{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T08:22:06Z","timestamp":1787732526365,"version":"build-2784847793"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Substantial and persistent barriers to achieving adequate nutritional intake exist for adult survivors of critical illness in the year following hospital discharge. Despite the clear burden, nutrition rehabilitation remains a largely neglected component of post\u2010ICU recovery. Greater understanding of lived experiences is needed to inform person\u2010centred dietetic interventions. The aim was to explore how survivors of critical illness describe, interpret, and navigate their nutritional recovery after hospital discharge, and the personal, relational, and systemic factors that shape these experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study adopted a narrative enquiry approach to elicit participants lived experiences and stories using in\u2010depth interviews. The Transtheoretical Model was used as a sensitising concept that emerged during analysis. Participants were recruited through convenience sampling, and sample size determined using information power. Narrative analysis and reflexive thematic analysis was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen participants (11 women, 5 men) took part (median age 53 years; median of 2.4 years since discharge). Four coexisting themes were identified: (1) Eating in the shadow of critical illness, (2) Nutritional care that worked (3) Unmet nutritional needs, and (4) What we wish we'd had. Integration of narrative and thematic analysis revealed two broad nutritional recovery processes, an enabling and a constraining recovery process, shaped by psychological readiness, agency, relational support, and access to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nutritional recovery after critical illness is dynamic and multidimensional shaped not only by physical symptoms, but also by trauma, identity disruption, readiness to change, relational environments and systemic support. These findings provide groundwork for person\u2010centred dietetic interventions following hospital discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70322","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:16:04Z","timestamp":1785478564000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutritional Recovery After Critical Illness: A Qualitative Study of ICU Survivors' Experiences After Hospital Discharge"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1761-8996","authenticated-orcid":false,"given":"Ella","family":"Terblanche","sequence":"first","affiliation":[{"name":"Health Sciences University Bournemouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazreen Abdul","family":"Majid","sequence":"additional","affiliation":[{"name":"Health Sciences University Bournemouth UK"},{"name":"Centre for Population Health University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Humaira","family":"Khan","sequence":"additional","affiliation":[{"name":"Health Sciences University Bournemouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Vogel","sequence":"additional","affiliation":[{"name":"Health Sciences University Bournemouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1002\/ncp.70066","article-title":"Nutrition After Critical Illness: Exploring Barriers, Consequences, and Nutrition Interventions Beyond Hospital Discharge","volume":"41","author":"Terblanche E.","year":"2025","journal-title":"Nutrition in Clinical Practice: Official Publication of the American Society for Parenteral and Enteral Nutrition"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2753"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2025.03.171"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14995"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-021-03496-7"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12241"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-050592"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-025-05710-2"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-022-04143-5"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1093\/nutrit\/nuaf179","article-title":"Oral Nutritional Interventions for Stroke Recovery: A Systematic Review","volume":"84","author":"Lang A.","year":"2025","journal-title":"Nutrition Reviews"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.04.012"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-052214"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005136"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12287"},{"issue":"163","key":"e_1_2_9_16_1","first-page":"105","article-title":"Competing Paradigms in Qualitative Research","volume":"2","author":"Guba E. 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