Is patient involvement during hospitalization for acute myocardial infarction associated with post‐discharge treatment outcome? An exploratory study

Arnetz, Judith E.; Winblad, Ulrika; Höglund, Anna T.; Lindahl, Bertil; Spångberg, Kalle; Wallentin, Lars; Wang, Yun; Ager, Joel W.; Arnetz, Bengt B.

doi:10.1111/j.1369-7625.2009.00588.x

Cited by 29 publications

(31 citation statements)

References 39 publications

(56 reference statements)

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“…Covinsky et al [18] found that poor communication and low patient participation in decision making during hospitalization was related to poorer health three months after a MI and delayed return to work. This was contradicted in a more recent study where higher patient involvement during hospitalization were not consistently associated with more desirable outcomes or with MI patient health and behaviour 6-10 weeks after hospital discharge [19].…”

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confidence: 42%

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A qualitative study on the role of patient–nurse communication in acute cardiac care

Liljeroos

Snellman

Ekstedt

2011

JNEP

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Background: This study aimed to illuminate the meaning of the patient-nurse communication during a hospital stay as narrated by patients after a myocardial infarction (MI).Methods: Narrative interviews from 10 patients were analyzed, using a phenomenological-hermeneutic method. Results:The nursing dialogue meant a safe mooring point on the trajectory from initial chaos after a MI to a reoriented life. Nurses' presence and availability for non-verbal and verbal communication created a trustful relationship where new knowledge was acquired and motivational strength for life-style changes was mobilized. A person-centered perspective was preferred, where relatives were invited into the conversation. Conclusions:These results highlight that patient-nurse communication based on the patient's view is possible in acute care after MI, and is an issue of attitude rather than time. Trust lays the foundation for a person-centered communication and is developed through the nurse's presence and availability not only in the emergency phase, but throughout hospitalization. Discussions focused on personal action plans with emphasis on the patient's health assets may facilitate a successful rehabilitation.

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confidence: 42%

“…Achieving patient participation is considered especially difficult during the initial, emergency phase of MI [19] and it primarily takes the form of information [17]. Nurses in a coronary care unit (CCU) put considerable effort in following guidelines and providing the best possible information to the patient.…”

mentioning

confidence: 99%

A qualitative study on the role of patient–nurse communication in acute cardiac care

Liljeroos

Snellman

Ekstedt

2011

JNEP

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“…Specifically, nurses and physicians are bound by time pressures working with patients that are in pain, anxious, under medication, or even sedated (Arnetz et al, 2008b). At the same time, there is evidence suggesting that involving MI patients in their care during hospitalization has a positive effect on health outcomes 3 months post-discharge (Arnetz et al, 2010). …”

Section: Discussionmentioning

confidence: 99%

Patient Involvement: A New Source of Stress in Health Care Work?

Arnetz

Zhdanova

Arnetz

2016

Health Communication

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Patients have become increasingly well-informed with higher expectations to be involved in decision-making processes regarding their care and treatment. However, few studies have examined the impact of patient involvement on health care providers’ partnership-building communication. The aim of this study was to measure and explore the self-reported effects of patient involvement on the work of physicians and nurses. A questionnaire survey was distributed among cardiology staff in 12 Swedish hospitals (N=488, response rate 67%). The sample was comprised of registered nurses (RNs, n=303), licensed practical nurses (LPNs, n=132) and physicians (MDs, n=53). Confirmatory factor analysis was used to examine 7 questionnaire statements concerning implications of patient involvement for one’s clinical work. Regression analyses were used to examine factors associated with staff’s partnership-building communication. Analysis confirmed two distinct factors accounting for 57% of the total variance, representing both negative – “Hassles”– and positive –“Uplifts” – aspects of patient involvement. Regression analyses revealed that only positive aspects (i.e., uplifts) of patient involvement predicted staff behavior aimed at involving patients. Working with actively involved patients may be a source of stress, both negative and positive, for health care professionals. By developing work routines for involving patients in their care, health care workplaces may help health care professionals to buffer the negative effects, and enhance the positive effects, of that stress.

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“…Enhanced involvement during hospitalisation has also been associated with fewer cardiovascular symptoms postdischarge (Arnetz et al . ). These results highlight the need to better understand the nature of the patient involvement climate in MI care.…”

Section: Introductionmentioning

confidence: 97%

Patient involvement climate: views and behaviours among registered nurses in myocardial infarction care

Arnetz

Zhdanova

2014

Journal of Clinical Nursing

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Is patient involvement during hospitalization for acute myocardial infarction associated with post‐discharge treatment outcome? An exploratory study

Cited by 29 publications

References 39 publications

A qualitative study on the role of patient–nurse communication in acute cardiac care

A qualitative study on the role of patient–nurse communication in acute cardiac care

Patient Involvement: A New Source of Stress in Health Care Work?

Patient involvement climate: views and behaviours among registered nurses in myocardial infarction care

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