miun.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Patients' narratives of their patient participation in the myocardial infarction pathway
Norwegian University of Science and Technology (NTNU), Ålesund, Norway.
Norwegian University of Science and Technology (NTNU), Ålesund, Norway; Møre og Romsdal Hospital Trust, Ålesund, Norway.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway.ORCID iD: 0000-0001-6558-3129
Institute of Health and Society, University of Oslo, Oslo, Norway; Norwegian Institute of Public Health, Oslo, Norway.
Show others and affiliations
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 5, p. 1063-1073Article in journal (Refereed) Published
Abstract [en]

Aim: To explore how patients in areas without local percutaneous coronary intervention (PCI) facilities experience patient participation in different phases of the myocardial infarction pathway. Background: Acute treatment of myocardial infarction often involves PCI. In Norway, this treatment is centralized at certain hospitals; thus, patients often require long-distance transportation and experience frequent hospital transfers. Short hospital stays, transfers between hospitals and the patient's emotional state pose challenges to promoting patient participation. Design: A qualitative design with a narrative approach. Methods: Participants were recruited through purposive sampling. Eight men and two women were interviewed in 2016. Findings: Four themes related to the patients' experiences at the beginning, middle and end of the pathway were identified: (a) Lack of verbal communication in the acute phase; (b) trust in healthcare professionals and treatment; (c) lack of participation and coordination at discharge; and (d) shared decision-making in rehabilitation. The findings showed how the patients moved from a low level of patient participation in the acute phase to a high level of patient participation in the rehabilitation phase. Conclusion: This is the first study to explore patient participation in different phases of the myocardial infarction pathway. We argue that individual plans for information and patient participation are important to improve patient involvement in an earlier stage of the pathway. Further research from a healthcare professional perspective can be valuable to understand this topic. Impact: This study gives new insight that can be valuable for healthcare professionals in implementing patient participation throughout the pathway. 

Place, publisher, year, edition, pages
2019. Vol. 75, no 5, p. 1063-1073
Keywords [en]
interview, myocardial infarction, myocardial infarction care, narratives, nursing, patient involvement, patient participation, patient pathway, patient perspective, qualitative
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-35820DOI: 10.1111/jan.13931ISI: 000465107000015PubMedID: 30549312OAI: oai:DiVA.org:miun-35820DiVA, id: diva2:1297231
Available from: 2019-03-19 Created: 2019-03-19 Last updated: 2019-05-22Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records BETA

Landstad, Bodil

Search in DiVA

By author/editor
Landstad, Bodil
By organisation
Department of Health Sciences
In the same journal
Journal of Advanced Nursing
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 57 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf