{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T18:25:14Z","timestamp":1788719114700,"version":"build-2803163510"},"reference-count":61,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Left ventricular assist devices (\n                      <jats:styled-content style=\"fixed-case\">LVADs<\/jats:styled-content>\n                      ) are increasingly used in managing advanced heart failure. While their clinical benefits are well documented, less is known about how patients experience living with such life\u2010sustaining devices. Understanding these experiences is essential for holistic, person\u2010centred nursing care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To explore the lived experiences of\n                      <jats:styled-content style=\"fixed-case\">LVAD<\/jats:styled-content>\n                      recipients and examine how they cope with the emotional, psychological and social challenges of life with an\n                      <jats:styled-content style=\"fixed-case\">LVAD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      A systematic search was conducted across Scopus,\n                      <jats:styled-content style=\"fixed-case\">PubMed<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">ScienceDirect<\/jats:styled-content>\n                      using predefined terms. The retrieved studies were reviewed and subjected to qualitative synthesis according to Thomas and Harden's methodology. Screening was performed in Covidence, critical appraisal utilised\n                      <jats:styled-content style=\"fixed-case\">CASP<\/jats:styled-content>\n                      criteria, coding was carried out in\n                      <jats:styled-content style=\"fixed-case\">ATLAS<\/jats:styled-content>\n                      .ti, and reporting followed\n                      <jats:styled-content style=\"fixed-case\">ENTREQ<\/jats:styled-content>\n                      guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Sixteen qualitative studies published between 2010 and 2024 were reviewed. Four analytical themes were identified: (1)\n                      <jats:italic>Loss: The Failing Body, Stigma, and the Others<\/jats:italic>\n                      , (2)\n                      <jats:italic>Living with Fear and Uncertainty: And Now What?<\/jats:italic>\n                      (3)\n                      <jats:italic>Liminality: Stagnating Present and Ambivalence<\/jats:italic>\n                      and (4)\n                      <jats:italic>Moving Forward and Finding New Meaning in Life<\/jats:italic>\n                      . These reflect a psychological and existential journey from vulnerability to resilience, aligning with Lazarus and Folkman's Transactional Model of Stress and Coping.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The synthesis offers novel insights into how\n                      <jats:styled-content style=\"fixed-case\">LVAD<\/jats:styled-content>\n                      patients cope with complex challenges and highlights underexplored domains such as stigma, identity disruption and meaning\u2010making.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Findings underscore the need for holistic, continuous care strategies that support both the technological and psychosocial adaptation of LVAD patients, beginning in the intensive care unit. ICU nurses are pivotal in initiating recovery by providing early psychological support, fostering patient empowerment and preparing individuals and their families for life after critical illness. Addressing emotional instability, identity disruption and fear during ICU admission and early discharge planning can promote resilience and smoother transitions. This review highlights the crucial role of ICU nurses not only in acute care delivery but also in shaping long\u2010term coping trajectories. Applying the Transactional Model of Stress and Coping offers a novel lens for guiding these interventions across the critical care continuum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70295","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T09:53:38Z","timestamp":1767952418000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Thematic Qualitative Synthesis on the Lived Experiences of Patients With Left Ventricular Assist Devices: A Journey From Vulnerability to Resilience"],"prefix":"10.1111","volume":"31","author":[{"given":"Dimitra","family":"Koutsavli","sequence":"first","affiliation":[{"name":"Department of Nursing University of West Attica  Athens Greece"},{"name":"Department of Thoracic and Cardiovascular Surgery \u201cEvangelismos\u201d General Hospital of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia","family":"Kalogianni","sequence":"additional","affiliation":[{"name":"Department of Nursing University of West Attica  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evdokia","family":"Misouridou","sequence":"additional","affiliation":[{"name":"Department of Nursing University of West Attica  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3308-5343","authenticated-orcid":false,"given":"Eleftheria Brigitta","family":"Souvatzi","sequence":"additional","affiliation":[{"name":"Department of Electrical and Electronics Engineering University of West Attica  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7233-9412","authenticated-orcid":false,"given":"Fiona","family":"Timmins","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8443-8303","authenticated-orcid":false,"given":"Stelios","family":"Parissopoulos","sequence":"additional","affiliation":[{"name":"Department of Nursing University of West Attica  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjqcco\/qcae110"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvab056"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab368"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.15420\/cfr.2023.05"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hfc.2021.05.007"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000004834"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2009.222"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608241252249"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.3323"},{"key":"e_1_2_17_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2021.06.003"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad658"},{"key":"e_1_2_17_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13216622"},{"key":"e_1_2_17_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2022.12.004"},{"key":"e_1_2_17_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2023.03.013"},{"key":"e_1_2_17_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2022.12.015"},{"key":"e_1_2_17_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2020.02.045"},{"key":"e_1_2_17_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304269888"},{"key":"e_1_2_17_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u20108\u201045"},{"key":"e_1_2_17_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13020267"},{"key":"e_1_2_17_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u201012\u2010181"},{"key":"e_1_2_17_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406921993276"},{"key":"e_1_2_17_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010024\u201001454\u2010y"},{"key":"e_1_2_17_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2022.05.002"},{"key":"e_1_2_17_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvab113"},{"key":"e_1_2_17_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14158"},{"key":"e_1_2_17_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2022.103230"},{"key":"e_1_2_17_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvab097"},{"key":"e_1_2_17_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2020.09.020"},{"key":"e_1_2_17_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.03.022"},{"key":"e_1_2_17_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2016.1265162"},{"key":"e_1_2_17_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.08.016"},{"key":"e_1_2_17_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2015.12.003"},{"key":"e_1_2_17_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2013.09.004"},{"key":"e_1_2_17_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2012.04332.x"},{"key":"e_1_2_17_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e318227f119"},{"key":"e_1_2_17_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2011.05.002"},{"key":"e_1_2_17_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e31820e2fae"},{"key":"e_1_2_17_39_1","unstructured":"Critical Appraisal Skills Programme \u201cCASP Qualitative Studies Checklist [WWW Document] \u201d2024Crit. Apprais. Ski. Programme https:\/\/casp\u2010uk.net\/."},{"key":"e_1_2_17_40_1","volume-title":"Stress, Appraisal, and Coping","author":"Lazarus R. S.","year":"1984"},{"key":"e_1_2_17_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u20109\u201059"},{"key":"e_1_2_17_42_1","doi-asserted-by":"publisher","DOI":"10.1258\/135581902320432732"},{"key":"e_1_2_17_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0391398821997840"},{"key":"e_1_2_17_44_1","unstructured":"A.Harris \u201cThe Outcomes of COPE a Cognitive Behavioral Therapy Program in Patients Awaiting LVAD Implantation \u201d2021DNP Proj."},{"key":"e_1_2_17_45_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.68691"},{"key":"e_1_2_17_46_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201902\u2010156OC"},{"key":"e_1_2_17_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10741\u2010017\u20109635\u20102"},{"key":"e_1_2_17_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2019.04.014"},{"key":"e_1_2_17_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14071"},{"key":"e_1_2_17_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2018.10.004"},{"key":"e_1_2_17_51_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2019885"},{"key":"e_1_2_17_52_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182111049"},{"key":"e_1_2_17_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2016.06.010"},{"key":"e_1_2_17_54_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010020927"},{"key":"e_1_2_17_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.JCN.0000317472.65671.e2"},{"key":"e_1_2_17_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2022.103362"},{"key":"e_1_2_17_57_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivy125"},{"key":"e_1_2_17_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16061"},{"key":"e_1_2_17_59_1","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep14010028"},{"key":"e_1_2_17_60_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010024\u201002265\u20105"},{"key":"e_1_2_17_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741\u20103729.2007.00444.x"},{"key":"e_1_2_17_62_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1116739"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70295","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70295","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70295","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T01:48:26Z","timestamp":1784166506000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":61,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/nicc.70295"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70295","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-05-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70295"}}