RESUMO
BACKGROUND AND RESEARCH OBJECTIVE: Healthcare guidelines promote including patients in healthcare decision making to optimize treatment and recovery. However, prior research varies widely in the clinical context and conceptualization of patient involvement. The current study focuses on describing cardiac patients' preferences for involvement in decision making in the context of the myocardial infarction event continuum. SUBJECTS AND METHODS: Focus groups were conducted with 19 patients who had recently experienced a myocardial infarction and received care at a regional facility in the Midwest. Data were transcribed and analyzed qualitatively to identify themes related to patient's decision-making experiences. RESULTS AND CONCLUSIONS: Both the role of the patient in decision making and information needs change as the patient progresses from the acute event to recovery. However, this change seems to be curvilinear, rather than linear. To maximize outcomes, clinicians must assess preferences and increase awareness of evolving information needs throughout the myocardial infarction clinical situation.
Assuntos
Tomada de Decisões , Infarto do Miocárdio/psicologia , Educação de Pacientes como Assunto , Participação do Paciente/psicologia , Adulto , Idoso , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/reabilitação , Infarto do Miocárdio/terapia , Alta do PacienteRESUMO
The effectiveness of an Internet-based intervention, the New Fathers Network, was tested in improving first-time fathers' parenting self-efficacy and parenting satisfaction during the first 8 weeks following their infants' birth as compared with no intervention (Comparison Group). Parenting self-efficacy and satisfaction scores for the Intervention Group significantly improved from 4 to 8 weeks; parenting self-efficacy and satisfaction scores for the Comparison Group to which no intervention was given did not change significantly. Participants were primarily satisfied with the New Fathers Network.