'Engage me in taking care of my heart': a grounded theory study on patient-cardiologist relationship in the hospital management of heart failure

BMJ Open
Serena BarelloA Claudio Bosio

Abstract

In approaching the study and practice of heart failure (HF) management, authors recognise that the patient-doctor relationship has a central role in engaging patients in their care. This study aims at identifying the features and the levers of HF patient engagement and suggestions for orienting clinical encounters. Using a grounded theory approach, we conducted 22 in-depth interviews (13 patients with HF, 5 physicians and 4 caregivers). Data were collected and analysed using open, axial and selective coding procedures according to the grounded theory principles. All interviews were conducted in an office in a university hospital located in a metropolitan area of Milan, Italy. The data comprised a total of 22 patient, hospital cardiologist and caregiver interviews. Patients aged ≥18 years with New York Heart Association (NYHA) Functional Class of II or III were eligible to take part. Patients were recruited primarily through their referral cardiologist. The HF patient engagement process develops in four main phases that are characterised by different patients' emotional, cognitive and behavioural dynamics that contribute to shape the process of a patient's meaning making towards health and illness regarding their care. The emerg...Continue Reading

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Jan 19, 2016·Frontiers in Psychology·Serena BarelloGiuseppe Riva
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Mar 17, 2021·Brazilian Journal of Physical Therapy·Isabella de Oliveira NascimentoRaquel Rodrigues Britto

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