{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:27:03Z","timestamp":1740126423323,"version":"3.37.3"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T00:00:00Z","timestamp":1518393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ume\u00e5 University, Ume\u00e5, Sweden"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Rationale<\/jats:title><jats:p>There is a lack of long\u2010term follow\u2010up studies focused on injured and uninjured survivors\u2019 experiences of the recovery process after major traffic crashes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore all survivors\u2019 experiences of long\u2010term physical and psychological consequences and recovery 5\u00a0years after a major bus crash.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodological design and justification<\/jats:title><jats:p>A qualitative design was used to explore experiences in a 5\u2010year follow\u2010up study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Research methods<\/jats:title><jats:p>Participants were 54 survivors of a bus crash with 56 survivors and six fatalities. Telephone interviews were analysed with qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The first category, \u2018Being resilient or suffering in daily life\u2019, has four subcategories covering quick recovery, suffering in daily life, distress in traffic situations and long\u2010term pain. Reasons for quick recovery among survivors were previous crisis experiences, travelling alone, being uninjured and not being exposed to traumatic impressions. For the other survivors, being reminded of the crash caused disturbing reactions, such as sweating, anxiety and flashbacks. Survivors avoided going by bus if they could. A group of the injured survivors was still suffering from limiting and painful injuries. The second category, \u2018Reassessing oneself and\u00a0social connections\u2019, has three subcategories covering self\u2010awareness, impact on relationships and connectedness. Survivors either developed a stronger bond to their significant other or separated from their partner within the first couple of years. Friendships and a sense of connectedness among survivors were sources of long\u2010lasting comfort and support. The theme overarching the categories is \u2018Visible and existential marks in everyday life\u2019, representing the various ways in which the crash influence the survivors\u2019 lives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a need for more information about disruptive long\u2010lasting consequences, such as travel anxiety, and available treatments. Initially, health\u2010promoting connectedness can be facilitated by treating survivors as a group of people who belong together, from the day of the crash and throughout the recovery process.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.12563","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T03:46:39Z","timestamp":1518493599000},"page":"1179-1187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Survivors\u2019 experiences of consequences and recovery five years after a major bus crash"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9387-3174","authenticated-orcid":false,"given":"Isabelle","family":"Doohan","sequence":"first","affiliation":[{"name":"Department of Surgical and Perioperative Sciences Section\u00a0of Surgery Centre for Research and Development in Disaster Medicine Ume\u00e5 University Ume\u00e5 Sweden"},{"name":"Department of 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