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Healthcare professionals experiences of delivering care to patients with an implantable cardioverter defibrillator
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Cardiology in Linköping.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Cardiology in Linköping.ORCID iD: 0000-0002-4259-3671
2013 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, no 4, 346-352 p.Article in journal (Refereed) Published
Abstract [en]

Background: An implantable cardioverter defibrillator (ICD) is a technical device used in the treatment of ventricular arrhythmias. After an ICD implantation, the entire life situation of the patient their next of kin can be affected psychologically and socially. Healthcare professionals play a vital role in providing educational counselling, support and technical follow-up of the device, but little is known about their experiences. less thanbrgreater than less thanbrgreater thanAim: This paper describes the experiences of Swedish healthcare professionals in delivering care to patients with an ICD. less thanbrgreater than less thanbrgreater thanMethods: A qualitative, descriptive design based on a phenomenographic approach was used. Data were collected through interviews with 12 specialist ICD nurses and 12 physicians, representing 16 ICD implantation centres in Sweden. less thanbrgreater than less thanbrgreater thanFindings: Two descriptive categories comprising seven subcategories emerged. Striving to provide competent care comprised the subcategories: providing access to care, improving ones qualifications and individualising care. Striving to infuse confirmation incorporated the subcategories: promoting independence, providing existential support, mediating security and comprising needs of next of kin. less thanbrgreater than less thanbrgreater thanConclusions: The healthcare professionals described how they wished to develop the care further. Both nurses and physicians were consistent in wanting to provide competent and confirming care based on a holistic perspective with high accessibility to the ICD team. The findings describe how healthcare professionals strive to provide professional clinical care in order to give the patients tools to handle their life situation. They suggested that more structured education and counselling according to guidelines should be provided. They also highlighted the need to increase their own competence by improving their knowledge and skills.

Place, publisher, year, edition, pages
Elsevier / SAGE Publications (UK and US): 12 month Embargo , 2013. Vol. 12, no 4, 346-352 p.
Keyword [en]
Delivery of care, follow-up, healthcare professionals, implantable cardioverter defibrillator, phenomenography
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-96703DOI: 10.1177/1474515112457133ISI: 000322243100005OAI: oai:DiVA.org:liu-96703DiVA: diva2:642978
Note

Funding Agencies|University of Linkoping University, Sweden||Halmstad University, Sweden||

Available from: 2013-08-23 Created: 2013-08-23 Last updated: 2017-12-06

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Bolse, KärstinStrömberg, Anna

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Nursing ScienceFaculty of Health SciencesDivision of Nursing ScienceDepartment of Cardiology in Linköping
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