Subject(s)
Coronary Stenosis/diagnosis , Electrocardiography , Antihypertensive Agents/therapeutic use , Benzazepines/therapeutic use , Coronary Stenosis/complications , Coronary Stenosis/physiopathology , Humans , Hypertension/complications , Hypertension/drug therapy , Hypertension/physiopathology , Life Style , Male , Middle AgedSubject(s)
Cardiac Pacing, Artificial/methods , Critical Care , Heart Diseases/nursing , Pacemaker, Artificial , Software , HumansSubject(s)
Arrhythmogenic Right Ventricular Dysplasia/diagnosis , Adrenergic beta-Antagonists/therapeutic use , Adult , Arrhythmogenic Right Ventricular Dysplasia/drug therapy , Arrhythmogenic Right Ventricular Dysplasia/therapy , Defibrillators, Implantable , Electrocardiography/instrumentation , Humans , MaleSubject(s)
Nurse's Role , Patient Care Planning , Torsades de Pointes , Critical Care , Electrocardiography/nursing , Female , Humans , Long QT Syndrome/complications , Long QT Syndrome/diagnosis , Long QT Syndrome/prevention & control , Middle Aged , Monitoring, Physiologic , Nursing Assessment , Risk Factors , Torsades de Pointes/complications , Torsades de Pointes/diagnosis , Torsades de Pointes/therapySubject(s)
Anti-Arrhythmia Agents/poisoning , Arrhythmias, Cardiac/chemically induced , Electrocardiography , Propafenone/poisoning , Anti-Arrhythmia Agents/metabolism , Arrhythmias, Cardiac/diagnosis , Arrhythmias, Cardiac/nursing , Atrial Fibrillation/drug therapy , Consciousness Disorders/chemically induced , Drug Overdose , Humans , Hypotension/chemically induced , Male , Medication Errors , Metabolic Clearance Rate , Nursing Assessment , Propafenone/metabolism , Seizures/chemically inducedSubject(s)
Electrocardiography/instrumentation , Electrodes, Implanted , Heart Atria , Postoperative Complications/diagnosis , Tachycardia, Ectopic Junctional/diagnosis , Aortic Valve Insufficiency/surgery , Atrial Flutter/diagnosis , Atrial Flutter/etiology , Diagnosis, Differential , Electrocardiography/methods , Electrocardiography/nursing , Humans , Male , Middle Aged , Nursing Assessment , Postoperative Care/instrumentation , Postoperative Care/nursing , Postoperative Complications/etiology , Rare Diseases , Risk Factors , Tachycardia, Ectopic Junctional/etiologySubject(s)
Electrocardiography/methods , Tachycardia, Atrioventricular Nodal Reentry/diagnosis , Wolff-Parkinson-White Syndrome/diagnosis , Adult , Catheter Ablation , Diagnosis, Differential , Electrocardiography/nursing , Humans , Male , Nursing Assessment , Tachycardia, Atrioventricular Nodal Reentry/etiology , Wolff-Parkinson-White Syndrome/complications , Wolff-Parkinson-White Syndrome/surgerySubject(s)
Bundle-Branch Block , Pacemaker, Artificial/adverse effects , Ventricular Dysfunction, Right , Aged , Algorithms , Bradycardia/therapy , Bundle-Branch Block/diagnosis , Bundle-Branch Block/etiology , Bundle-Branch Block/prevention & control , Electrocardiography , Humans , Male , Ventricular Dysfunction, Right/diagnosis , Ventricular Dysfunction, Right/etiology , Ventricular Dysfunction, Right/prevention & controlSubject(s)
Electrocardiography , Nursing Assessment/methods , Pre-Excitation Syndromes/diagnosis , Ventricular Premature Complexes/diagnosis , Adult , Diagnosis, Differential , Electrocardiography/nursing , Humans , Male , Pre-Excitation Syndromes/physiopathology , Ventricular Premature Complexes/physiopathology , Wolff-Parkinson-White Syndrome/diagnosisABSTRACT
BACKGROUND: Despite increasing survival for adults with congenital heart disease, little is known about hospitalization for young adult patients with this disease and for their families. Because of the complexity of the disease and its management during the life span, young adults are often hospitalized on both pediatric and adult units during a stay in the hospital. OBJECTIVES: To explore the experience of hospitalization of young adults with congenital heart disease, the experience of their families, and the views of the nurses who cared for these patients and to generate substantive theory on interactions between patients, patients' families, and nurses. METHODS: Semistructured interviews and naturalistic observations were conducted with young adults with congenital heart disease (mean age, 28.6 years), their family members, and nurses who cared for the patients during hospitalization (N=34). Dimensional analysis was used to analyze interviews and field notes from observations. RESULTS: A grounded theory was derived, explaining how the hospital context and relationships between patients, patients' families, and nurses affect patients' hospital experiences. Expectations differed among the groups, leading to dissonance in care, as exemplified by role confusion and power struggles over control of care. This dissonance resulted in interpersonal conflict, distrust, anxiety, and dissatisfaction with the care and caring experiences. CONCLUSIONS: Changes in hospital units, a better understanding of the healthcare needs of young adults with congenital heart disease, and acknowledgment of the expertise of patients and patients' families are needed to improve nursing care for these patients and their families.