Understanding patients and spouses experiences of patient education following a cardiac event and eliciting attitudes and preferences towards incorporating cardiopulmonary resuscitation training: A qualitative study

Abstract

Findings suggest cardiac patients and spouses have unmet education needs following an acute cardiac event. Information increased control and decreased negative emotions associated with diagnosis. Participants' preferences were for inclusion of cardiopulmonary resuscitation training in cardiac rehabilitation programs.

Determining the motivations of family members to undertake cardiopulmonary resuscitation training through grounded theory

“…Finally, to satisfy the needs of security, psychosocial support during CPR training must be provided to (a) reduce emotional distress or anxiety related to the potential cardiac emergency event (Compare et al, 2014) and (b) to increase a notion of taking control, which has a positive effect on the emotional reaction (Cartledge, Feldman, Bray, Stub, & Finn, 2018). Therefore, CPR training extends beyond merely teaching skills and must include psychological preparation to enhance the confidence of participants and support families in relation to probable SCD events.…”

Patients’ Experiences of Cardiovascular Health Education and Risk Communication: A Qualitative Synthesis

“…Nobody even told me I'd had a heart attack." (Webster et al, 2002) Some participants felt that the nurse or pharmacist was a good source of information and had the time available to explain information in a lay language (Astin et al, 2008;Cartledge et al, 2018;Hagberth et al, 2008;King et al, 2007;King et al, 2006;Kristofferzon et al, 2007;Svavarsdottir et al, 2016;Wright et al, 2001;Yamada & Holmes, 1998), whereas other participants preferred information to be provided by a doctor (Abramsohn et al, 2013;Astin et al, 2008;Hagberth et al, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 F o r P e e r R e v i e w 11 2008; King et al, 2007;Pryor, Page, Patsamanis, & Jolly, 2014;…”

“…"Before discharge, one doctor told me that it would be better for me to do some exercise as early as possible. But when I saw another doctor, he said that it would be better for me to take more rest and not do too much exercise... (Wang et al, 2008) In some instances conflict occurred when health professionals or family members were perceived to be "fussing", being insensitive or "lecturing" participants about symptoms and lifestyle changes (Cartledge et al, 2018;Goldsmith et al, 2006;Hansen & Nelson, 2011;Jensen & Petersson, 2003;Murie et al, 2006;Ruston & Clayton, 2002;Woodard et al, 2005;Yamada & Holmes, 1998 In some instances, the participant appeared to be more inclined to ignore the information received whilst others felt more determined to change their health behaviour. For some participants, conflict was more like an internal struggle.…”

“…Participants' accounts rarely included any recollection of clear information, verbal or numerical information, about the degree of damage to the heart muscle and any Many participants stated that specific information was not provided by health professionals during hospitalization, but five studies also reported missing information in support classes, written leaflets, at home and on the internet (Abramsohn et al, 2013;Astin et al, 2008;Chan & Lopez, 2014;Hanssen et al, 2005;Webster et al, 2002). Topics that were lacking included advice on dietary change, medication (purpose and side effects), tobacco smoking cessation advice and counseling, resumption of sexual activity, physical exercise, prognosis, AMI diagnosis, how to interpret signs and symptoms indicating a need to seek medical advice, coping with comorbidities, CHD disease process and coronary risk factors, recovery expectations and timescales and details of any future treatments that may be required (Abramsohn et al, 2013;Askham et al, 2010;Astin et al, 2008;Attebring et al, 2005;Cartledge et al, 2018;Chan & Lopez, 2014;Crane, 2001;Doyle et al, 2012;Gambling, 2003;Gulanick et al, 1998;Hagberth et al, 2008;Hansen & Nelson, 2011;Hanssen et al, 2005;Jensen & Petersson, 2003;Kristofferzon et al, 2007;Mosack & Steinke, 2009;Smith et al, 2017;Wang et al, 2008;Webster et al, 2002;Wiles, 1998;Wright et al, 2001;Yamada & Holmes, 1998 Six studies reported that some participants were unaware of cardiac rehabilitation programmes (Gulanick et al, 1998;Jensen & Petersson, 2003;Kristofferzon et al, 2007;McSweeney & Crane, 2001;…”

“…Hermeneutic approach (Cartledge, Feldman, Bray, Stub, & Finn, 2018 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Authors, year, country…”