Nurses' perceptions of patient participation in the myocardial infarction pathway

Abstract Aim To explore nurses' perceptions of patient participation in different phases of the myocardial infarction pathway. Design Qualitative design with a hermeneutical approach. Methods Five focus groups were conducted at two hospitals, one with and one without percutaneous coronary inter...

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Bibliographic Details
Main Authors: Elise Kvalsund Bårdsgjerde (Author), Bodil J. Landstad (Author), Torstein Hole (Author), Magne Nylenna (Author), Kari Hanne Gjeilo (Author), Marit Kvangarsnes (Author)
Format: Book
Published: Wiley, 2020-09-01T00:00:00Z.
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Summary:Abstract Aim To explore nurses' perceptions of patient participation in different phases of the myocardial infarction pathway. Design Qualitative design with a hermeneutical approach. Methods Five focus groups were conducted at two hospitals, one with and one without percutaneous coronary intervention facilities, between February-November 2018. Participants were recruited through purposive sampling. Twenty‐two nurses experienced in cardiac care participated. The analysis had a hermeneutical approach. Results The findings revealed nurses' perceptions of patient participation in different phases of the myocardial infarction pathway. Four themes were identified: (a) variation between paternalism and autonomy in the acute phase; (b) individualization of dialogue and patient participation during treatment; (c) lack of coherence in the pathway hinders patient participation at discharge; and (d) cardiac rehabilitation promotes patients' autonomous decisions in lifestyle changes.
Item Description:2054-1058
10.1002/nop2.544