There is a growing body of evidence suggesting that patients with coronary artery disease (CAD) who undergo elective percutaneous coronary intervention (PCI) do not understand or recall the risks and benefits associated with the treatment. However, there is little understanding of the experiences and perceptions of patients and healthcare professionals (HCPs) regarding the communication of PCI risks and benefits or how this process occurs during risk communication for elective PCI. This study aimed to explore patients' and HCPs' experiences and perceptions of discussing PCI risks and benefits during risk communication for elective PCI and how this information is provided. This PhD research used a qualitative study design informed by constructivist grounded theory. The study used purposive sampling to collect qualitative data using semi-structured interviews from six HCPs and eighteen patients aged 18 years or older who were diagnosed with CAD and had undergone elective PCI within the past six months. Additionally, document analysis was used to collect and explore relevant PCI related documents that was used as information documents for the patients. Data was collected and analysed concurrently using distinct levels of coding (initial, focused, and theoretical coding), constant comparative analysis, and memo writing. The findings from this study conclude that PCI risk communication is a multistage complex process, as it involves multiple points of communication, different HCPs sharing varying levels of information about risks and benefits, and several contextual factors that influence the communication process. The process also involves using different strategies to communicate risks and benefits, understanding what matters most to patients in decisions regarding the risks and the benefits, and considering the several factors influencing their understanding and decision-making. This study highlights the complexities of the process, offering new insights into the diverse actions and processes involved in the process. It is hoped that these insights and recommendations can inform intervention to improve PCI risk communication and patients' understanding of risks and benefits, thereby ensuring informed consent. Ultimately, this study promotes shared decision-making and patient-centred care in treating coronary artery disease.
| Date of Award | 19 Aug 2025 |
|---|
| Original language | English |
|---|
| Supervisor | Rajeeb Kumar Sah (Main Supervisor) & Felicity Astin (Co-Supervisor) |
|---|