Nurses' perceptions of patient participation in the myocardial infarction pathway

Nurses' perceptions of factors influencing treatment engagement among patients with cardiovascular diseases: a systematic review

Background

Nurses are key to the success of patient engagement, yet we know little about nurses’ perceptions on treatment engagement and how they can contribute to treatment engagement. Qualitative evidence to identify factors that influence treatment engagement among patients with CVD from nurse’s perspective is limited.

Methods

This systematic review of qualitative research was based on the PRISMA reporting guidelines. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to assess quality by two reviewers independently. Data were collected from Medline, Web of Science, CINAHL, PsychINFO, Embase- Non-Medline, Scopus, and the Cochrane Library, were systematically searched from 2001 to 2020. The search strategy included keywords and MeSH terms to identify relevant studies written in English.

Results

Eight articles were included in the review. Four key themes were synthesised from the findings: nurses need training and up to date information, providing support for patients, patient motivation to engage with treatment plans and perceived lack of time.

Conclusion

Nurses described the importance of training to help them support patients to engage as effectively as possible and their role in providing social and psychological support. They also described the importance of patient motivation to engage in a treatment and plan and sustain engagement and time.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12912-021-00765-2.

Individual nursing promotes rehabilitation of patients with acute myocardial infarction complicated with arrhythmia

OBJECTIVE

This research is aimed at exploring the application effect of individual nursing on patients with acute myocardial infarction (AMI) complicated with arrhythmia.

METHODS

One hundred AMI patients complicated with arrhythmia admitted to the West China Hospital, Sichuan University from April 2018 to June 2020 were observed and researched. Among them, 47 (control group, CG) were given conventional nursing, and on this basis, 53 (experimental group, EG) were given individual nursing. The heart function, complications, negative emotions, exercise endurance, activities of daily living (ADL) and nursing satisfaction of the two groups were observed.

RESULTS

Compared with the CG, the incidence of complications in the EG was lower and the time of bed rest and hospitalization was shorter. After nursing, the heart rate (HR), left ventricular posterior wall thickness (LVWP), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of patients in both groups decreased, while the left ventricular ejection fraction (LVEF) and stroke volume (SV) scores increased. In addition, compared with the CG, the scores of HR, LVWP, SAS and SDS in the EG were lower while those of LVEF and SV were higher. The 6-minute walking distance and Barthel index (BI) of both groups increased after nursing, and scores in the EG increased most remarkably and were higher than in the CG. At last, research revealed that the overall nursing satisfaction of the EG was obviously better than that of the CG.

CONCLUSION

An individual nursing mode can improve the physical condition, ADL and nursing satisfaction of patients, and reduce the incidence of negative emotions and complications.

Learning about user participation among nursing students: A qualitative study

BACKGROUND

User participation is an important aspect of nursing, especially within a rehabilitation setting where the emphasis is on the patient's ability to become as independent as possible. It is also decreed by law that students should learn about user participation. Furthermore, to achieve good nursing skills it is important for the students to understand "the what" and to reflect on "the how" regarding user participation.

OBJECTIVES

The aim of the study was to explore how students learn to apply user participation in a context of rehabilitation.

DESIGN AND METHOD

The design of the study is qualitative. Content analysis was adopted, and both inductive and deductive approaches were used. The informants were nursing students in the second and third years of the bachelor's degree at a university in Norway. Most of the students were in community health services, but some of them performed their internship at hospitals. Two focus groups with 11 students were conducted. In addition, the data also consist of 28 written reflections and 31 written work requirements in relation to rehabilitation. The students from the focus groups and the written work requirement were in practice in community health services. In the written reflections it was 14 students who had their internship at hospital and 14 students in community health services.

RESULTS

The main categories of the study are barriers to learning, dialogue as a tool and reflection as essential. The students learn to use check lists and focus on organizational planning, which might be a barrier to learning. Dialogue is important to improve the students' learning. Students need to reflect on user participation together with their supervisor to learn to be confident in encountering users, which indicates that reflection is essential.

CONCLUSION

The major findings indicate that students lack competence og user participation and that their supervisors seldom talk about it with them. Also, it should be compulsory reflection notes about user participation in the student's internships. Teachers at universities must inform supervisors and develop courses about mentorship and user participation. This may be a step forward to overcome theory-practice gap.