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. 2022 Nov 29:9:23333936221140374.
doi: 10.1177/23333936221140374. eCollection 2022 Jan-Dec.

A New Normality Illuminated by Past and Present! A Qualitative Study: Experiences and Challenges of Everyday Life in Patients With Advanced Heart or Lung Failure

Jytte Graarup  1 , Ida Elisabeth Højskov  1
Affiliations

A New Normality Illuminated by Past and Present! A Qualitative Study: Experiences and Challenges of Everyday Life in Patients With Advanced Heart or Lung Failure

Jytte Graarup et al. Glob Qual Nurs Res. .

Abstract
in English, Danish

The aim of this study was to gain insight into the phenomena of everyday life as experienced and coped with by patients living with advanced heart or lung failure. We employed a qualitative design using a phenomenological hermeneutic approach. Data derived from 10 nursing consultations in a holistic setting. Ricoeur's theory of interpretation inspired the text analysis. The study emphasizes time (past, present, and future) as an overall everyday life theme, playing an essential role associated with improvements or poor outcomes related to physical, mental, and intersubjective challenges. Patients accepted and lived with the challenges, experiencing changes, as transition, but also coped with their new normal, which involved improvements or poor outcomes, some invisible to the community. Assumptions about everyday life changed significantly, the changes possibly essential for intersubjective relations. A reflective approach, can help patients to evolve, using knowledge from the past and present to cope with the future.

Formålet med denne undersøgelse var at få indsigt i hverdagslivets fænomener, som de opleves og håndteres af patienter, der lever med fremskreden hjerte- eller lungesvigt. Vi anvendte et kvalitativt design med en fænomenologisk hermeneutisk tilgang. Data er indsamlet fra ti sygeplejekonsultationer afholdt i en holistisk ramme. Ricoeurs fortolkningsteori har inspireret til tekstanalysen. Undersøgelsen fremhæver tid (fortid, nutid og fremtid) som værende et overordnet hverdagstema, der spiller en væsentlig rolle relateret til bedre eller mindre gode resultater i forbindelse med fysiske, mentale og intersubjektive udfordringer. Patienterne accepterede og levede med udfordringerne, oplevede forandringer, som en transition, men magtede også det nye normale, som indebar forbedringer eller dårlige resultater, hvoraf nogle var usynlige for andre. Antagelser om hverdagslivet ændrede sig væsentligt, heriblandt var nogle ændringer muligvis væsentlige for intersubjektive relationer. En reflekterende tilgang kan hjælpe patienter til at udvikle sig, ved at bruge viden fra fortiden og nutiden til at håndtere fremtiden.

Keywords: Denmark; Parse; Qualitative study; Ricoeur; Schutz; advanced heart or lung failure; everyday life; patients’ experiences; phenomenological hermeneutical.

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Conflict of interest statement

The authors declare no potential conflicting interests with respect to the research, authorship, and/or publication of this article.

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