Embracing the new vulnerable self: A grounded theory approach on critical care survivors’ post-intensive care syndrome

Abstract

ObjectivesThis study explored critical care survivors’ experience of post-intensive care syndrome. Research design and settingThis qualitative study employed a classic grounded theory approach with 13 survivors after intensive care unit treatment. Main outcome measuresData were collected through one-to-one in-depth interviews. Open, axial and selective coding were performed based on interview transcripts, field notes, and memos. FindingsThe analysis of survivors’ experience with post-intensive care syndrome led to the ‘embracing the new vulnerable self’ theory. After discharge from the intensive care, survivors became physically, psychologically, cognitively and socially vulnerable. The survivors were struggling for recovery; they faced new crises and some were devastated. However, their internal and external resources helped them recover. Through coping processes, survivors gained a new perspective on normality. ConclusionThese results contribute to understanding the post-intensive care syndrome phenomenon and coping process of critical care survivors. This syndromes is a multidimensional phenomenon and the recovery process is a continuum. An integrated rehabilitation program that extends beyond utilising family support requires development.