Transcript Slide 1
Barbara Conway RGN, BSc (Hons), MSc
Cardiovascular Clinical Team Leader
NHS Darlington
Co. Durham and Darlington
Community Health Services
Title
Barriers to the uptake and engagement in cardiac
rehabilitation services among people from lower
socio-economic backgrounds
Doctorate in Nursing Science
thesis submission 2010
Background to the study
• Government Led initiatives to involve service users
• The ‘unheard’ patient
• Service development and innovation
• Previous research
Sample
• 10 participants
8 following a myocardial infarction
1 following cardiac surgery (with heart failure)
1 with angina
• All the participants were from the 5 poorest
electoral wards of Darlington
Method
• Semi-structured interviews
• Data collection
• Themes and sub themes
Emerging themes
• Cardiac incidents and perceptions of what has
happened
• Sense of symptoms
• Meeting health needs
• Dislike of groups
• Isolation
• Quality of life
Emerging themes
• Fear and shock
• Choices and risks
• Support – informal and formal
• Fear of hospitals
• Time and financial constraints
• The bingo factor
Lessons learnt from the study
• Involvement of patients who do not access services
in service development
• ‘Out of the box’ thinking by health care
professionals
• Further research needed
Any questions?
[email protected]