Document Detail


Acute myocardial infarction patients' information needs over the course of treatment and recovery.
MedLine Citation:
PMID:  18090186     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND RESEARCH OBJECTIVE: Healthcare guidelines promote including patients in healthcare decision making to optimize treatment and recovery. However, prior research varies widely in the clinical context and conceptualization of patient involvement. The current study focuses on describing cardiac patients' preferences for involvement in decision making in the context of the myocardial infarction event continuum. SUBJECTS AND METHODS: Focus groups were conducted with 19 patients who had recently experienced a myocardial infarction and received care at a regional facility in the Midwest. Data were transcribed and analyzed qualitatively to identify themes related to patient's decision-making experiences. RESULTS AND CONCLUSIONS: Both the role of the patient in decision making and information needs change as the patient progresses from the acute event to recovery. However, this change seems to be curvilinear, rather than linear. To maximize outcomes, clinicians must assess preferences and increase awareness of evolving information needs throughout the myocardial infarction clinical situation.
Authors:
Carole Decker; Linda Garavalia; Connie Chen; Donna M Buchanan; Karen Nugent; Amy Shipman; John A Spertus
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular nursing     Volume:  22     ISSN:  1550-5049     ISO Abbreviation:  J Cardiovasc Nurs     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-12-19     Completed Date:  2008-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703516     Medline TA:  J Cardiovasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  459-65     Citation Subset:  IM; N    
Affiliation:
Mid America Heart Institute at Saint Luke's Hospital, 4401 Wornall Road, Kansas City, MO 64111, USA. c1decker@saint-lukes.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Decision Making*
Female
Focus Groups
Humans
Male
Middle Aged
Myocardial Infarction / psychology*,  rehabilitation,  therapy
Patient Discharge
Patient Education as Topic*
Patient Participation / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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