Related Experiment Video
Updated: May 19, 2026

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
Published on: November 21, 2017
Partners' ambivalence towards cardiac arrest and hypothermia treatment: a qualitative study
Marianne S Holm1, Tone M Norekvål, Nina Fålun
1Department of Heart Disease, Haukeland University Hospital, Bergen, Norway. marianne.holm@helse-bergen.no
Insights
Partners experienced fear and relief during hypothermia treatment for loved ones after cardiac arrest. Understanding the life-saving process and receiving nursing support improved their sense of security.
Area of Science:
- Cardiology
- Intensive Care Medicine
- Psychology
Background:
- Cardiac arrest is a critical event requiring immediate medical intervention.
- Therapeutic hypothermia is a common treatment following cardiac arrest to improve neurological outcomes.
- The psychological impact on partners of critically ill patients is significant but often understudied.
Purpose of the Study:
- To explore the lived experiences of partners whose loved ones underwent cardiac arrest and subsequent hypothermia treatment in the ICU.
- To identify key themes and challenges faced by partners during this critical period.
Main Methods:
- Qualitative study involving nine in-depth interviews with partners.
- Interviews were conducted 5 to 12 months post-hospitalization.
- Data analysis employed Giorgi's phenomenological method.
Main Results:
- Partners experienced intense fear during the cardiac arrest event.
- Ambivalence was noted regarding the ICU environment and the patient's hypothermic state.
- Key themes included the need for clear information, anticipation of awakening, social support dynamics, and anxiety during homecoming.
Conclusions:
- Partners' experiences are characterized by a complex mix of fear and relief.
- Understanding the rationale for hypothermia is crucial for partners' acceptance.
- Nurses are vital in providing information, fostering hope, and enhancing partner security; follow-up care is recommended.
Aim:
The purpose of this study was to examine the experiences of partners of patients who had cardiac arrest and subsequent hypothermia treatment in an intensive care unit (ICU).
Method:
Nine in-depth interviews were conducted 5 months to 1 year after hospitalization. The participants were partners of patients who had survived cardiac arrest and had undergone hypothermia treatment without serious brain damage. All the interviews were analysed using Giorgi's phenomenological method.
Findings:
Six main themes emerged from the analysis: (1) terrified by witnessing the cardiac arrest; (2) ambivalence towards the ICU room and the cold body; (3) need for honest and realistic information; (4) anticipating the awakening; (5) social network as support and burden; and (6) the frightening homecoming.
Conclusion:
The essential structure of the partners' experiences of loved ones' cardiac arrest and hypothermia treatment was characterized by ambivalence; they experienced both fear and relief. There may be a relationship between experiences before entering the ICU and reactions during hypothermia treatment and afterwards. Some partners experienced a feeling of guilt after the resuscitation event, and especially during the awakening phase. After discharge, the partners described feeling anxiety.
Relevance To Clinical Practice:
Nurses play a pivotal role in providing partners with information and in nurturing hope and feelings of security. Partners need to fully understand the reason for hypothermia treatment to enable them to accept the cold body as part of a life-saving process. We recommend follow-up after discharge. This may increase the partners' sense of security and control.
More Related Videos
Related Concept Videos
Ethical Issues
Ethical Concerns in Healthcare:
Cardiopulmonary Resuscitation IV: Pharmacological Management
Ethical Dilemmas II
Decreased Body Temperature
Obedience
Acute Coronary Syndrome IV: Interprofessional Care

