Sweta S Shah, Crystal L Parker, E O'Brian Smith, Carla M Davis
Disparity in the availability of injectable epinephrine in a large, diverse US school district
The journal of allergy and clinical immunology. In practice
traumatic brain injury significant effect uninjured family members typically examined focus psychopathological outcomes including stress depression anxiety however recent years increasing interest subjective experiences families postinjury leading plethora qualitative studies therefore indepth examination synthesis literature relevant timely examine subjective experiences families following traumatic brain injury adult populations subpostacute period synthesis original qualitative research paper presents metasynthesis using thomas hardens framework thematic synthesis rooted critical realist philosophy july 2019 five electronic databases searched terms traumatic brain injury family qualitative studies included primary research reported qualitative data subjective experiences family members adults traumatic brain injury published peer reviewed journal studies mixed brain injury samples child adolescent traumatic brain injury disorders consciousness excluded hand searching citation searches also completed two reviewers screened titles abstracts full text reached consensus critical discussion thirty papers finally agreed inclusion review study assessed relevance resonance rigour using critical appraisal skills programme casp tool line line coding findings paper conducted basis thematic analysis synthesis descriptive themes identified followed later analytical themes final stage informed narrative lens eight narrative functions belonging four dimensions identified subjective experiences families posttraumatic brain injury specifically 1 displacing anchoring 2 rupturing stabilising 3 isolating connecting 4 harming healing interpretation narrative functions revealed substantial existential work involved negotiating lives maintaining family system equilibrium moving forward family members unique narrative needs despite contemporary service models built around injured person service providers well placed support families everyday narrative work actively attending narrative structures understanding implications family experience study protocol registered prospero international prospective register systematic reviews july 2018 registration number crd42018085824 tweetable abstract synthesis showed immense invisible work required family members maintain family system equilibrium negotiate lives posttbi