title: Recovery after lung transplantation from a patient perspective - proposing a new framework.
abstract: OBJECTIVE
  The aims of this study were two-fold: to develop the concept analysis by Allvin et al. from lung recipients' perspective of their post-transplant recovery process and to identify the recovery trajectories including critical junctions in the post-transplant recovery process after lung transplantation.
  
  
  BACKGROUND
  Lung transplantation is an established treatment for patients with end-stage lung disease. The recovery process after lung transplantation is very demanding. Today, patients are expected to play an active role in their own recovery but require ongoing support during the process.
  
  
  METHODS
  A deductive, retrospective interview study using directed content analysis and Allvin's recovery concept analysis.
  
  
  METHODS
  Fifteen adult lung transplant recipients who were due their 12-month follow-up were consecutively included and interviewed during 2015. Patients who were medically unstable or had difficulties speaking Swedish were excluded from this multi-centre study.
  
  
  RESULTS
  Allvin's concept analysis is partly applicable to the context of lung transplantation. The recipients' experience of the post-transplant recovery process could be confirmed in the main dimensions of the concept analysis, while several sub-dimensions were contradictory and were excluded. Six new sub-dimensions emerged; symptom management, adjusting to physical restraints, achieving an optimum level of psychological well-being, emotional transition, social adaptation and reconstructing daily occupation.
  
  
  CONCLUSIONS
  The concept analysis by Allvin et al. was possible to expand to fit the lung transplantation context and a new contextual definition of post-transplant recovery after solid organ transplantation was developed. Recovery and health were viewed as two different things.
authors.affiliation: Skåne University Hospital, Thoracic Intensive Care Unit, Lund, Sweden.|Department of Health Sciences at Lund University, Sweden.
authors.forename: Martina
authors.initials: M
authors.lastname: Lundmark
authors.affiliation: The Transplant Center, Sahlgrenska University Hospital, Gothenburg, Sweden.|The Institute of Health and Caring Sciences, Sahlgrenska Academy at the University of Gothenburg, Sweden.
authors.forename: Annette
authors.initials: A
authors.lastname: Lennerling
authors.affiliation: Skåne University Hospital, Thoracic Intensive Care Unit, Lund, Sweden.|Department of Health Sciences at Lund University, Sweden.
authors.forename: Matilda
authors.initials: M
authors.lastname: Almgren
authors.affiliation: Department of Health Sciences at Lund University, Sweden.|Skåne University Hospital, Department of Transplantation and Cardiology, Lund, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Forsberg
mesh_terms: D006801:Humans; D016040:Lung Transplantation / Q000451:nursing*; D020127:Recovery of Function; D012189:Retrospective Studies
keywords: adaptation; adjustment; concept analysis; framework; lung transplantation; nursing; post-transplant recovery; postoperative recovery; qualitative; transition