Nursing Open (Sep 2020)

Nurses' perceptions of patient participation in the myocardial infarction pathway

  • Elise Kvalsund Bårdsgjerde,
  • Bodil J. Landstad,
  • Torstein Hole,
  • Magne Nylenna,
  • Kari Hanne Gjeilo,
  • Marit Kvangarsnes

DOI
https://doi.org/10.1002/nop2.544
Journal volume & issue
Vol. 7, no. 5
pp. 1606 – 1615

Abstract

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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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