{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:24:18Z","timestamp":1777865058712,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000846","name":"Intensive Care Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000846","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100031302","name":"Mersey School of Anaesthesia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031302","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Admission to an intensive care unit (ICU) places substantial physical, psychological and existential burden on patients, but little is known about the support needs of survivors of COVID\u201019 critical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the experiences of survivors of COVID\u201019 critical illness during their recovery phase, including perceptions of care received and support offered to them. Research questions were (i) what are patients' experiences during ICU admission and in the recovery period at a psychological, physical and functional level and (ii) what are participants' preferences for support during the post\u2010discharge period?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A qualitative study nested within a national multicentre longitudinal study examining the psychological impact of COVID\u201019 critical care. Semi\u2010structured interviews were conducted with adult patients aged \u2265\u200918\u2009years, treated for presumed\/diagnosed COVID\u201019 infection and survived to ICU discharge following an admission of \u2265\u200924\u2009h. Interviews explored patients' ICU and post\u2010discharge experiences and preferences for post\u2010discharge support. Analysis drew on principles of the constant comparative method and interpretive reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Fifteen participants completed interviews. Participants reported uncertainties and difficulties in adjusting to their illness, to ICU care and to post\u2010ICU discharge. Participants experienced extreme functional loss and knew their illnesses to be highly dangerous, yet did not appraise their symptoms as being severe. This dissonance was exacerbated by the dearth of knowledge regarding the effects and prognosis of COVID\u201019 critical illness. Participants desired follow\u2010up support but more commonly spoke of wanting to negotiate a clear path towards recovery and being disappointed in some professionals' failures to provide this. Psychological symptoms emerged later in survivorship, but patients did not routinely access psychological support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>More tailored and consistent post\u2010discharge support, using novel approaches, may standardise equity of care and address patients' needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Greater support for patients and staff is needed to facilitate understanding and acceptance of uncertainty related to unprecedented public health emergencies such as COVID\u201019.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70368","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T02:30:47Z","timestamp":1770085847000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surviving a Critical Care Admission for\n                    <scp>COVID<\/scp>\n                    \u201019: A Qualitative Study of Experiences and Unmet Needs During the Recovery Period"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9490-1747","authenticated-orcid":false,"given":"Mary Gemma","family":"Cherry","sequence":"first","affiliation":[{"name":"Department of Primary Care and Mental Health University of Liverpool  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen L.","family":"Brown","sequence":"additional","affiliation":[{"name":"School of Psychology University of New England  Armidale Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia A. C.","family":"Waite","sequence":"additional","affiliation":[{"name":"Critical Care, Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"},{"name":"Institute of Life Course and Medical Sciences University of Liverpool  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter L.","family":"Fisher","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Mental Health University of Liverpool  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingeborg D.","family":"Welters","sequence":"additional","affiliation":[{"name":"Critical Care, Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"},{"name":"Institute of Life Course and Medical Sciences University of Liverpool  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Science University of Liverpool  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1634-3297","authenticated-orcid":false,"given":"Brian W.","family":"Johnston","sequence":"additional","affiliation":[{"name":"Critical Care, Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"},{"name":"Institute of Life Course and Medical Sciences University of Liverpool  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Science University of Liverpool  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Wellcome\u2010Wolfson Institute for Experimental Medicine, Queen's University Belfast  Belfast UK"},{"name":"Regional Intensive Care Unit, Royal Victoria Hospital  Belfast UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Jones","sequence":"additional","affiliation":[{"name":"ICUsteps Charity, Kemp House  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"TRIC Network","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318232da75"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0323311"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40560-023-00670-7"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00232-7"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.951136"},{"key":"e_1_2_13_7_1","doi-asserted-by":"crossref","unstructured":"H.Ahmed K.Patel D.Greenwood et\u00a0al. \u201cLong\u2010Term Clinical Outcomes in Survivors of Coronavirus Outbreaks After Hospitalisation or ICU Admission: A Systematic Review and Meta\u2010Analysis of Follow\u2010Up Studies \u201dmedRxiv (2020) 2020.04. 16.20067975.","DOI":"10.1101\/2020.04.16.20067975"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/17511437241312113"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-022-01614-7"},{"key":"e_1_2_13_10_1","unstructured":"National Institute for Health and Care Excellence \u201cRehabilitation After Critical Illness in Adults: Quality Standard 4 (Follow\u2010up after Critical Care Discharge) \u201d(2017) https:\/\/www.nice.org.uk\/guidance\/qs158\/chapter\/Quality\u2010statement\u20104\u2010Follow\u2010up\u2010after\u2010critical\u2010care\u2010discharge."},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-052214"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-46818-1"},{"key":"e_1_2_13_13_1","article-title":"The Experiences of COVID\u201019 Patients in Intensive Care Units: A Qualitative Study","volume":"87","author":"K\u00fcrt\u00fcnc\u00fc M.","year":"2021","journal-title":"Omega"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/23743735211007359"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.13011"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/10436596241229487"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S380389"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104136"},{"key":"e_1_2_13_19_1","doi-asserted-by":"crossref","unstructured":"W.Distaso A. 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