Primary PCI patients' perspectives of health information provision

preliminary findings

Felicity Astin, Stacey Hunter, Claire Priestley, Jim McLenachan, Susan José Closs

Research output: Contribution to journalMeeting Abstract

Abstract

Primary Percutaneous Coronary Intervention (PCI) isrecognised as the gold standard treatment for patientspresenting early with ST elevation myocardial infarction.Successful revascularisation using this approach results in asignificantly shortened in-hospital stay which limits opportunitiesfor patient education. Little is known about patients'early health information needs and contextual factors thatmay influence learning.Purpose: To explore the perspectives of patients regardingtheir health information needs during early recovery afterprimary PCI.Methods: Using a qualitative research approach, semistructuredinterviews were conducted with a purposivesample of patients recruited from a specialist UK cardiaccentre serving a population of over 720,000. Thirteen menand eleven women, aged between 36 and 83 years, wereinterviewed within the first week of discharge home afterprimary PCI. All participants were fluent in English, had nodocumented cognitive deficits and were interviewed in theperiod between discharge from hospital and first home visitby the community cardiac rehabilitation nurse. One-to-oneinterviews were audio-taped and transcribed verbatim.Nvivo software was used in conjunction with FrameworkAnalysis techniques to systematically order and synthesisefindings. As part of this method, a priori issues and availableliterature were integrated into the data analysis. A thematicframework to guide analysis was reached by consensus witha researcher not involved in the interview process andsubsequently applied to all the transcripts. Data collection isongoing.Results: Patients were generally very positive about theirexperience and reported being surprised and impressed atthe speed with which the process was expedited.Although this was seen as being positive it also leftsome participants experiencing feelings of ‘shock’ and‘unreality’ which about what had happened to them.Patients' perspectives of health information provision werecharacterised by five themes; a continuous process,preferred providers, content, delivery preferences andassimilation.Conclusions: Patients viewed health information provisionas a ‘continuous process’. In general they were satisfied withthe health information they received but there were someinconsistencies in provision.
Original languageEnglish
Article number1333
Pages (from-to)21-21
Number of pages1
JournalEuropean Journal of Cardiovascular Nursing
Volume6
Issue number1_suppl
Early online date1 Mar 2007
DOIs
Publication statusPublished - 1 Mar 2007
Externally publishedYes
Event7th Annual Cardiovascular Nursing Spring Meeting of the European Society of Cardiology Council on Cardiovascular Nursing and Allied Professions - Manchester, United Kingdom
Duration: 23 Mar 200724 Mar 2007

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Percutaneous Coronary Intervention
Health
Qualitative Research
Patient Education
Shock
Length of Stay
Consensus
Emotions
Software
Nurses
Research Personnel
Learning
Interviews
Population

Cite this

Astin, Felicity ; Hunter, Stacey ; Priestley, Claire ; McLenachan, Jim ; Closs, Susan José. / Primary PCI patients' perspectives of health information provision : preliminary findings. In: European Journal of Cardiovascular Nursing. 2007 ; Vol. 6, No. 1_suppl. pp. 21-21.
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abstract = "Primary Percutaneous Coronary Intervention (PCI) isrecognised as the gold standard treatment for patientspresenting early with ST elevation myocardial infarction.Successful revascularisation using this approach results in asignificantly shortened in-hospital stay which limits opportunitiesfor patient education. Little is known about patients'early health information needs and contextual factors thatmay influence learning.Purpose: To explore the perspectives of patients regardingtheir health information needs during early recovery afterprimary PCI.Methods: Using a qualitative research approach, semistructuredinterviews were conducted with a purposivesample of patients recruited from a specialist UK cardiaccentre serving a population of over 720,000. Thirteen menand eleven women, aged between 36 and 83 years, wereinterviewed within the first week of discharge home afterprimary PCI. All participants were fluent in English, had nodocumented cognitive deficits and were interviewed in theperiod between discharge from hospital and first home visitby the community cardiac rehabilitation nurse. One-to-oneinterviews were audio-taped and transcribed verbatim.Nvivo software was used in conjunction with FrameworkAnalysis techniques to systematically order and synthesisefindings. As part of this method, a priori issues and availableliterature were integrated into the data analysis. A thematicframework to guide analysis was reached by consensus witha researcher not involved in the interview process andsubsequently applied to all the transcripts. Data collection isongoing.Results: Patients were generally very positive about theirexperience and reported being surprised and impressed atthe speed with which the process was expedited.Although this was seen as being positive it also leftsome participants experiencing feelings of ‘shock’ and‘unreality’ which about what had happened to them.Patients' perspectives of health information provision werecharacterised by five themes; a continuous process,preferred providers, content, delivery preferences andassimilation.Conclusions: Patients viewed health information provisionas a ‘continuous process’. In general they were satisfied withthe health information they received but there were someinconsistencies in provision.",
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Primary PCI patients' perspectives of health information provision : preliminary findings. / Astin, Felicity; Hunter, Stacey; Priestley, Claire; McLenachan, Jim; Closs, Susan José.

In: European Journal of Cardiovascular Nursing, Vol. 6, No. 1_suppl, 1333, 01.03.2007, p. 21-21.

Research output: Contribution to journalMeeting Abstract

TY - JOUR

T1 - Primary PCI patients' perspectives of health information provision

T2 - preliminary findings

AU - Astin, Felicity

AU - Hunter, Stacey

AU - Priestley, Claire

AU - McLenachan, Jim

AU - Closs, Susan José

PY - 2007/3/1

Y1 - 2007/3/1

N2 - Primary Percutaneous Coronary Intervention (PCI) isrecognised as the gold standard treatment for patientspresenting early with ST elevation myocardial infarction.Successful revascularisation using this approach results in asignificantly shortened in-hospital stay which limits opportunitiesfor patient education. Little is known about patients'early health information needs and contextual factors thatmay influence learning.Purpose: To explore the perspectives of patients regardingtheir health information needs during early recovery afterprimary PCI.Methods: Using a qualitative research approach, semistructuredinterviews were conducted with a purposivesample of patients recruited from a specialist UK cardiaccentre serving a population of over 720,000. Thirteen menand eleven women, aged between 36 and 83 years, wereinterviewed within the first week of discharge home afterprimary PCI. All participants were fluent in English, had nodocumented cognitive deficits and were interviewed in theperiod between discharge from hospital and first home visitby the community cardiac rehabilitation nurse. One-to-oneinterviews were audio-taped and transcribed verbatim.Nvivo software was used in conjunction with FrameworkAnalysis techniques to systematically order and synthesisefindings. As part of this method, a priori issues and availableliterature were integrated into the data analysis. A thematicframework to guide analysis was reached by consensus witha researcher not involved in the interview process andsubsequently applied to all the transcripts. Data collection isongoing.Results: Patients were generally very positive about theirexperience and reported being surprised and impressed atthe speed with which the process was expedited.Although this was seen as being positive it also leftsome participants experiencing feelings of ‘shock’ and‘unreality’ which about what had happened to them.Patients' perspectives of health information provision werecharacterised by five themes; a continuous process,preferred providers, content, delivery preferences andassimilation.Conclusions: Patients viewed health information provisionas a ‘continuous process’. In general they were satisfied withthe health information they received but there were someinconsistencies in provision.

AB - Primary Percutaneous Coronary Intervention (PCI) isrecognised as the gold standard treatment for patientspresenting early with ST elevation myocardial infarction.Successful revascularisation using this approach results in asignificantly shortened in-hospital stay which limits opportunitiesfor patient education. Little is known about patients'early health information needs and contextual factors thatmay influence learning.Purpose: To explore the perspectives of patients regardingtheir health information needs during early recovery afterprimary PCI.Methods: Using a qualitative research approach, semistructuredinterviews were conducted with a purposivesample of patients recruited from a specialist UK cardiaccentre serving a population of over 720,000. Thirteen menand eleven women, aged between 36 and 83 years, wereinterviewed within the first week of discharge home afterprimary PCI. All participants were fluent in English, had nodocumented cognitive deficits and were interviewed in theperiod between discharge from hospital and first home visitby the community cardiac rehabilitation nurse. One-to-oneinterviews were audio-taped and transcribed verbatim.Nvivo software was used in conjunction with FrameworkAnalysis techniques to systematically order and synthesisefindings. As part of this method, a priori issues and availableliterature were integrated into the data analysis. A thematicframework to guide analysis was reached by consensus witha researcher not involved in the interview process andsubsequently applied to all the transcripts. Data collection isongoing.Results: Patients were generally very positive about theirexperience and reported being surprised and impressed atthe speed with which the process was expedited.Although this was seen as being positive it also leftsome participants experiencing feelings of ‘shock’ and‘unreality’ which about what had happened to them.Patients' perspectives of health information provision werecharacterised by five themes; a continuous process,preferred providers, content, delivery preferences andassimilation.Conclusions: Patients viewed health information provisionas a ‘continuous process’. In general they were satisfied withthe health information they received but there were someinconsistencies in provision.

U2 - 10.1016/J.EJCNURSE.2007.01.032

DO - 10.1016/J.EJCNURSE.2007.01.032

M3 - Meeting Abstract

VL - 6

SP - 21

EP - 21

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

SN - 1474-5151

IS - 1_suppl

M1 - 1333

ER -