A meta-synthesis of qualitative research into needs and experiences of significant others to critically ill or injured patients.
OBJECTIVE
This study aimed to describe the significant others' experiences and needs when a person is critically ill or injured in an acute care setting.


BACKGROUND
Being a significant other to a hospitalised critically ill or injured patient is a heavily distressing life event. Addressing significant others' needs adequately has been shown to be essential to mitigate the psychological consequences of such distressing events.


METHODS
A systematic review of qualitative research.


METHODS
Meta-ethnographic synthesis was used for analysis.


RESULTS
The key findings are described in five major themes: uncertainty and emotional 'roller coaster'; information--balancing hope and reality; to guard and to protect the loved one; alliance with caregivers--crucial support; and social network--support and disequilibrium.


CONCLUSIONS
The study can provide a broader understanding of the significant others' situation. They are facing an overwhelming and emotionally challenging situation and need to be seen and heard.


CONCLUSIONS
The results point towards the nurses' key position in handling the needs of the significant others. This kind of description might be helpful in taking on this delicate task and might also serve as a body of knowledge to influence clinical practice guidelines and nursing interventions in this field.
Linnarsson
Josefin Rahmqvist
JR
The Swedish Red Cross University College of Nursing, Stockholm, Sweden. josefin.linnarsson@rahmqvist.com
Bubini
Jennifer
J
Perseius
Kent-Inge
KI
D000223:Adaptation, Psychological; D003422:Critical Care / Q000523:psychology*; D016638:Critical Illness; D004644:Emotions; D005195:Family Relations; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D020380:Needs Assessment; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology; D011368:Professional-Family Relations; D036301:Qualitative Research; D012657:Self-Help Groups; D018454:Spouses; D013548:Sweden; D014789:Visitors to Patients / Q000523:psychology; D014947:Wounds and Injuries / Q000517:prevention & control* / Q000628:therapy