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Promoting a sense of security in everyday life—A case study of patients and professionals moving towards co-production in an atrial fibrillation “learning café”
Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Department of Internal Medicine and Geriatrics, the Highland Hospital (Höglandssjukhuset), Eksjö, Region Jönköping County, Sweden.ORCID iD: 0000-0002-2760-4571
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).ORCID iD: 0000-0002-7669-4702
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).ORCID iD: 0000-0001-8952-8773
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).ORCID iD: 0000-0002-2480-1641
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2019 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

An improvement initiative sought to improve care for atrial fibrillation (AF) patients; many felt insecure about how to cope with AF.

Objective

To reveal AF patients' and professionals' experiences of pilot-testing a Learning Café group education programme, aimed at increasing the patients' sense of security in everyday life.

Design

Using an organizational case study design, we combined quantitative data (patients' sense of security) and qualitative data (project documentation; focus group interviews with five patients and five professionals) analysed using inductive qualitative content analysis.

Setting

AF patients and a multiprofessional team at a cardiac care unit in a Swedish district hospital.

Improvement activities

Two registered nurses invited AF patients and partners to four 2.5-hour Learning Café sessions. In the first session, they solicited participants' questions about life with AF. A physician, a registered nurse and a physiotherapist were invited to address these questions in the remaining sessions.

Results

AF patients reported gaining a greater sense of security in everyday life and anticipating a future shift from emergency care to planned care. Professionals reported enhanced professional development, learning more about person-centredness and gaining greater control of their own work situation. The organization gained knowledge about patient and family involvement.

Conclusions

The Learning Café pilot test?exemplifying movement towards co-production through patient-professional collaboration?generated positive outcomes for patients (sense of security), professionals (work satisfaction; learning) and the organization (better care) in line with contemporary models for quality improvement and with Self-Determination Theory. This approach merits further testing and evaluation in other contexts.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019.
Keywords [en]
atrial fibrillation, coping behaviours, co-production, health-care quality improvement, patient education, Self-Determination Theory
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-45651DOI: 10.1111/hex.12955OAI: oai:DiVA.org:hj-45651DiVA, id: diva2:1344776
Funder
Futurum - Academy for Health and Care, Jönköping County Council, SwedenForte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2019-08-22 Created: 2019-08-22 Last updated: 2019-08-22

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Suutari, Anne-MarieAreskoug Josefsson, KristinaKjellström, SofiaNordin, AnnikaThor, Johan

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Suutari, Anne-MarieAreskoug Josefsson, KristinaKjellström, SofiaNordin, AnnikaThor, Johan
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HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare)The Jönköping Academy for Improvement of Health and Welfare
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Health Expectations
Health Care Service and Management, Health Policy and Services and Health Economy

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