Evidence map›Paper›PMID 41741373›Full record

SynthesisJournal of clinical nursing2026

Re-Engaging in Activities of Daily Living After Critical Illness: A Qualitative Review.

Mitchell Williams, Luke Wakely, Susan Heaney, Elesa Crowley, Leanne J Brown

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Mitchell WilliamsCollege of Health, Medicine and Well Being, University of Newcastle, Newcastle, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5606-4842
Luke WakelyUniversity of Newcastle Department of Rural Health, Tamworth, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4212-4859
Susan HeaneyUniversity of Newcastle Department of Rural Health, Port Macquarie, New South Wales, Australia.ORCID https://orcid.org/0000-0001-8206-4080
Elesa CrowleyTamworth Hospital, New South Wales Health, Tamworth, New South Wales, Australia.
Leanne J BrownUniversity of Newcastle Department of Rural Health, Tamworth, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4340-2320

Funding

University of Newcastle Australia
6 · The paper itself

Abstract

aimTo explore the qualitative literature regarding the experiences of survivors of critical illness re-engaging in activities of daily living.

designQualitative systematic review.

methodsDatabases were searched with three broad categories of search terms: (1) critical illness, (2) activities of daily living, and (3) participant experiences. Articles were included if they reported qualitative data on the experiences of adults who were re-engaging with activities of daily living after admission to an intensive care unit. The findings from these studies were thematically analysed. DATA SOURCES: A search of Medline, Embase, CINAHL, PsycINFO and AMED was conducted on the 9th September 2024.

resultsAfter removing duplicates, the literature search identified 6267 articles. The full texts of 120 articles were reviewed, and 44 were included for data extraction. Thematic analysis identified three themes: (1) loss of autonomy, (2) striving to reclaim independence, and (3) shifting familial dynamics and imposing a burden.

conclusionSurvivors of critical illness face significant challenges when re-engaging with daily activities. The effort to regain autonomy often leads to feelings of helplessness and a reluctance to engage in both daily tasks and social activities. The emotional burden of dependence and the perception of being a burden further complicate their recovery. IMPLICATIONS FOR THE PROFESSION: Health services should focus on integrating physical rehabilitation, mealtime support, and cognitive and psychological therapy to effectively cater to the diverse needs of critical illness survivors and their families. IMPACT: This review highlights the complex challenges of re-engaging in activities of daily living after critical illness and emphasises the need for multidisciplinary rehabilitation to improve physical, cognitive, and emotional recovery. REPORTING

methodReporting of this review followed the ENTREQ checklist, in accordance with EQUATOR guidelines. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Indexed as

Activities of Daily LivingCritical IllnessSurvivorsHumansIntensive Care UnitsQualitative Researchactivities of daily livingcritical illnessfunctional recoverypatient experience

Identifiers

PMID41741373
PMCPMC13353746

What OpenQuestion holds

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LicenceCC BY-NC
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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.