The Caring Life Course Theory: Opening new frontiers in care-A cardiac rehabilitation example.

Autor: Pinero de Plaza MA; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.; The Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence, Alice Springs, Northwest Territories, Australia., Hutchinson C; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Beleigoli A; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Tieu M; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.; Adelaide Health Simulation, The University of Adelaide, Adelaide, South Australia, Australia., Lawless M; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Conroy T; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.; The Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence, Alice Springs, Northwest Territories, Australia., Feo R; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Clark RA; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.; The Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence, Alice Springs, Northwest Territories, Australia., Dafny H; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., McMillan P; Health Consumer Advocate with Lived Experience in Multimorbidity Disease Management, Adelaide, South Australia, Australia., Allande-Cussó R; Nursing Department, Nursing, Physiotherapy and Podiatry School, University of Seville, Seville, Spain., Kitson AA; Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Jazyk: angličtina
Zdroj: Journal of advanced nursing [J Adv Nurs] 2024 Jul 16. Date of Electronic Publication: 2024 Jul 16.
DOI: 10.1111/jan.16312
Abstrakt: Aim(s): To operationalize the Caring Life Course Theory (CLCT) as a framework for improving cardiac rehabilitation (CR) engagement and informing ways to address disparities in rural, low socio-economic areas.
Methods: A secondary analysis of data collected from 15 CR programmes to identify CR patterns through the CLCT lens using a mixed-methods approach. All analytical processes were conducted in NVivo, coding qualitative data through thematic analysis based on CLCT constructs. Relationships among these constructs were quantitatively assessed using Jaccard coefficients and hierarchical clustering via dendrogram analysis to identify related clusters.
Results: A strong interconnectedness among constructs: 'care from others', 'capability', 'care network' and 'care provision' (coefficient = 1) highlights their entangled crucial role in CR. However, significant conceptual disparities between 'care biography' and 'fundamental care' (coefficient = 0.4) and between 'self-care' and 'care biography' (coefficient = 0.384615) indicate a need for more aligned and personalized care approaches within CR.
Conclusion: The CLCT provides a comprehensive theoretical and practical framework to address disparities in CR, facilitating a personalized approach to enhance engagement in rural and underserved regions.
Implications: Integrating CLCT into CR programme designs could effectively address participation challenges, demonstrating the theory's utility in developing targeted, accessible care interventions/solutions.
Impact: Explored the challenge of low CR engagement in rural, low socio-economic settings. Uncovered care provision, transitions and individual care biographies' relevance for CR engagement. Demonstrated the potential of CLCT to inform/transform CR services for underserved populations, impacting practices and outcomes.
Reporting Method: EQUATOR-MMR-RHS.
Patient Contribution: A consumer co-researcher contributed to all study phases.
(© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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