Nurses' perceptions of patient participation in the myocardial infarction pathway

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 f...

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Bibliographic Details
Published in:Nursing open 2020-09, Vol.7 (5), p.1606-1615
Main Authors: Bårdsgjerde, Elise Kvalsund, Landstad, Bodil J., Hole, Torstein, Nylenna, Magne, Gjeilo, Kari Hanne, Kvangarsnes, Marit
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Cardiovascular disease
Clinical nursing
focus group
Heart attacks
Humans
Intensive care
Myocardial Infarction
myocardial infarction care
nurse perception
nurse perspective
Nurses
nursing
Nursing Staff, Hospital
Participation
patient involvement
Patient Participation
Patients
Perception
Perceptions
Prevention
Qualitative research
Rehabilitation
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Summary: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.
ISSN:2054-1058
2054-1058
DOI:10.1002/nop2.544