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Improving heart failure care with an Experience-Based Co-Design approach: what matters to persons with heart failure and their family members?
The Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping (SWE); Department of Internal Medicine and Geriatrics, the Highland Hospital (Höglandssjukhuset), Region Jönköping County, Eksjö (SWE).ORCID iD: 0000-0002-2760-4571
The Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping (SWE).ORCID iD: 0000-0003-1814-4478
The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE).ORCID iD: 0000-0002-2480-1641
University West, Department of Health Sciences, Section for health promotion and care sciences. The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE)Department of Behavioral Science, Oslo Metropolitan University, Oslo (NOR). (LOVHH)ORCID iD: 0000-0002-7669-4702
2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, p. 1-17, article id 294Article in journal (Refereed) Published
Abstract [en]

Background

Heart failure is a chronic heart condition. Persons with heart failure often have limited physical capabil‑ity, cognitive impairments, and low health literacy. These challenges can be barriers to healthcare service co-design with family members and professionals. Experience-Based Co-Design is a participatory healthcare quality improve‑ment approach drawing on patients’, family members’ and professionals’ experiences to improve healthcare. The over‑all aim of this study was to use Experience-Based Co-Design to identify experiences of heart failure and its care in a Swedish cardiac care setting, and to understand how these experiences can translate into heart failure care improve‑ments for persons with heart failure and their families.

Methods

A convenience sample of 17 persons with heart failure and four family members participated in this single case study as a part of an improvement initiative within cardiac care. In line with Experienced-Based Co-Design meth‑odology, feld notes from observations of healthcare consultations, individual interviews and meeting minutes from stakeholders’ feedback events, were used to gather participants’ experiences of heart failure and its care. Refexive thematic analysis was used to develop themes from data.

Results

Twelve service touchpoints, organized within fve overarching themes emerged. The themes told a story about persons with heart failure and family members struggling in everyday life due to a poor quality of life, lack of support networks, and difculties understanding and applying information about heart failure and its care. To be recognized by professionals was reported to be a key to good quality care. Opportunities to be involved in healthcare varied, Further, participants’ experiences translated into proposed changes to heart failure care such as improved information about heart failure, continuity of care, improved relations, and communication, and being invited to be involved in healthcare.

Conclusions

Our study fndings ofer knowledge about experiences of life with heart failure and its care, trans‑lated into heart failure service touchpoints. Further research is warranted to explore how these touchpoints can be addressed to improve life and care for persons with heart failure and other chronic conditions

Place, publisher, year, edition, pages
Springer London, 2023. Vol. 23, no 1, p. 1-17, article id 294
Keywords [en]
Heart failure, Experience-Based Co-Design, Healthcare quality improvement, Patient and public involvement, Thematic analysis
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-19854DOI: 10.1186/s12913-023-09306-wISI: 000962498500004PubMedID: 36978125Scopus ID: 2-s2.0-85151111282OAI: oai:DiVA.org:hv-19854DiVA, id: diva2:1750381
Note

This article is licensed under a Creative Commons Attribution 4.0 International License.

FundingOpen access funding provided by Jönköping University. The authors declare that there is no specifc grant for this research from any funding agency in the public, commercial or not-for-proft sectors.

Available from: 2023-04-13 Created: 2023-04-13 Last updated: 2024-01-11

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Areskoug Josefsson, Kristina

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