: a qualitative meta-synthesis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Leanne M BoehmCritical illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, 461 21st Avenue South, 419 Godchaux Hall, Nashville, TN 37240, USA; Vanderbilt University School of Nursing, Nashville, TN, USA. Electronic address: leanne.boehm@vanderbilt.edu.
Abigail C JonesCritical illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, 461 21st Avenue South, 419 Godchaux Hall, Nashville, TN 37240, USA; Vanderbilt University School of Nursing, Nashville, TN, USA. Electronic address: abigail.c.jones@vanderbilt.edu.
Abeer A SelimCollege of Nursing- Riyadh, King Saud Bin Absulaziz University for Health Sciences, Riyadh, Saudi Arabia; Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Dakahlia Governorate, Egypt. Electronic address: abeer_ai_selim_again@yahoo.com.
Claudia VirdunCancer and Palliative Care Outcomes Centre in the Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Australia. Electronic address: claudia.virdun@qut.edu.au.
Cornelia F GarrardVanderbilt University School of Nursing, Nashville, TN, USA. Electronic address: cornelia.f.garrard@vanderbilt.edu.
Rachel L WaldenEskind Biomedical Library, Vanderbilt University, Nashville, TN, USA. Electronic address: rachel.l.walden@vanderbilt.edu.
E Wesley ElyCritical illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, 461 21st Avenue South, 419 Godchaux Hall, Nashville, TN 37240, USA; Geriatric Research Education Clinical Center, Tennessee Valley Health System, Nashville, TN, USA; Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: wes.ely@vumc.org.
Annmarie HosieSchool of Nursing Sydney, The University of Notre Dame Australia, Darlinghurst, NSW, Australia; The Cunningham Centre for Palliative Care, St Vincent's Health Network Sydney, Darlinghurst, NSW, Australia; University of Technology Sydney, IMPACCT - Improving Palliative, Aged and Chronic Care through Research and Translation, Faculty of Health, Ultimo, NSW, Australia. Electronic address: annmarie.hosie1@nd.edu.au.
Vanderbilt University · USVanderbilt University Medical Center · USKing Saud bin Abdulaziz University for Health Sciences · SAQueensland University of Technology · AUThe University of Notre Dame Australia · AUVA Tennessee Valley Healthcare System · US

Funding

Vanderbilt Scholars in T4 Translational Research (V-STTaR) ProgramK12HL137943 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL, ROUMIE, CHRISTIANNE L. · 2017 to 2021
$2.9M
NHLBI NIH HHS K12 HL137943
6 · The paper itself

Abstract

backgroundBetter understanding of patient and family member experiences of delirium and related distress during critical care is required to inform the development of targeted nonpharmacologic interventions.

objectiveTo examine and synthesize qualitative data on patient and family member delirium experiences and relieving factors in the Intensive Care Unit (ICU).

designWe conducted a systematic review and qualitative meta-synthesis. Eligible studies contained adult patient or family quotes about delirium during critical care, published in English in a peer-reviewed journal since 1980. Data sources included PubMed, Embase, CINAHL, PsycINFO, Web of Science, Cochrane and Clinicaltrials.gov.

methodsSystematic searches yielded 3238 identified articles, of which 14 reporting 13 studies were included. Two reviewers independently extracted data into a Microsoft Excel spreadsheet. Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes, organization of codes into descriptive themes, and development of analytical themes. Five patients/family members with experience of ICU delirium contributed to the thematic analysis.

resultsQualitative meta-synthesis resulted in four major themes and two sub-themes. Key new patient and family-centric insights regarding delirium-related distress in the ICU included articulation of the distinct emotions experienced during and after delirium (for patients, predominantly fear, anger and shame); its 'whole-person' nature; and the value that patients and family members placed on clinicians' compassion, communication, and connectedness.

conclusionsDistinct difficult emotions and other forms of distress are experienced by patients and families during ICU delirium, during which patients and families highly value human kindness and empathy. Future studies should further explore and address the many facets of delirium-related distress during critical care using these insights and include patient-reported measures of the predominant difficult emotions.

Indexed as

DeliriumIntensive Care UnitsAdultCritical CareFamilyHumansPatientsQualitative ResearchCaregiver supportCritical careDeliriumMeta synthesisNursingPsychologicalQualitative studiesStressSystematic review

Identifiers

PMID34343884
PMCPMC8440491
OpenAlexW3177671633

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.