Lived Experiences of Surviving In-House Cardiac Arrest

Article critique
Student's Name
Institution Affiliation
Professor's Name
Course
Date
Article Critique
Bremer, A., Dahné, T., Stureson, L., Årestedt, K., & Thylén, I. (2019). Lived experiences of surviving in‐hospital cardiac arrest. Scandinavian journal of caring sciences, 33(1), 156-164. https://doi.org/10.1111/scs.12616
Introduction
Surviving a cardiac arrest is a turbulent experience. The incidents of cardiac arrest and determining factors are well researched, but less is known of the experiences of survivors when they return home from hospitals. Cardiac arrest deaths are many globally. Patients experiencing In-Hospital Cardiac Arrest (IHCA) suffer from morbidity issues. Cardiac arrest is regular due to the heart's response to critical systematic illnesses rather than the condition being the leading cause. The article title is; lived experiences of surviving in-hospital cardiac arrest. Bremer et al. examine the different experiences portrayed by individuals who have survived cardiac arrests suffered while at a hospital. The authors have identified the conditions that facilitate in-hospital cardiac arrest patients, such as having more secondary comorbidities and different acute diseases procedures that influence their whole health outcome and recovery. Patients suffer from anxiety, vulnerability, and distress. The post-resuscitation follow-up care can be unsatisfactory hence part of the problem. The survival rate following in-hospital cardiac arrest has continued to improve if the proper care is administered. This article has produced significant results indicating various experiences of different individuals. A cardiac arrest is a fatal scenerio where the survivors must accept and adjust socially, mentally, and physically, which sometimes leads to future insecurities. It affects all aspects of life on returning homes, such as the ability to drive, work, extra medical appointments, and a new medication regime.
Summary of the Article
The articles aim to shed light on the meaning of people's lived experiences of surviving an in-hospital cardiac arrest. Participants of the research project were identified through the Swedish national registry of cardiopulmonary resuscitation. Six hospitals were involved where Bremer et al. identified 18 patients aged 53-99 years and had survived an in-hospital cardiac arrest 1-3 years earlier. The authors engaged 8 participants in the narrative interview. The narrative interview included in-depth questions, which made it easier for the authors to get comprehensive answers. The research has included several findings, such as survivors striving to live daily and striving for security.
Abstract
The significant aspects of the research are summarized in this section but briefly. Bremer et al. have indicated the overall aim of the study. The abstract contains a well-researched summary of what the paper entails. There is a clear and straightforward background on patients who have survived cardiac arrest, especially problems such as insecurities associated with the transition from hospitals to homes (Bremer et al., 2019). Bremer et al. have given several examples of insecurities such as feelings of abandonment, uncertainty, loneliness, isolation, and other vulnerabilities. The authors have managed to introduce the research question and the statement of the problems. Bremer et al. have included research methodology such as narrative interviews, methods of collecting data, data analysis, and discussion of the result.
Research Problems, Research Questions
The research problem is stated in the background section of the study. The authors are trying to tell the readers about the issues associated with in-hospital cardiac arrest patients. The research problem is more directly and precisely worded. The method of interviewing the participants is consistent with the naturalistic paradigm of qualitative research. The problem statement builds a coherent and persuasive argument of the study where the authors are studying the lived experiences of in-hospital cardiac arrest survivors. The study is significant in-hospital care as it focuses offers detailed information on several survivors of cardiac arrest. The research topic is self-explanatory as the authors only focus on the lived experiences of individuals surviving an in-hospital cardiac arrest (Bremer et al., 2019). Hence, there is no need for additional research questions. The research question is clearly stated so the readers can easily identify it. The population is specific, i.e., survived in-hospital cardiac arrest, and the age must be between 53- 99 years.
Review of the Literature
In the introduction, the authors have referred to the literature review. They have identified five previous studies that have focused on out-of-hospital cardiac arrest survivors. Furthermore, the research has shown their experiences such as vulnerability, distress, and insecurity (Bremer et al., 2019). However, the purpose of the literature review is to summarize and synthesize the ideas and arguments of the study. Many patients suffering from cardiac arrest suffer from psychological distress and experience cognitive impairment. Nevertheless, they are considered to have an acceptable quality of life. The literature review's primary focus is on out-hospital cardiac arrest instead of in-hospital cardiac arrest. There is a lack of knowledge on recent studies of IHCA survivors. Thus, the authors could have added additional primary sources on the experiences of in-hospital cardiac arrest patients.
Review of the Theoretical or Conceptual Framework
Bremer et al. have not specifically included a conceptual or theoretical framework of the study. Nevertheless, the critical concepts of the study are easily identifiable for the reader in the background section. The authors have mentioned the various causes of in-hospital cardiac arrest and subsequent experiences. The authors have made clear that they will explore the concept of lived experiences of cardiac arrest survivors. It includes knowledge on how cardiac arrest events impact the survivors continued life. Bremer et al. have mentioned how patients who have survived cardiac arrest have found well-being through a sense of coherent and purpose in a changed life, aspire to return to and revaluate life
Methodology
Design
The authors have identified the research tradition. They used an explorative design with a phenomenological hermeneutic method. It was influential in examining the lived experiences of surviving an in-hospital cardiac arrest. The research design is well-described, and design decisions are thoroughly explained and justified. The narrative interviews from the participants were the sole means of data collection (Bremer et al., 2019). The design leads to a thorough, in-depth examination of the in-hospital cardiac arrest survivors. The researchers did not capitalize on early information as they had to conduct the interviews. There was evidence of reflexivity in the study. The authors had prior experience of caring for patients during cardiac arrest and other chronic illnesses. Nonetheless, they refrained from ...