{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:03:05Z","timestamp":1790380985549,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Adult intensive care unit survivors who were mechanically ventilated with a temporary tracheostomy tube have reported distressing physical discomfort, emotional strain and communication challenges during and after ICU discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To reveal the meaning of the lived experiences of ICU adult survivors in and after ICU discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Individual interviews were conducted with a purposive sample of eight adult ICU survivors from a medical\u2010surgical ICU at a Norwegian university hospital. The theory of interpretation of the French philosopher Paul Ricoeur inspired the analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The analysis resulted in two themes and six sub\u2010themes. The first theme, \u2018ICU survivors\u2019 reflections on support and care', consists of the sub\u2010themes: compassionate nursing as affirmation of personhood and family presence as existential anchor. The second theme, \u2018From critical care to uncertainty\u2019, consisted of sub\u2010themes: voicelessness as existential isolation, transition as existential dislocation and ICU survivors' vulnerability in transition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adult ICU survivors had ambivalent emotions about their ICU stay. The narratives reveal the multifaceted struggles of ICU survivors, including physical impairments, psychological challenges and communication barriers. Further research is needed to understand the meaning of being a critically ill patient with a temporary tracheostomy in both the ICU and general wards.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.70317","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:00:43Z","timestamp":1789016443000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating\n                    <scp>ICU<\/scp>\n                    Survival With a Temporary Tracheostomy. A Phenomenological Hermeneutic Study"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5050-4504","authenticated-orcid":false,"given":"A.","family":"Akroute","sequence":"first","affiliation":[{"name":"Department of Surgery Hospital Trust  Bod\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6541-4931","authenticated-orcid":false,"given":"B. S.","family":"Brinchmann","sequence":"additional","affiliation":[{"name":"Nord University  Bod\u00f8 Norway"},{"name":"The Faculty of Nursing and Health Sciences Nordland Hospital Trust  Bod\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Hovland","sequence":"additional","affiliation":[{"name":"Nord University  Bod\u00f8 Norway"},{"name":"Nordland Heart Center  Bod\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. T. D.","family":"Fredriksen","sequence":"additional","affiliation":[{"name":"Department of Health and Care Sciences, Faculty of Health Sciences UiT The Arctic University of Norway  Troms\u00f8 Norway"},{"name":"Department of Health and Care Sciences, Faculty of Health Sciences UiT The Arctic University of Norway, Campus Harstad  Harstad Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2024.103720"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCC.0000000000000648"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/life12010107"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13071909"},{"key":"e_1_2_16_6_1","unstructured":"C. A.McIntyre Life After ICU: The Patient Experience With ICU and After Hospital Discharge(master's thesis University of Calgary Calgary Canada 2023) https:\/\/prism.ucalgary.ca."},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13304"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202009\u20103381OC"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp\u2010journals\u201010071\u201024811"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/08850666231204305"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2025.2531465"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010024\u201005036\u20105"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.13077"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16490"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2024.2322174"},{"key":"e_1_2_16_16_1","volume-title":"Interpretation Theory: Discourse and the Surplus of Meaning","author":"Ricoeur P.","year":"1976"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.7208\/chicago\/9780226713519.001.0001"},{"key":"e_1_2_16_18_1","first-page":"122","volume-title":"Nursing Theorists and Their Work\u2010E\u2010Book: Nursing Theorists and Their Work\u2010E\u2010Book","author":"Martinsen K.","year":"2025"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20106712.2004.00258.x"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13039"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-5583-7_161"},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_2_16_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.21972"},{"key":"e_1_2_16_25_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440\u20101800.2000.00062.x"},{"key":"e_1_2_16_26_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781316534984"},{"key":"e_1_2_16_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_2_16_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2022.154145"},{"key":"e_1_2_16_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10173928"},{"key":"e_1_2_16_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733019851546"},{"key":"e_1_2_16_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40560\u2010024\u201000724\u20104"},{"key":"e_1_2_16_32_1","doi-asserted-by":"crossref","unstructured":"E. A.Kumah P.Boadu andR.Duncan \u201cCritical Care Nurses' Understanding and Experiences of Patient Advocacy in the Critical Care Setting: A Systematic Review \u201d(2020).","DOI":"10.20944\/preprints202003.0200.v1"},{"key":"e_1_2_16_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2023.103525"},{"key":"e_1_2_16_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15766"},{"key":"e_1_2_16_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2024.103896"},{"key":"e_1_2_16_36_1","doi-asserted-by":"publisher","DOI":"10.34172\/jcs.2020.012"},{"key":"e_1_2_16_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010021\u201007095\u20108"},{"key":"e_1_2_16_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2024.02.009"},{"key":"e_1_2_16_39_1","doi-asserted-by":"publisher","DOI":"10.62905\/001c.115440"},{"key":"e_1_2_16_40_1","unstructured":"H. M.Newman Choosing the Right Tracheostomy Tube for Adults in Intensive Care: Size Matters(Doctoral Dissertation UCL (University College London) London 2024)."},{"key":"e_1_2_16_41_1","doi-asserted-by":"publisher","DOI":"10.1044\/2024_AJSLP\u201023\u201000385"},{"key":"e_1_2_16_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16848"},{"key":"e_1_2_16_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17487"},{"key":"e_1_2_16_44_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.60523"},{"key":"e_1_2_16_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15089"},{"key":"e_1_2_16_46_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010079931"},{"key":"e_1_2_16_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc"}],"container-title":["Scandinavian Journal of Caring Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scs.70317","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scs.70317","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scs.70317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:50:44Z","timestamp":1790380244000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scs.70317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/scs.70317"],"URL":"https:\/\/doi.org\/10.1111\/scs.70317","archive":["Portico"],"relation":{},"ISSN":["0283-9318","1471-6712"],"issn-type":[{"value":"0283-9318","type":"print"},{"value":"1471-6712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-03-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70317"}}