title: The lived experience of survivors of prolonged mechanical ventilation: a phenomenological study.
abstract: BACKGROUND
  Successful liberation from prolonged mechanical ventilation (PMV) is a challenging phenomenon. Whereas many physiological factors have been linked to successful PMV liberation, the psychosocial components are not well delineated.
  
  
  OBJECTIVE
  This article serves to describe the experience of patients who survived PMV and to identify salient factors that contributed to successful liberation.
  
  
  METHODS
  A phenomenological approach was used to explore the lived experience of seven PMV survivors.
  
  
  RESULTS
  Six mutually exclusive themes emerged from the participants' descriptions to create a structural description of the lived experience.
  
  
  CONCLUSIONS
  Survivors credited their own self-determination and the expertise and care of health care professionals with their ability to be successfully liberated from prolonged mechanical ventilation. Although surviving PMV was described as frightening and traumatic, comfort and resolve were derived from family members, religion, prayer, and angelic encounters. These findings are useful in providing direction for critical care clinical practice and future research.
authors.affiliation: The University of Michigan, School of Nursing, Ann Arbor, Michigan 48109, USA.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Arslanian-Engoren
authors.forename: Linda D
authors.initials: LD
authors.lastname: Scott
mesh_terms: D000328:Adult; D000368:Aged; D003625:Data Collection / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015399:Nursing Research; D012121:Respiration, Artificial / Q000523:psychology*; D017741:Survivors / Q000523:psychology*; D014140:Tracheotomy / Q000523:psychology*; D015300:Ventilator Weaning / Q000523:psychology*