australian journal of advanced nursing

More documents

Recommendations

Info

Kinmonth 2001). Illness perception can influence CR attendance (Alsen et al 2008). People who view their cardiac condition as controllable and believe they can prevent recurrence are more likely to attend. Whereas those who see their condition as an isolated acute event, unrelated to their past history, are less likely to attend (Alsen et al 2008). Future research needs to focus on the implementation and evaluation of education strategies to address these and other knowledge deficits. STUDY LIMITATIONS Data were collected by two medical students during the Universities Regional Community Week 2007 . Time constraints limited data collection to two half‑days, limiting the number of participants. The small number of participants, along with convenience sampling from one geographical area reduces statistical significance and consequently limits generalisablility to the studied population. However the findings have potential relevance to similar rural regions with comparable health service provision. The questionnaire was not pilot tested and some questions were left blank, indicating a possible misunderstanding of some questions. No data were collected on the number of people who declined (although anecdotally the data collectors reported that ‘most people given a survey completed it’), therefore the participation rate cannot be assessed. RECOMMENDATIONS Despite some limitations, this pilot study provides valuable insight into health consumer preferences for health care professionals and decision makers involved in planning future cardiac rehabilitation services for rural South Australia. Further research is needed to ensure findings are both rigorous and valid and to ensure the development and implementation of future programs is based on the best available evidence. The survey tool requires modification to shorten it and reduce duplication of some questions. A more rigorous sampling strategy needs to be implemented to ensure a significant sample. For RESEARCH PAPER example participants could be recruited from local GP clinics and hospitals or shopping centres. Finally, a record of people who decline participation needs to be documented in order to calculate participation rates. CONCLUSIONS The main aim of CR is to maximise an individual’s health and quality of life, and this is most often measured by health outcomes. However it is vital to consider other characteristics of CR programs such as convenience, accessibility, flexibility, and personal beliefs and preferences. People need to understand and accept their condition in order to successfully modify health habits. Patient preferences are therefore an important consideration when designing future CR programs, to ensure interventions are individualised and designed to increase access and attendance and minimise barriers. This study provides valuable insight into health consumer preferences for CR in a rural region of South Australia for health care professionals and decision makers involved in planning future CR services in rural South Australia. REFERENCES Access Economics Pty Ltd. 2005. The shifting burden of cardiovascular disease: a report prepared for the National Heart Foundation of Australia. Available: http://www.heartfoundation. org.au/SiteCollectionDocuments/cvd%20shifting%20burden.pdf (accessed 23.02.10). Alsen, P., Brink, E. and Persson, L. 2008. Patients’ illness perception four months after a myocardial infarction. Journal of Clinical Nursing, 17(5a):25‑33. Aoun, S. and Rosenberg, M. 2004. Are rural people getting heart smart? Australian Journal of Rural Health, 12:81‑88. Australian Institute of Health and Welfare. 2006. Rural, Regional and Remote Health: Mortality Trends 1992 ‑ 2003. Canberra. Available : http://www.aihw.gov.au/publications/phe/ rrrh‑mt92‑03/rrrh‑mt92‑03.pdf (accessed 18.02.10). Barnett, R. 2005. Uncovering sex and gender differences in use patterns of self‑help and support groups. Prairie Women’s Health Centre of Excellence, Canada, Available: http://www.pwhce.ca/ pdf/uncoveringSexGender.pdf (accessed 18.02.10). Bunker, S., McBurney, H., Cox, H. and Jelinek, M.V. 1999. Identifying participation rates at outpatient cardiac rehabilitation programs in Victoria, Australia. Cardiopulmonary Rehabilitation, 19(6):334‑338. Clark, A., Barbour, R., White, M. and MacIntyre, P. 2004. Promoting participation in cardiac rehabilitation: patient choices and experiences. Journal of Advanced Nursing, 47(1):5‑14. AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 28 Number 3 35
Clark, A., Hartling, L., Vandermeer, B. and McAllister, A. 2005. Meta‑analysis: Secondary prevention programs for patients with coronary artery disease. American college of physicians, Annals of internal Medicine, 143:659‑672. Daly, J., Sindone, A., Thomppson, D., Hancock, K., Chang, E. and Davidson, P. 2002. Barriers to participation in and adherence to cardiac rehabilitation programs: A critical Literature Review. Progress in Cardiovascular Nursing, 17(1):8‑17. Farley, R., Wade, T. and Birchmore, L. 2003. Factors influencing attendance at cardiac rehabilitation among coronary heart disease patients. European Journal of Cardiovascular Nursing, 2:205‑212. Flatley Brennan, P. and Strombom, I. 1998. Improving health care by understanding patient preferences. Journal of the American Medical Informatics Association, 5:257‑262. Jackson, L., Leclerc, J., Erskine, Y. and Linden, W. 2005. Getting the most out of cardiac rehabilitation; a review of referral and adherence predictors. Heart, 91:10‑14. King, K.M., Humen, D.P., Smith, H.L., Phan, C.L. and Teo, K.K. 2001. Psychosocial components of cardiac recovery and rehabilitation attendance. Heart, 85(3):290. Leon, A., Franklin, B., Costa, F., Balady, G., Berra, K., Stewart, K., Thompson, P., Williams, M. and Lauer, M. 2005. Cardiac rehabilitation and secondary prevention of coronary heart disease. Circulation, 111:369‑376. RESEARCH PAPER National Health Priority Action Council. 2006. National service improvement framework for heart, stroke and vascular disease (In Ageing ed. Australian Government Department of Health and Ageing, Canberra, ACT.) Available: http://www.health.gov.au/ internet/main/publishing.nsf/Content/pq‑ncds‑cardio (accessed 18.02.10). Paquet, M., Bolduc, N., Xhignesse, M. and Vanasse, A. 2005. Re‑engineering cardiac rehabilitation programmes: considering the patient’s point of view. Journal of Advanced Nursing, 51(6):567‑576. Scott, I., Lindsay, K. and Harden, H. 2003. Utilisation of outpatient cardiac rehabilitation in Queensland. The Medical Journal of Australia, 179(7):341‑345. Sundararajan, V., Bunker, S., Begg, S., Marshall, H. and McBurney, H. 2004). Attendance rates and outcomes of cardiac rehabilitation in Victoria, 1998. Medical Journal of Australia, 180:268‑271. Wachtel, T., Kucia, A. and Greenhill, J. 2008a. Secondary prevention for acute coronary syndrome in rural South Australia: Are drugs best? What about the rest? Rural and Remote Health, 8(967) Available: http://www.rrh.org.au (accessed 12.01.10). Wachtel, T., Kucia, A. and Greenhill, J. 2008b. Unstructured cardiac rehabilitation in rural South Australia: Does it meet best practice guidelines? Contemporary Nurse, 29(2):195‑204. Wiles, R. and Kinmonth, A. 2001. Patients’ understanding of heart attack: implications for prevention of recurrence. Patient Education and Counselling, 44:161‑169. AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 28 Number 3 36
Page 1 and 2: March ‑ May 2011 Volume 28 Number
Page 3 and 4: AJAN australian journal of advanced
Page 5 and 6: Peter Massey, RN, GradCertPublicHlt
Page 7 and 8: INTRODUCTION The ‘Team Leader Mod
Page 9 and 10: welcoming students, introducing the
Page 11 and 12: their view and that of their staff
Page 13 and 14: a change in staff perception of the
Page 15 and 16: RESEARCH PAPER Nursing and midwifer
Page 17 and 18: esearch (Traynor et al 2001). Endog
Page 19 and 20: Table 3: Contribution to health car
Page 21 and 22: Despite organisational barriers, th
Page 23 and 24: RESEARCH PAPER The adaptation of pr
Page 25 and 26: Learning Attitude of Aboriginal Stu
Page 27 and 28: FINDINGS A form was mailed to 238 a
Page 29 and 30: Influence of Quality of Rest and Li
Page 31 and 32: Preferred models of cardiac rehabil
Page 33 and 34: choice and short answer questions,
Page 35: preferred a group program (25% of m
Page 39 and 40: INTRODUCTION Assessing quality of c
Page 41 and 42: will be monitored over time, but pr
Page 43 and 44: The revised CCI Tool: the ResCareQA
Page 45 and 46: Mukamel, D.B., and Spector, W.D. 20
Page 47 and 48: Care Environment 18. Restraints a.
Page 49 and 50: INTRODUCTION / RATIONALE Nurses are
Page 51 and 52: ended questions were included to pr
Page 53 and 54: The field exercise appeared to chan
Page 55 and 56: Premenstrual syndrome and managemen
Page 57 and 58: evaluation, this determined whether
Page 59 and 60: the women, symptoms of depression i
Page 61 and 62: LIMITATIONS OF THE STUDY Exclusion
Page 63 and 64: INTRODUCTION Psychosocial care is i
Page 65 and 66: fail or avoid addressing, assessing
Page 67 and 68: taught not to get emotionally invol

australian journal of advanced nursing

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?