Open AccessNurses' perceptions of patient participation in the myocardial infarction pathway
Author(s) -
Bårdsgjerde Elise Kvalsund,
Landstad Bodil J.,
Hole Torstein,
Nylenna Magne,
Gjeilo Kari Hanne,
Kvangarsnes Marit
Publication year - 2020
Publication title -
nursing open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 12
ISSN - 2054-1058
DOI - 10.1002/nop2.544
Subject(s) - nonprobability sampling , myocardial infarction , rehabilitation , focus group , paternalism , medicine , perception , autonomy , qualitative research , nursing , intervention (counseling) , percutaneous coronary intervention , psychology , family medicine , physical therapy , population , social science , environmental health , marketing , neuroscience , sociology , political science , law , business
Aim To explore nurses' perceptions of patient participation in different phases of the myocardial infarction pathway. Design Qualitative design with a hermeneutical approach. Methods Five focus groups were conducted at two hospitals, one with and one without percutaneous coronary intervention facilities, between February–November 2018. Participants were recruited through purposive sampling. Twenty‐two nurses experienced in cardiac care participated. The analysis had a hermeneutical approach. Results The findings revealed nurses' perceptions of patient participation in different phases of the myocardial infarction pathway. Four themes were identified: (a) variation between paternalism and autonomy in the acute phase; (b) individualization of dialogue and patient participation during treatment; (c) lack of coherence in the pathway hinders patient participation at discharge; and (d) cardiac rehabilitation promotes patients' autonomous decisions in lifestyle changes.