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Relational continuity with healthcare providers after percutaneous coronary interventions: the patient perspective
Western Norway University of Applied Sciences , Faculty of Health Studies, Førde, Norway.
Haukeland University Hospital, Department of Heart Disease, Bergen, Norway.
Western Norway University of Applied Sciences , Faculty of Health Studies, Førde, Norway.
University of Bergen, Department of Clinical Science, Faculty of Medicine and Dentistry, Bergen, Norway.
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2017 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no Suppl. 1, S89-S89 p.Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Relational continuity plays an important role when organizing the health care services for patients after early discharge. However, little is known about how patients experience relational continuity after percutaneous coronary interventions (PCI). Relational continuity has been defined as an ongoing therapeutic relationship between a patient and one or more healthcare providers.

Purpose: To explore how patients undergoing PCI experience relational continuity after early discharge.

Methods: Patients undergoing PCI hospitalized 6-8 weeks earlier, ⩾ 18 years and living at home at the time of inclusion were eligible for the study. Patients were purposively recruited from the Norwegian Registry for Invasive Cardiology. The study used an explorative design, and semistructured interviews were conducted with nine women and 13 men. The majority were older than 67 years, suffered an ST-elevation infarction and did not participate in cardiac rehabilitation. Interviews were analyzed using qualitative content analysis according to Graneheim and Lundman.

Results: Important dimensions inherent in relational continuity found in this study were: (1) genuine interest in the patient as a person, (2) fostering a trusting relationship,(3) knowledge about the patient’s current health status (4) the importance of a motivated and supportive healthcare provider, and (5) being in competent and safe hands.

Conclusions: Establishing trusting relationships with multiple healthcare providers and especially with the GP provide patients with a sense of security and predictability. At present, GPs are joined by numerous of other healthcare providers offering supplemental services. Developing clinical pathways, interdisciplinary teams, and adding more nursing personnel on advanced level in primary careseems to be important. Furthermore, collaboration with user organizations could be an arena for better communication between healthcare providers and patients undergoing PCI. There is a need for new knowledge about relational continuity through research and education within this field.

Place, publisher, year, edition, pages
Sage Publications, 2017. Vol. 16, no Suppl. 1, S89-S89 p.
National Category
Nursing Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:hj:diva-35912ISI: 000401775600153Local ID: HHJövrigtISOAI: oai:DiVA.org:hj-35912DiVA: diva2:1106899
Conference
EuroHeartCare 2017, 18-20 May 2017, Jönköping, Sweden
Available from: 2017-06-08 Created: 2017-06-08 Last updated: 2017-06-08Bibliographically approved

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