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J Clin Nurs. 2021;30:161–173. wileyonlinelibrary.com/journal/jocn | © 2020 John Wiley & Sons Ltd
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O R I G I N A L A R T I C L E
A qualitative study of long-term ICU patients' inner strength
and willpower: Family and health professionals as a health-
promoting resource
Ingeborg Alexandersen ICN, MA, Associate Professor
| Hege S. Haugdahl ICN, Phd,
Associate professor
| Tove Engan Paulsby ICN, MA, Assistent professor |
Stine Borgen Lund ICN, MA, Doctoral fellow | Berit Stjern ICN, MA, Assistent professor
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Regina Eide ICN, MA 3 | Gørill Haugan Professor
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Correspondence
Funding information
Abstract
Aims and objectives:
Background:
Design:
Methods:
Results:
Conclusion:
Relevance to clinical practice:
willpower.
K E Y W O R D S
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Guidelines for FamilyCentered Care in the
Neonatal Pediatric and Adult ICU
What does this paper contribute to the wider
global clinical community?
care.
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long term
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recovery.
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constituting the phenomena "inner strength and
willpower"
inner strength and willpower
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"My family - the first I remember"
Meaning units Subtheme Main theme
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Informant No. Gender
Age in
years Diagnosis
Length of
stay in days
1 Male 10
2 Male 67
3 Male 62 13
4 Male
Male 28 14
6 Male 28
7 Male 76
8 Male 47
Male 8
10 41
11 Male 62 10
12
13 72
14 13
Male 8
16 Male 27
17 Male 41
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T A B L E 3
Research questions Main themes Subthemes
willpower?
willpower?
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The visit—"suddenly a sunny day!"
me.
To be important to someone, "We are going to be so good again!"
and willpower:
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Providing safety and well-being; "I remember that good feeling!"
me
To rewrite the painful and to inspire: "We are going to manage this!"
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Burdensome thoughts about the family
dead.
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The stress of the visits
bed.
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been improved.
Lack of information—"When am I going to know?"
willpower.
Lack of respect and patient focus
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rude:
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A C K N O W L E D G E M E N T S
C O N F L I C T O F I N T E R E S T
A U T H O R C O N T R I B U T I O N S
O R C I D
Ingeborg Alexandersen
Hege S. Haugdahl
Gørill Haugan
R E F E R E N C E S
Journal of Clinical Nursing28
Intensive and Critical Care Nursing28
Health Promotion International11 Helsens mysterium. Den salutogene modellen.
Viljens Psykologi (The act of will, A guide to Self- actualisation and Self-realisation)
Critical Care and Shock11
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Basics of qualitative research
Intensive and Critical Care Nursing27 Reflective Lifeworld
Research
Critical Care Medicine 45
Nursing
in Critical Care18
Critical Care Medicine
45
Intensive and Critical Care Nursing29
Journal of
Epidemiology and Community Health60
Scandinavian Journal of Caring Sciences28
Health promotion in Health Care
- Vital Salutogenic Theories and Research
Health promotion in Health Care - Vital Salutogenic Theories and Research
vival. Journal of Clinical Nursing.
Philosophical Psychology
21
How is strength of will possible In Christine Tappolet & Sarah Stroud (eds.), Weakness of Will and Practical Irrationality
Intensive
and Critical Care Nursing28
Scandinavian Journal of
Organizational Psychology6
Journal of Clinical Nursing26
Intern
Journal of Qualitative Studies on Health and Well-being8
Intensive and Critical Care Nursing 32
Intensive and Critical Care Nursing56.
Kvalitativ metode: en innføring med fokus på
fenomenologi, etnografi og kasusstudier [Qualitative Method. An in-
troduction focusing on phenomenology, ethnography and case studies].
Scandinavian Journal of Caring Sciences32
Intensive and critical care nursing
Inner strength in men-a descriptive phenomenology. Thesis
and Dissertations 2349
Canadian Journal of nursing.
Critical Care Nurse39
Nursing in Critical Care 13
Journal of Advanced Nursing14
Journal of Advanced Nursing70
International Journal for Quality in Health Care19
Phenomenology of practice
Scandinavian Journal of Caring Sciences31
Intensive and Critical Care Nursing25
Journal of Critical
Care40
review. International Journal of Nursing Studies 51
S U P P O R T I N G I N F O R M AT I O N
How to cite this article:
J Clin Nurs.
2021;30:161–173.
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