ArticleScandinavian journal of caring sciences2026
Navigating ICU Survival With a Temporary Tracheostomy. A Phenomenological Hermeneutic Study.
Article in Scandinavian journal of caring sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionAdult intensive care unit survivors who were mechanically ventilated with a temporary tracheostomy tube have reported distressing physical discomfort, emotional strain and communication challenges during and after ICU discharge.
aimTo reveal the meaning of the lived experiences of ICU adult survivors in and after ICU discharge.
methodsIndividual interviews were conducted with a purposive sample of eight adult ICU survivors from a medical-surgical ICU at a Norwegian university hospital. The theory of interpretation of the French philosopher Paul Ricoeur inspired the analysis.
findingsThe analysis resulted in two themes and six sub-themes. The first theme, 'ICU survivors' reflections on support and care', consists of the sub-themes: compassionate nursing as affirmation of personhood and family presence as existential anchor. The second theme, 'From critical care to uncertainty', consisted of sub-themes: voicelessness as existential isolation, transition as existential dislocation and ICU survivors' vulnerability in transition.
conclusionAdult ICU survivors had ambivalent emotions about their ICU stay. The narratives reveal the multifaceted struggles of ICU survivors, including physical impairments, psychological challenges and communication barriers. Further research is needed to understand the meaning of being a critically ill patient with a temporary tracheostomy in both the ICU and general wards.
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