Promoting a sense of security in everyday life—A case study of patients and professionals moving towards co‐production in an atrial fibrillation 'learning café'
| Autor: | Sofia Kjellström, Johan Thor, Kristina Areskoug-Josefsson, Anne-Marie Suutari, Annika Nordin |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Self‐Determination Theory Quality management education Qualitative property patient education Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing Patient Education as Topic Activities of Daily Living Adaptation Psychological Humans atrial fibrillation 030212 general & internal medicine health‐care quality improvement Everyday life Self-determination theory Aged Aged 80 and over lcsh:R5-920 co‐production 030503 health policy & services lcsh:Public aspects of medicine Professional development Public Health Environmental and Occupational Health lcsh:RA1-1270 Focus Groups Middle Aged Focus group Self Concept Original Research Paper coping behaviours Patient Satisfaction Job satisfaction Female 0305 other medical science Psychology lcsh:Medicine (General) Original Research Papers Patient education |
| Zdroj: | Health Expectations, Vol 22, Iss 6, Pp 1240-1250 (2019) Health Expectations : An International Journal of Public Participation in Health Care and Health Policy |
| ISSN: | 1369-6513 1369-7625 |
| Popis: | Background An improvement initiative sought to improve care for atrial fibrillation (AF) patients; many felt insecure about how to cope with AF. Objective To reveal AF patients' and professionals' experiences of pilot‐testing a Learning Café group education programme, aimed at increasing the patients' sense of security in everyday life. Design Using an organizational case study design, we combined quantitative data (patients' sense of security) and qualitative data (project documentation; focus group interviews with five patients and five professionals) analysed using inductive qualitative content analysis. Setting AF patients and a multiprofessional team at a cardiac care unit in a Swedish district hospital. Improvement activities Two registered nurses invited AF patients and partners to four 2.5‐hour Learning Café sessions. In the first session, they solicited participants' questions about life with AF. A physician, a registered nurse and a physiotherapist were invited to address these questions in the remaining sessions. Results AF patients reported gaining a greater sense of security in everyday life and anticipating a future shift from emergency care to planned care. Professionals reported enhanced professional development, learning more about person‐centredness and gaining greater control of their own work situation. The organization gained knowledge about patient and family involvement. Conclusions The Learning Café pilot test—exemplifying movement towards co‐production through patient‐professional collaboration—generated positive outcomes for patients (sense of security), professionals (work satisfaction; learning) and the organization (better care) in line with contemporary models for quality improvement and with Self‐Determination Theory. This approach merits further testing and evaluation in other contexts. |
| Databáze: | OpenAIRE |
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