{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T21:45:10Z","timestamp":1787867110502,"version":"build-2784847793"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,11]],"date-time":"2024-08-11T00:00:00Z","timestamp":1723334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2025,4]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Fatigue, depression, anxiety and cognitive difficulties are reported by 1\/3 of patients following transient ischemic attack (TIA).<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To explore the timeline and how the diagnosis impacts individuals experiencing lasting challenges after TIA. Furthermore, to identify what they believed facilitated return to everyday life.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Qualitative exploratory study with a phenomenological\u2010hermeneutic approach.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Individual semi\u2010structured interviews and thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Fifteen patients were included. Four themes were identified; (1) \u2018They say it is transient \u2013 no, not for me\u2019 where all participants described lasting challenges emphasizing invalidating fatigue and impaired social participation, (2) \u2018I am a changed person; how does this impact my future?\u2019 which reflects altered identity and elevated alertness to symptoms, (3) \u2018Time has been my ally and new perspectives have evolved\u2019 where most participants described improvement over time and a few considered the diagnosis a wake\u2010up call to change lifestyle. Lastly (4) \u2018What would have helped me recover?\u2019 which unfolds that close, trustful relations influence positively. In addition, the system often failed to support. Participants described pressure to return to work and lack of trust and negative experiences when involving their general practitioner.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n During the 4\u2009months since diagnosis, participants experienced limitations impacting physical, psychological and social domains. They felt uninformed that lasting challenges could affect them. Different coping strategies were activated, and participants with close, supportive relations managed better. A pressure to return to work and a lack of trust in the general practitioner affected their recovery negatively. Overall, return to everyday life after TIA was considered stressful and appropriate support lacking.<\/jats:p>\n <\/jats:sec>\n \n Relevance to Clinical Practice<\/jats:title>\n To be able to support patients with challenges following TIA, we as healthcare professionals need to understand the identified impact and life changing circumstances. Currently the system seemingly is not able to provide timely, sufficient and competent support.<\/jats:p>\n <\/jats:sec>\n \n Impact (Addressing)<\/jats:title>\n <\/jats:sec>\n \n What problem did the study address?<\/jats:title>\n We know from the literature that up to 1\/3 of patients following transient ischemic attack experience lasting challenges measured on a variety of questionnaires. This is paradoxical to a diagnosis defined by focal neurological symptoms that resolve within 24\u2009h. It is unknown how patients with lasting challenges experience the timeline from diagnosis and until 4\u2009months after, how the diagnosis impacts the lives of these individuals, and what they believe as beneficial in returning to their everyday life.<\/jats:p>\n <\/jats:sec>\n \n What were the main findings?<\/jats:title>\n These participants with self\u2010reported lasting challenges experienced substantial impacts on physical, psychological and social domains. Further, they felt alone with their struggles and when in need of support from the healthcare system, it failed to provide this. A pressure to return to work and a lack of trust in the general practitioner affected return to everyday life negatively, whereas close and supportive relations facilitated positively.<\/jats:p>\n <\/jats:sec>\n \n Where and on whom will the research have an impact?<\/jats:title>\n This study will have an impact on the healthcare professionals that provide support and the (limited) follow\u2010up services to patients after TIA. These healthcare professionals are often specialized nurses who need to know what these patients experience and need in order to act upon their struggles and provide timely support.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n The Standards of Reporting Qualitative Research (SRQR).<\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n Patients with TIA was involved in planning this study. They participated in a panel to plan a prospective observational cohort study and emphasized the importance of exploring the subjective perspectives of impact and prognosis for those patients struggling in a longer term (through qualitative interviews).<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocn.17399","type":"journal-article","created":{"date-parts":[[2024,8,11]],"date-time":"2024-08-11T22:53:37Z","timestamp":1723416817000},"page":"1420-1431","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["\u2018\n There are things I have learned the hard way<\/i>\n \u2019 Patient experiences on lasting challenges 4\u2009months after Transient Ischemic Attack: A qualitative study"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5073-7615","authenticated-orcid":false,"given":"Birgitte Hede","family":"Ebbesen","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Neurology Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Health Science and Technology Aalborg University Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4331-4491","authenticated-orcid":false,"given":"Boris","family":"Modrau","sequence":"additional","affiliation":[{"name":"Department of Neurology Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Clinical Medicine Aalborg University Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1173-0335","authenticated-orcid":false,"given":"Michael Skovdal","family":"Rathleff","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Health Science and Technology Aalborg University Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2787-0271","authenticated-orcid":false,"given":"S\u00f8ren Paaske","family":"Johnsen","sequence":"additional","affiliation":[{"name":"Danish Center for Health Services Research, Department of Clinical Medicine Aalborg University Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8000-1553","authenticated-orcid":false,"given":"Jane","family":"Andreasen","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Health Science and Technology Aalborg University Aalborg Denmark"},{"name":"Aalborg Centre of Health and Rehabilitation Aalborg Municipality Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,11]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Successfull qualitative research. 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