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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Main Authors: Elise Kvalsund Bårdsgjerde, Bodil J. Landstad, Torstein Hole, Magne Nylenna, Kari Hanne Gjeilo, Marit Kvangarsnes
Format: Article
Language:English
Published: Wiley 2020-09-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.544
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author Elise Kvalsund Bårdsgjerde
Bodil J. Landstad
Torstein Hole
Magne Nylenna
Kari Hanne Gjeilo
Marit Kvangarsnes
author_facet Elise Kvalsund Bårdsgjerde
Bodil J. Landstad
Torstein Hole
Magne Nylenna
Kari Hanne Gjeilo
Marit Kvangarsnes
author_sort Elise Kvalsund Bårdsgjerde
collection DOAJ
description 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.
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spelling doaj.art-b2707f1c2c714a2dbf4bc74b4ebd81ad2022-12-22T01:21:24ZengWileyNursing Open2054-10582020-09-01751606161510.1002/nop2.544Nurses' perceptions of patient participation in the myocardial infarction pathwayElise Kvalsund Bårdsgjerde0Bodil J. Landstad1Torstein Hole2Magne Nylenna3Kari Hanne Gjeilo4Marit Kvangarsnes5Department of Health Sciences in Ålesund Faculty of Medicine and Health Sciences NTNU – Norwegian University of Science and Technology Ålesund NorwayDepartment of Health Sciences Mid Sweden University Sundsvall and Östersund SwedenClinic of Medicine and Rehabilitation Møre og Romsdal Hospital Trust Ålesund NorwayInstitute of Health and Society University of Oslo Oslo NorwayDepartment of Cardiothoracic Surgery St. Olavs Hospital Trondheim University Hospital Trondheim NorwayDepartment of Health Sciences in Ålesund Faculty of Medicine and Health Sciences NTNU – Norwegian University of Science and Technology Ålesund NorwayAbstract 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.https://doi.org/10.1002/nop2.544focus groupmyocardial infarctionmyocardial infarction carenurse perceptionnurse perspectivenurses
spellingShingle Elise Kvalsund Bårdsgjerde
Bodil J. Landstad
Torstein Hole
Magne Nylenna
Kari Hanne Gjeilo
Marit Kvangarsnes
Nurses' perceptions of patient participation in the myocardial infarction pathway
Nursing Open
focus group
myocardial infarction
myocardial infarction care
nurse perception
nurse perspective
nurses
title Nurses' perceptions of patient participation in the myocardial infarction pathway
title_full Nurses' perceptions of patient participation in the myocardial infarction pathway
title_fullStr Nurses' perceptions of patient participation in the myocardial infarction pathway
title_full_unstemmed Nurses' perceptions of patient participation in the myocardial infarction pathway
title_short Nurses' perceptions of patient participation in the myocardial infarction pathway
title_sort nurses perceptions of patient participation in the myocardial infarction pathway
topic focus group
myocardial infarction
myocardial infarction care
nurse perception
nurse perspective
nurses
url https://doi.org/10.1002/nop2.544
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