‘The team for both sides?’ A qualitative study of change in heart failure services at three acute NHS Trusts

2014 ◽  
Vol 23 (2) ◽  
pp. 121-130 ◽  
Author(s):  
Laura Lord ◽  
George Dowswell ◽  
Alistair Hewison
2021 ◽  
Vol 42 (5) ◽  
pp. 1190-1197
Author(s):  
Seongkum Heo ◽  
JinShil Kim ◽  
Jae Lan Shim ◽  
Tammy Barbe ◽  
Vicki Black ◽  
...  

2017 ◽  
Vol 26 (13-14) ◽  
pp. 2036-2044 ◽  
Author(s):  
Helen Walthall ◽  
Crispin Jenkinson ◽  
Mary Boulton

2021 ◽  
pp. 109019812110532
Author(s):  
Elodie Charuel ◽  
Martial Bernard ◽  
Hélène Vaillant Roussel ◽  
Benoit Cambon ◽  
Thibault Ménini ◽  
...  

Background Participation in regular physical activity (RPA) is beneficial to the quality of life and life expectancy of patients with chronic heart failure (CHF). However, it is inadequate in many patients. Aims To determine the factors that influence the practice of RPA in patients with CHF managed in general practice. Method This was a qualitative study using semistructured, individual face-to-face interviews. Patients with CHF (New York Heart Association Stages 1–3) capable of participating in RPA were enrolled by their general practitioner. A longitudinal and transversal inductive thematic analysis was performed by two researchers. Results Five themes emerged from the 19 interviews that were conducted. Poor knowledge of the disease and the benefits of participating in RPA, as well as the lack of motivation or enjoyment, in particular due to the absence of previous participation, were considered significant obstacles. Fear associated with CHF or other comorbidities was also an obstacle. Attendance at a rehabilitation center, family and social circles, and having a pet all appeared to be beneficial. Family and friends were important for motivating the patient to participate in an activity but could also be an obstacle when they were overprotective. Conclusion This study helps highlight the difficulties for patients with CHF associated with participation in RPA. Despite the obstacles, there are enabling factors on which the general practitioner may rely to motivate their patients.


Open Heart ◽  
2018 ◽  
Vol 5 (1) ◽  
pp. e000734
Author(s):  
Jingwen Jessica Chen ◽  
Kathryn Gamble ◽  
Lisa Graham-Wisener ◽  
Kieran McGlade ◽  
Jennifer Doherty ◽  
...  

2021 ◽  
Vol 12 (4) ◽  
pp. 21
Author(s):  
Virna Ribeiro Feitosa Cestari ◽  
Lorena C. De Souza ◽  
Raquel S. Florêncio ◽  
Maria G.V. Sobral ◽  
Vera L.M.P. Pessoa ◽  
...  

Objective: To understand the expectations of the professionals about the construction and use of an educational and follow-up application to care.Methods: Phenomenological and qualitative study. Convenience and purposive sampling were carried out and in-depth individual interviews with 35 professionals from the multidisciplinary team, between September and October 2020 in Brazil. All interviews were audio-recorded and data analyzed using the hermeneutic circle. The COREQ checklist was employed to report on the current study.Results: Two main units of meaning emerged: (a) The care of the person who lives with heart failure; and (b) The care of the person with heart failure intermediated by an application. Care for the person with the disease brings together elements related to the identification of demands and understanding of their surroundings, with guidance and use of technologies.Conclusions: The professionals were favorable to the development of an application and considered it beneficial. The use of it, would allow the approximation between patients and their family and the multidisciplinary team; respect the patient’s needs and overcome the precariousness of the health system.


2015 ◽  
Vol 170 (3) ◽  
pp. 524-530.e3 ◽  
Author(s):  
Hillary D. Lum ◽  
Jacqueline Jones ◽  
Dana Lahoff ◽  
Larry A. Allen ◽  
David B. Bekelman ◽  
...  

2018 ◽  
Vol 24 (8) ◽  
pp. S7
Author(s):  
Kelley M. Anderson ◽  
Rachel Barish ◽  
Martha Awoke

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Qi Zheng ◽  
Sarah Goodlin

Background: Implantable cardioverter defibrillator (ICD) and cardiac resynchronization therapy (CRT-D) reduce mortality and improve functional status in selected patients with heart failure (HF). However, there are potential procedural risks and psychosocial concerns associated with device implant. This qualitative study aims to explore patients’ and families’ understanding of ICD/CRT-D, heart failure and arrhythmia in the process of decision making regarding device implant. Methods: We conducted 14 focus groups or interviews in Salt Lake City UT and Silver Spring MD. This study included 23 patients, who had either an ICD or CRT-D implant for primary prevention, and 14 family members. Grounded theory analysis was performed to reach a conceptual understanding of patients’ and families’ perceptions and needs. Results: Patients and families largely made decision of ICD/CRT implant based on physicians’ recommendations, e.g. “I really try to do what they tell me to do” (icdpt 1). Patients perceived ICD as lifesaving and CRT being helpful to improve functional status. Many patients described ICD as lifesaving by “restarting a heart if it stops”, while did not understand HF or ventricular arrhythmia. Patients perceived an urgency to consider ICD implant from their physicians, but no such urgency was perceived when they discussed about CRT-D implant. Few participants were concerned with costs, or had knowledge of potential lead malfunction, device removal and associated risks. Many emphasized the importance of information about life expectancies, what HF is, options of different devices, complications and precautions, and what to expect regarding lifestyle changes. Conclusion: Patients and families largely relied on the information provided by physicians and followed physicians’ guidance. They had limited understanding of their prognosis, HF and arrhythmia, and they were motivated to learn. Discussion about devices should include prognosis and healthy life style changes.


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