Berthe Abi Zeid, Tanya El Khoury, Hala Ghattas, Marwan F Alawieh, Zeinab Ramadan, Sirine Anouti, Sawsan Abdulrahim, Stephen J McCall
Predictors and barriers to vaccination among older Syrian refugees in Lebanon: a cross-sectional analysis of a multi-wave longitudinal study
The lancet. Healthy longevity
acute episodes agitation frequently experienced patients critical illness yet understood experience agitation patient family perspectives search existing literature appraise provide synthesized interpretation broaden understanding patients families experience agitation adult critical care admission qualitative metasynthesis qualitative metasynthesis based systematic literature search registered prospero search conducted july september 2019 applied proquest cumulative index nursing allied health british nursing index cochrane library ovid medline web science psycinfo databases appraised selected literature presented synthesized interpretation analysis based approach gadamerian hermeneutics due lack data identified family experiences agitation could addressed within review total 8 studies included capturing experiences 494 patients aged 18 92 years 225 45 women analysis generated three core themes real b loss communication dependency c helps fear death emotion anxiety feelings pain alongside transient periods fluctuating conscious levels provoked feeling intense vulnerability loss effective communication feeling dependence incite agitation distress patients recollection critical illness completely partially absent disjointed uncertainty around real family members observe full effect patients critical care illness could wealth untapped information increasing awareness critically ill patients experience agitation highlights possible contributing factors agitation development staff interaction communication skills critical care environment