{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T21:34:57Z","timestamp":1778621697533,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2006,2,22]],"date-time":"2006-02-22T00:00:00Z","timestamp":1140566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:p><jats:bold>Aim.\u2002<\/jats:bold> This paper reports a study to describe and interpret the meaning of being on long\u2010term mechanical ventilation.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> Patients who require mechanical ventilation in a critical care unit for prolonged periods of time are typically sicker than those who are ventilated for shorter periods. Despite advances in treatment modalities for critically ill patients, many still require long\u2010term mechanical ventilation for 7\u2003days or more. Therefore, caring for a long\u2010term ventilated patient is often an everyday occurrence for critical care nurses; however, there is insufficient evidence of the meaning of this experience from a patient perspective.<\/jats:p><jats:p><jats:bold>Method.\u2002<\/jats:bold> We used an ontological phenomenological approach informed by the ideas of Heidegger. Data were collected using unstructured audio\u2010taped interviews with nine former patients from critical care units unit in Queensland, Australia. The data were collected between January 2000 and December 2001 and analysed thematically using the method developed by van Manen.<\/jats:p><jats:p><jats:bold>Findings.\u2002<\/jats:bold> Thematic analysis revealed four themes. This paper presents the findings from the theme titled \u2018existing in an uneveryday world\u2019, which revealed what it meant for participants to exist, live through and survive the many physiological and psychological effects arising from their critical illness episode. For the most part, this was an unpleasant and frightening experience that involved bizarre nightmares and inability to distinguish time, place and the familiar body; disagreeable effects from the technology used and patient care activities; and reliance on external agents for survival. In addition, participants reported how they questioned their chances of surviving the critical illness ordeal.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold> There is a need for further research in the areas of sedative and analgesic management in critically ill patients, methods of communicating with intubated and mechanically ventilated patients, and debriefing and follow\u2010up support services for survivors.<\/jats:p>","DOI":"10.1111\/j.1365-2648.2006.03757.x","type":"journal-article","created":{"date-parts":[[2006,2,22]],"date-time":"2006-02-22T13:53:38Z","timestamp":1140616418000},"page":"551-558","source":"Crossref","is-referenced-by-count":57,"title":["Long\u2010term mechanical ventilation in a critical care unit: existing in an uneveryday world"],"prefix":"10.1111","volume":"53","author":[{"given":"Patricia","family":"Johnson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winsome","family":"St 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