{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:34:04Z","timestamp":1781660044860,"version":"3.54.5"},"reference-count":43,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2007,2,21]],"date-time":"2007-02-21T00:00:00Z","timestamp":1172016000000},"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 Clinical Nursing"],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:p><jats:bold>Aims and objectives.\u2002<\/jats:bold> To establish patients\u2019 experiences after discharge from critical care and to evaluate implementation of a follow\u2010up service.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> Government recommendations advise critical care follow\u2010up to prevent readmission and address problems after discharge. Admission to critical care results in significant psychological and physiological sequelae.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold> A prospective, longitudinal and exploratory study of surgical cancer patients requiring &gt;48\u2003hours in critical care. Qualitative interviews were conducted and short questionnaires were used.<\/jats:p><jats:p><jats:bold>Methods.\u2002<\/jats:bold> Patient Expert Advisory Groups were invited to participate in research design. Patients were visited in the ward at days 1 and 5 after discharge, invited to nurse\u2010led follow\u2010up clinic and interviewed at three and six months. Short questionnaires were administered at six and 12\u2003months.<\/jats:p><jats:p><jats:bold>Findings.\u2002<\/jats:bold> Twenty\u2010seven patients participated in the study. All patients experienced benefit from the service. Emergent themes included: rehabilitation from critical care: physiological issues and needs, memories: real and unreal, uncertainty and fear and empathy. A core theme of reassurance was underlying through the research. Issues while in critical care included: the need for nursing presence, nightmares, delusions, confusion, fear of ward transfer, inability to remember, disorientation and being prepared for the experience. After discharge, issues shifted to longer term needs. Psychological support, in the form of the follow\u2010up clinic, proved useful. The ability to move on with life after discharge varied and uncertainty about the future and their cancer had an impact upon this. Recovery was made easier through the follow\u2010up clinic. Patients required reassurances that their experiences were valid and also wanted reassurances about their cancer.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold> Critical care causes various difficulties for patients that may impinge on recovery. Incorporating patients into the design process helps identify needs more closely. Follow\u2010up proved beneficial and highlighted the role nurses have in improving patient experiences after discharge from critical care. Nurses should be vigilant for both immediate and longer\u2010term needs.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> This research into nurse\u2010led follow\u2010up clinics after critical care highlights an important, and often neglected, part of the critical illness continuum. Attending such clinics may help reassure patients after discharge from critical care.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2006.01589.x","type":"journal-article","created":{"date-parts":[[2007,2,21]],"date-time":"2007-02-21T13:37:13Z","timestamp":1172065033000},"page":"2122-2131","source":"Crossref","is-referenced-by-count":40,"title":["After critical care: a study to explore patients\u2019 experiences of a follow\u2010up service"],"prefix":"10.1111","volume":"16","author":[{"given":"Natalie A","family":"Pattison","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley","family":"Dolan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Townsend","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Townsend","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,2,21]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Critical to Success. 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