A post-transplant person
Narratives of heart or lung transplantation and intensive care unit delirium
Bibliographic Data
| ID | 4863629 |
|---|---|
| Authors | Katy Flynn (Lancaster University), Anna Daiches (0009-0001-2450-6271, Lancaster University), Zoey Malpus (0000-0001-6319-5931, Wythenshawe Heart and Lung Transplant Unit, UK), Nizar Yonan (Wythenshawe Heart and Lung Transplant Unit, UK), Melissa Sanchez (0000-0002-4403-3977, Harefield Heart and Lung Transplant Service, UK) |
| Year | 2014 |
| Volume | 18 |
| Issue | 4 |
| Pages | 352-368 |
| Publication date | 2014-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1363459313501356 |
| PMID | 24026357 |
| OpenAlex | W2130441026 |
| Language | EN |
| Citations received | 1 |
| References cited | 39 |
Exploring patients' narratives can lead to new understandings about perceived illness states. Intensive Care Unit delirium is when people experience transitory hallucinations, delusions or paranoia in the Intensive Care Unit and little is known about how this experience affects individuals who have had a heart or lung transplant. A total of 11 participants were recruited from two heart and lung transplant services and were invited to tell their story of transplant and Intensive Care Unit delirium. A narrative analysis was conducted and the findings were presented as a shared story. This shared story begins with death becoming prominent before the transplant: 'you live all the time with Mr Death on your shoulder'. Following the operation, death permeates all aspects of dream worlds, as dreams in intensive care 'tunes into the subconscious of your fears'. The next part of the shared story offers hope of restitution; however, this does not last as reality creeps in: 'I thought it was going to be like a miracle cure'. Finally, the restitution narrative is found to be insufficient and individuals differ in the extent to which they can achieve resolution. The societal discourse of a transplant being a 'gift', which gives life, leads to internalised responsibility for the 'success' or 'failure' of the transplant. Participants describe how their experiences impact their sense of self: 'a post-transplant person'. The clinical implications of these findings are discussed
Delirium · Dream · Intensive care · Intensive care medicine · Intensive care unit · Literature · Narrative · Paranoia · Psychiatry · Psychotherapist · Subconscious · Family and Patient Care in Intensive Care Units · Healthcare Decision-Making and Restraints · Intensive Care Unit Cognitive Disorders · Medicine · Psychology · Surgery · Transplantation
Qualitative research
Introducing narrative psychology
The Wounded Storyteller
Prenatal Care Use Among Women of Low Income
Narrative Research
Confidentiality and Autonomy
Narrative Methods for the Human Sciences
Storying stories
User involvement in research
Stories in Action and the Dialogic Management of Identities
I'm Cured But
Psychological assessment and care of organ transplant patients
Doing Narrative Research
Levels of Narrative Analysis in Health Psychology
Protecting Respondent Confidentiality in Qualitative Research
Reflections on the Narrative Research Approach
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |