{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:48:14Z","timestamp":1788871694748,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,12,9]],"date-time":"2013-12-09T00:00:00Z","timestamp":1386547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010805","name":"Medical Research Council of Southeast Sweden","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Carldavid J\u00f6nsson's Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore future reflections of spouses living with an implantable cardioverter defibrillator recipient with focus on the end\u2010of\u2010life phase in an anticipated palliative phase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A history of or risk for life\u2010threatening arrhythmias may require an implantable cardioverter defibrillator. Despite the life\u2010saving capacity of the device, eventually life will come to an end. As discussion about preferences of shock therapy at end\u2010of\u2010life phase seldom takes place in advance, the implantable cardioverter defibrillator recipients may face defibrillating shocks in the final weeks of their lives, adding to stress and anxiety in patients and their families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study with in\u2010depth interviews analysed with a content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Interviews were performed with 18 spouses of medically stable implantable cardioverter defibrillator recipients during 2011\u20132012.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The spouses described how they dealt with changes in life and an uncertain future following the implantable cardioverter defibrillator implantation. Six subcategories conceptualized the spouses\u2019 concerns: Aspiring for involvement; Managing an altered relationship; Being attentive to warning signs; Worries for deterioration in the partner's health; Waiting for the defibrillating shock; and Death is veiled in silence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the partner's serious state of health; terminal illness or death and the role of the device was seldom discussed with healthcare professionals or the implantable cardioverter defibrillator recipient. Open and honest communication was requested as important to support coping with an unpredictable life situation and to reduce worries and uncertainty about the future and end\u2010of\u2010life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.12330","type":"journal-article","created":{"date-parts":[[2013,12,9]],"date-time":"2013-12-09T20:44:42Z","timestamp":1386621882000},"page":"1758-1769","source":"Crossref","is-referenced-by-count":16,"title":["Spouses\u2019 reflections on Implantable Cardioverter Defibrillator treatment with focus on the future and the end\u2010of\u2010life: a qualitative content analysis"],"prefix":"10.1111","volume":"70","author":[{"given":"Christina","family":"Fluur","sequence":"first","affiliation":[{"name":"Department of Cardiology UHL County Council of \u00d6sterg\u00f6tland Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00e4rstin","family":"Bolse","sequence":"additional","affiliation":[{"name":"School of Social and Health Sciences Halmstad University Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Str\u00f6mberg","sequence":"additional","affiliation":[{"name":"Department of Cardiology UHL County Council of \u00d6sterg\u00f6tland Link\u00f6ping Sweden"},{"name":"Division of Nursing Sciences Department of Medicine and Health Sciences Faculty of Health Sciences Link\u00f6ping University Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingela","family":"Thyl\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Cardiology UHL County Council of \u00d6sterg\u00f6tland Link\u00f6ping Sweden"},{"name":"Division of Nursing Sciences Department of Medicine and Health Sciences Faculty of Health Sciences Link\u00f6ping University Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,12,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2006.00409.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2010.03540.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515112457133"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq316"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2010.02885.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.10.044"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e318239f629"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2004.10.002"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afi054"},{"key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"389","DOI":"10.4037\/ajcc1995.4.5.389","article-title":"Impact of aborted sudden cardiac death on survivors and their spouses: the phenomenon of different reference points","volume":"4","author":"Doolittle N.D.","year":"1995","journal-title":"American Journal of Critical Care"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31825d59fd"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"e1ee62","DOI":"10.1016\/j.hrthm.2008.04.015","article-title":"ACC\/AHA\/HRS 2008 guidelines for device\u2010based therapy of cardiac rhythm abnormalities","volume":"5","author":"Epstein A.E.","year":"2008","journal-title":"Heart Rhythm"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2012.11.006"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1353\/pbm.2006.0008"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-11-200412070-00006"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.12.011"},{"key":"e_1_2_10_20_1","volume-title":"Content Analysis. An Introduction to its Methodology","author":"Krippendorff K.","year":"2004"},{"key":"e_1_2_10_21_1","first-page":"33","volume-title":"Doing Qualitative Research","author":"Kuzel A.","year":"1999"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2010.04.033"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2006.01.017"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.18.2387"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-010-0148-6"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198008073030607"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq275"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05694.x"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2008.02196.x"},{"key":"e_1_2_10_31_1","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/01.NAJ.0000406411.49438.91","article-title":"Deactivation of ICDs at the end of life: a systematic review of clinical practices and provider and patient attitudes","volume":"111","author":"Russo J.E.","year":"2011","journal-title":"The American Journal of Nursing"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003465-200303000-00007"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e31822ad3dd"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.12330","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.12330","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.12330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T20:43:11Z","timestamp":1696192991000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.12330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,9]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["10.1111\/jan.12330"],"URL":"https:\/\/doi.org\/10.1111\/jan.12330","archive":["Portico"],"relation":{},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,9]]}}}