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dc.contributor.authorNewman, Helen
dc.contributor.authorMartin, Daniel
dc.contributor.authorWallace, Sarah
dc.contributor.authorSmith, Christina
dc.contributor.authorClunie, Gemma
dc.contributor.authorPattison, Natalie
dc.date.accessioned2022-10-17T15:00:03Z
dc.date.available2022-10-17T15:00:03Z
dc.date.issued2022-12-31
dc.identifier.citationNewman , H , Martin , D , Wallace , S , Smith , C , Clunie , G & Pattison , N 2022 , ' What matters most to adults with a tracheostomy in ICU and the implications for clinical practice: a qualitative systematic review and meta-synthesis ' , Journal of Critical Care , vol. 72 , 154145 . https://doi.org/10.1016/j.jcrc.2022.154145
dc.identifier.issn0883-9441
dc.identifier.otherPURE: 31722983
dc.identifier.otherPURE UUID: cb5025c4-47e8-4e61-a1e3-348ae9c09436
dc.identifier.otherORCID: /0000-0002-6771-8733/work/121257520
dc.identifier.otherScopus: 85138466344
dc.identifier.urihttp://hdl.handle.net/2299/25821
dc.description© 2022 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license: https://creativecommons.org/licenses/by/4.0/
dc.description.abstractPurpose: Tracheostomy is a common surgical procedure in ICU. Whilst often life-saving, it can have important impacts on patients. Much of the literature on tracheostomy focuses on timing and technique of insertion, risk factors and complications. More knowledge of patient experience of tracheostomy in ICU is needed to support person-centred care. Materials and methods: Qualitative systematic review and metasynthesis of the literature on adult experience of tracheostomy in ICU. Comprehensive search of four bibliographic databases and grey literature. Title and abstract screening and full text eligibility was completed independently by two reviewers. Metasynthesis was achieved using thematic synthesis, supported by a conceptual framework of humanised care. Results: 2971 search returns were screened on title and abstract and 127 full texts assessed for eligibility. Thirteen articles were included for analysis. Five descriptive and three analytical themes were revealed. The over-arching theme was ‘To be seen and heard as a whole person’. Patients wanted to be treated as a human, and having a voice made this easier. Conclusions: Voice restoration should be given high priority in the management of adults with a tracheostomy in ICU. Staff training should focus on both technical skills and compassionate care to improve person-centred outcomes.en
dc.format.extent16
dc.language.isoeng
dc.relation.ispartofJournal of Critical Care
dc.subjectHumanisation
dc.subjectMetasynthesis
dc.subjectQualitative
dc.subjectSystematic review
dc.subjectTracheostomy
dc.subjectVoice
dc.subjectCritical Care and Intensive Care Medicine
dc.titleWhat matters most to adults with a tracheostomy in ICU and the implications for clinical practice: a qualitative systematic review and meta-synthesisen
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionCentre for Applied Clinical, Health and Care Research (CACHE)
dc.contributor.institutionCentre for Future Societies Research
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85138466344&partnerID=8YFLogxK
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1016/j.jcrc.2022.154145
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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