Exploring Strategies for Developing Enabling Environments for People with Chronic Heart Disease: An Ethnographic Study Protocol

Abstract

The impact of chronic diseases on people’s daily lives and the exponential number of people affected is a major public health issue. The consequences on individuals and their families is significant, particularly in terms of quality of life. In the literature, this phenomenon is well described in terms of care policy and cost. Although there is a link between a supportive environment and empowerment, there is little literature describing a supportive environment and the daily lives of people living with cardiovascular disease. The objectives of this study are to identify the strategies people use to develop an enabling environment. It will be a qualitative ethnographic study that will address both human behavior and the notion of culture in a broad sense. In the context of this study, an orientation towards critical ethnography will be considered for its particular interest in vulnerable people and in the power relations that may exist in the socio-cultural system. Data will be collected directly in people’s homes through observations and interviews with 10 people with cardiovascular disease. For each person, the data collection will take place over three days and will represent approximately 210 h of observation. This protocol was registered in the Research Register on 30 June 2021 and its number is 6933. This study will explore strategies for developing an enabling environment for people living with heart disease and eventually provide recommendations for nursing practices in terms of support.

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“… 56 It has also been used to observe the organization of people’s environment in relation to cardiovascular disease management in order to clarify people’s real expectations during follow-up consultations, possibly contributing to the development of innovative solutions in care practices. 57 …”

Structural analysis of Green Human Resource Management and Green Transformational Leadership on Environmental Behaviors and Green Innovation Performance with the Mediating Role of Environmental Knowledge

“…Therefore, any scienti c effort to understand, predict, and promote environmental behaviors necessary (Lange, 2019). Consequently, explaining individuals' behavior towards the environment is an important subject (Loizeau et al, 2023).…”

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