- Title
- The experience of patients, spouses and nurses using the Aussie Heart Guide for home based cardiac rehabilitation
- Creator
- Mcivor, Dawn
- Relation
- University of Newcastle Research Higher Degree Thesis
- Resource Type
- thesis
- Date
- 2014
- Description
- Masters Research - Masters of Philosophy (MPhil)
- Description
- The Aussie Heart Guide is a home based cardiac rehabilitation program. It is delivered over the telephone, to patients with coronary artery disease by an Aussie Heart Guide nurse mentor who works in partnership with the patient for lifestyle change and the management of their condition. Home based cardiac rehabilitation using programs like the Aussie Heart Guide is effective in reducing the morbidity and mortality from coronary artery disease. However little is known about the acceptability of this type of program to the Australian patient, their principle lay care giver, nurse mentors who work alongside patients in its delivery or about what impact it has on nursing roles and functions. The purpose of this study was to explore all these factors in the context of using the Aussie Heart Guide with patients experiencing coronary artery disease and their lay carers (all spouses in this instance). The methodology used in the study was qualitative description. Four patients with requiring cardiac rehabilitation, three spouses and five nurse mentors participated in the study. Their experiences of using the Aussie Heart Guide were captured via semi structure interviews (nurses) and questionnaire (patients and spouses). Findings from the study include that patients perceived the Aussie Heart Guide was useful for their recovery and liked the ability it provided to them to monitor their own progress. They also valued their relationship with their nurse mentor. Patient engagement with the program was influenced by their previous illness experience, transition from hospital to home and previous experience of cardiac rehabilitation. The implications of the patient findings were that an individualised program with flexibility of modality would enhance the patient experience. Therefore nurses need additional skills and knowledge in how to deliver telephone based services to patients which enhance the patient nurse relationship. Spouses though few in number also found the Aussie Heart Guide useful to them in supporting the patient. Nurses found the Aussie Heart Guide useful in supporting patients experiencing lifestyle change and support with disease management. However, they were uncertain about their relationships with patients when contact was predominately telephone only. The uncertainty resulted in concerns regarding their rapport and honesty in communications with patients. Nurses and patients struggled with issues such as power and control within their relationship and some nurses found working in partnership with patients challenging. Therefore nurses need additional skills and knowledge in how to deliver telephone based services to patients which enhance the patient nurse relationship. Nevertheless, the Aussie Heart Guide appears to be an acceptable model of home based cardiac rehabilitation patients with coronary artery disease, their spouses and nurses.
- Subject
- home based cardaic rehabiltiation; telehealth; communication; patient; spouse and nurse experience
- Identifier
- http://hdl.handle.net/1959.13/1045149
- Identifier
- uon:14424
- Rights
- Copyright 2014 Dawn Mcivor
- Language
- eng
- Full Text
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT01 | Abstract | 514 KB | Adobe Acrobat PDF | View Details Download | ||
| View Details Download | ATTACHMENT02 | Thesis | 2 MB | Adobe Acrobat PDF | View Details Download |