{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T10:38:03Z","timestamp":1770892683692,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"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":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the experiences of significant others of patients with severe burn injury in the intensive care unit. Specifically, how severe burn injury impacted the significant other and their role within their loved one's life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This qualitative study employed a Narrative Inquiry approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Interviews were undertaken during 2021\u20132022 with 17 participants who were the significant others of a patient with severe burn injury in the Intensive Care Unit. Recruitment occurred in New South Wales, Australia, from two tertiary hospitals providing care for people with major burns. A narrative inquiry approach was utilised, capturing stories through semi\u2010structured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant others experienced necessary changes in their life in response to the catastrophe. These included advocating, being present and ensuring their loved one's needs were met, while often neglecting themselves. Significant others contemplated their future as a carer to their loved one with severe burn injury, and adjusting their own career, finances and lifestyle, often as a long\u2010term measure. The shifting of their role to carer ultimately transformed and redefined their relationships and lives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Significant others endure immense trauma when a loved one sustains a severe burn injury. They require support but prioritise the patient by virtue of their critical illness. The life of the significant other is changed as they take on the role of carer and provide support. It is, therefore, imperative that the support needs of significant others are recognised, understood and addressed to ensure their well\u2010being while processing the trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>With increased understanding of the significant others' experiences, healthcare providers can adopt a consultative approach, where roles and boundaries can be clearly identified. Through this process, healthcare providers can strengthen rapport and provide targeted support for significant others, as they navigate this traumatic life\u2010altering event.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70091","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T11:10:05Z","timestamp":1756811405000},"page":"1396-1405","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lives Transformed\u2014The Experiences of Significant Others Supporting Patients With Severe Burn Injury: A Narrative Inquiry"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9141-8503","authenticated-orcid":false,"given":"Elizabeth","family":"Flannery","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kath","family":"Peters","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9834-4351","authenticated-orcid":false,"given":"Gillian","family":"Murphy","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8099-986X","authenticated-orcid":false,"given":"Elizabeth","family":"Halcomb","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Science, Medicine &amp; Health University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7815-3005","authenticated-orcid":false,"given":"Lucie M.","family":"Ramjan","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irz018"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2020.04.023"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2022.2151097"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCC.0000000000000253"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334419830990"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2021.04.009"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16404"},{"key":"e_1_2_15_9_1","doi-asserted-by":"crossref","unstructured":"Flannery E. K.Peters G.Murphy E.Halcomb andL.Ramjan.2022.\u201cManaging the Elephant in the Room: Responding to COVID\u201019's Impact on Data Collection.\u201dNurse Researcher31 no.1:33\u201339.","DOI":"10.7748\/nr.2022.e1874"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231175445"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/00099228221140677"},{"key":"e_1_2_15_12_1","volume-title":"The Wounded Storyteller: Body, Illness, and Ethics","author":"Frank A. 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