Learning From Survivors: How Former Intensive Care Unit Patients' Experiences Influence Nursing Practice?

ABSTRACT Background Survival after critical illness has improved due to advances in intensive care. However, many intensive care unit (ICU) survivors experience persistent physical, cognitive and psychological impairments. These are collectively known as Post‐Intensive Care Syndrome (PICS) and negatively affect quality of life and everyday functioning. Post‐ICU follow‐up is often inconsistent, and not all ICU nurses are involved in patients' long‐term recovery. Some ICUs offer individual consultations or peer support. Integrating former patients' narratives into follow‐up may generate valuable knowledge for ICU nursing, but this area remains unexplored. Aim To explore how former ICU patients' narratives of life after critical illness inform and influence ICU nurses' clinical practice. Study Design A qualitative study using a phenomenological‐hermeneutic, Ricoeur‐inspired interpretation method. Data consisted of 12 interviews with nurses' lived experiences of facilitating follow‐up services with former ICU patients individually, in groups or combined. Reporting adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Findings Three themes emerged: (1) patient narratives as a source of knowledge for future care, (2) long‐term patient experiences as catalysts for professional reflection and (3) follow‐up provides ICU nurses with a renewed sense of meaning in their work. Conclusions Former patients' narratives are a key source of knowledge for ICU nurses, supporting a more holistic, person‐centred approach and enhancing insight into rehabilitation after critical illness. These narratives provide a foundation for further refinement and development of clinical practice. Relevance to Clinical Practice Insights from former patients enable ICU nurses to reflect on and adapt their practice, tailor care to individual patient needs and implement evidence‐based improvements. These perspectives strengthen professional judgement, inspire new approaches and promote holistic, person‐centred care.

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Publication Details

Journal
Nursing in Critical Care
Published
2026-05-28
DOI
https://doi.org/10.1111/nicc.70533
Primary Topic
Intensive Care Unit Cognitive Disorders
Type
article
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article

Learning From Survivors: How Former Intensive Care Unit Patients' Experiences Influence Nursing Practice?

Ann Louise Bødker Hanifa, Anne Okkels Glæemose, Anette Bjerregaard Alrø, Pia Dreyer et al.
Nursing in Critical Care
Intensive Care Unit Cognitive Disorders
article

Learning From Survivors: How Former Intensive Care Unit Patients' Experiences Influence Nursing Practice?

Ann Louise Bødker Hanifa, Anne Okkels Glæemose, Anette Bjerregaard Alrø, Pia Dreyer, Julie Marie Borris Stagsted, Anna Holm
article en

Abstract

ABSTRACT Background Survival after critical illness has improved due to advances in intensive care. However, many intensive care unit (ICU) survivors experience persistent physical, cognitive and psychological impairments. These are collectively known as Post‐Intensive Care Syndrome (PICS) and negatively affect quality of life and everyday functioning. Post‐ICU follow‐up is often inconsistent, and not all ICU nurses are involved in patients' long‐term recovery. Some ICUs offer individual consultations or peer support. Integrating former patients' narratives into follow‐up may generate valuable knowledge for ICU nursing, but this area remains unexplored. Aim To explore how former ICU patients' narratives of life after critical illness inform and influence ICU nurses' clinical practice. Study Design A qualitative study using a phenomenological‐hermeneutic, Ricoeur‐inspired interpretation method. Data consisted of 12 interviews with nurses' lived experiences of facilitating follow‐up services with former ICU patients individually, in groups or combined. Reporting adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Findings Three themes emerged: (1) patient narratives as a source of knowledge for future care, (2) long‐term patient experiences as catalysts for professional reflection and (3) follow‐up provides ICU nurses with a renewed sense of meaning in their work. Conclusions Former patients' narratives are a key source of knowledge for ICU nurses, supporting a more holistic, person‐centred approach and enhancing insight into rehabilitation after critical illness. These narratives provide a foundation for further refinement and development of clinical practice. Relevance to Clinical Practice Insights from former patients enable ICU nurses to reflect on and adapt their practice, tailor care to individual patient needs and implement evidence‐based improvements. These perspectives strengthen professional judgement, inspire new approaches and promote holistic, person‐centred care.

Nursing in Critical CareVol. 31(4)
Aarhus University (DK), Aalborg University Hospital (DK), Aarhus University Hospital (DK)
Openalex Percentile: Top 5%
Intensive Care Unit Cognitive Disorders
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