{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T09:29:17Z","timestamp":1786958957973,"version":"build-2736575974"},"reference-count":142,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This review examines the psychosocial impact on families and their resilience strategies during their children's in\u2010hospital bridge\u2010to\u2010transplant while using Long\u2010Term Mechanical Circulatory Support devices to reduce families' uncertainties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative systematic review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, CINAHL, ASSIA, Embase, Scopus, and ProQuest (dissertations and theses).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The search (concluded on 1st March 2025) identified English\u2010language published and unpublished qualitative studies exploring families' experiences of their children's in\u2010hospital bridge\u2010to\u2010transplant from their perspectives. Studies were critically appraised using the Critical Appraisal Skills Programme qualitative tool. Findings were analysed using Braun and Clarke's reflexive thematic analysis (2022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Six qualitative studies (49 pooled participants) were included. The review synthesised four themes: (1) Commencing the families' journey with Long\u2010Term Mechanical Circulatory Support. (2) Navigating the Long\u2010Term Mechanical Circulatory Support for paediatric patients' families through bridging. (3) Crossroads of blessings and challenges: Long\u2010Term Mechanical Circulatory Supported children's families await a new heart. (4) The power stations (supportive networks) of Long\u2010Term Mechanical Circulatory Supported children's families. Findings were interpreted through the lens of Mishel's Uncertainty in Illness Theory (1981), yielding significant recommendations; however, the review also highlighted secondary data analysis limitations, notably the incomplete reporting of theoretical constructs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review highlights the profound psychosocial impacts and uncertain families' experiences during their children's bridge\u2010to\u2010transplant journey. Interventions are called to mitigate these uncertainties during this period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact and Implications for the Profession<\/jats:title>\n                    <jats:p>This review identified significant implications, including tailoring clinical education for parents of children with end\u2010stage heart failure (congenital versus acquired), technology utilisation, and better organisation of the supportive networks. Additionally, it emphasised the multidisciplinary teams' early involvement policies. Moreover, future research should broaden perspectives by including non\u2010Western participants, siblings, families of children with cancer\u2010related cardiomyopathies, and grieving families to better capture diverse families' psychological impacts and help alleviate their uncertainties during the waiting journey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA).<\/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.70506","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T09:12:23Z","timestamp":1786957943000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Psychosocial Impact on Families of Paediatric Long\u2010Term Mechanical Circulatory Support Patients During In\u2010Hospital Bridge\u2010to\u2010Transplant: A Qualitative Systematic Review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1015-5887","authenticated-orcid":false,"given":"Sakinah","family":"Alawami","sequence":"first","affiliation":[{"name":"Faculty of Medicine &amp; Health Sciences University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1944-8166","authenticated-orcid":false,"given":"Pippa","family":"Hemingway","sequence":"additional","affiliation":[{"name":"Faculty of Medicine &amp; Health Sciences University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2016.05.035"},{"issue":"128","key":"e_1_2_12_3_1","first-page":"2","article-title":"Spiritual Care for Critical Care Patients","volume":"2","author":"Abuatiq A.","year":"2015","journal-title":"International Journal of Nursing Clinical Practices"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2158244019829575"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.37616\/2212\u20105043.1282"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.02.003"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515116648240"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12305"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010022\u201001732\u20104"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945920952059"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjon.2022.01.007"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/tct.13133"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2019.03.002"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/15269248221087429"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1108\/qmr\u201006\u20102016\u20100053"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf03401002"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.14744\/phd.2019.44365"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.176923"},{"key":"e_1_2_12_20_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun V.","year":"2022"},{"key":"e_1_2_12_21_1","doi-asserted-by":"crossref","unstructured":"Bree R. 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