A web-based intervention for patients with an implantable cardioverter defibrillator - A qualitative study of nurses' experiences (Data from the ACQUIRE-ICD study)

Charlotte Helmark^{1

2}, Cecilie L Egholm^{3

4}, Nina Rottmann^{2

3

4}, Søren J Skovbakke², Christina M Andersen^{2

5}, Jens B Johansen⁶, Jens C Nielsen^{7

8}, Charlotte E Larroudé⁹, Sam Riahi^{10

11}, Carl J Brandt¹², Susanne S Pedersen^{2

6}

Affiliations

¹ Department of Cardiology, Zealand University Hospital, Roskilde, Denmark.
² Department of Psychology, University of Southern Denmark, Odense, Denmark.
³ REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark.
⁴ Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
⁵ Steno Diabetes Center Odense, Odense, Denmark.
⁶ Department of Cardiology, Odense University Hospital, Odense, Denmark.
⁷ Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
⁸ Denmark and Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
⁹ Department of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Hellerup, Denmark.
¹⁰ Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
¹¹ Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
¹² Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.

PMID: 37214535
PMCID: PMC10194258
DOI: 10.1016/j.pecinn.2022.100110

A web-based intervention for patients with an implantable cardioverter defibrillator - A qualitative study of nurses' experiences (Data from the ACQUIRE-ICD study)

Charlotte Helmark et al. PEC Innov. 2022.

. 2022 Nov 28:2:100110.

doi: 10.1016/j.pecinn.2022.100110. eCollection 2023 Dec.

Authors

Affiliations

¹ Department of Cardiology, Zealand University Hospital, Roskilde, Denmark.
² Department of Psychology, University of Southern Denmark, Odense, Denmark.
³ REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark.
⁴ Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
⁵ Steno Diabetes Center Odense, Odense, Denmark.
⁶ Department of Cardiology, Odense University Hospital, Odense, Denmark.
⁷ Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
⁸ Denmark and Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
⁹ Department of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Hellerup, Denmark.
¹⁰ Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
¹¹ Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
¹² Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.

PMID: 37214535
PMCID: PMC10194258
DOI: 10.1016/j.pecinn.2022.100110

Abstract

Objective: The aim of this study was to explore cardiac nurses' experiences with a comprehensive web-based intervention for patients with an implantable cardioverter defibrillator.

Methods: We conducted an explorative qualitative study based on individual semi-structured interviews with 9 cardiac nurses from 5 Danish university hospitals.

Results: We found one overall theme: "Between traditional nursing and modern eHealth". This theme was derived from the following six categories: (1) comprehensive content in the intervention, (2) patient-related differences in engagement, (3) following the protocol is a balancing act, (4) online communication challenges patient contact, (5) professional collaboration varies, and (6) an intervention with potential. Cardiac nurses were positive towards the web-based intervention and believe it holds a large potential. However, they felt challenged by not having in-person and face-to-face contact with patients, which they found valuable for assessing patients' wellbeing and psychological distress.

Conclusion: Specific training in eHealth communication seems necessary as web-based care entails a shift in the nursing role and requires a different way of communication.InnovationFocusing on the user experience in web-based care from the perspective of cardiac nurses is innovative, and by applying implementation science this leads to new knowledge to consider when developing and implementing web-based care.

Keywords: CFIR; Implantable cardioverter defibrillator; Nursing role; Online communication; eHealth.

PubMed Disclaimer

Conflict of interest statement

Susanne S Pedersen reports financial support was provided by Lundbeck Foundation. Susanne S Pedersen reports financial support was provided by TrygFonden.

Figures

**Fig. 1**
Illustration of qualitative content analysis, inspired by Graneheim and Lundmann.

**Fig. 2**
Theme, categories, and subcategories.

See this image and copyright information in PMC

References

1. Priori S.G., Blomström-Lundqvist C., Mazzanti A., Blom N., Borggrefe M., Camm J., et al. ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC) Eur Heart J. 2015;36(41):2793–2867. doi: 10.1093/eurheartj/ehv316. [Epub 2015 Aug 29. PMID: 26320108] - DOI - PubMed
1. Dunbar S.B., Dougherty C.M., Sears S.F., Carroll D.L., Goldstein N.E., Mark D.B., et al. American Heart Association Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Council on Cardiovascular Disease in the Young. Educational and psychological interventions to improve outcomes for recipients of implantable cardioverter defibrillators and their families: a scientific statement from the American Heart Association. Circulation. 2012;126(17):2146–2172. doi: 10.1161/CIR.0b013e31825d59fd. [Epub 2012 Sep 24. PMID: 23008437] - DOI - PubMed
1. Pedersen S.S., Skovbakke S.J., Wiil U.K., Schmidt T., dePont Christensen R., Brandt C.J., et al. Effectiveness of a comprehensive interactive eHealth intervention on patient-reported and clinical outcomes in patients with an implantable cardioverter defibrillator [ACQUIRE-ICD trial]: study protocol of a national Danish randomised controlled trial. BMC Cardiovasc Disord. 2018;18(1):136. doi: 10.1186/s12872-018-0872-7. [PMID: 29969990; PMCID: PMC6029360) - DOI - PMC - PubMed
1. Frydensberg V.S., Johansen J.B., Möller S., Riahi S., Wehberg S., Haarbo J., et al. Anxiety and depression symptoms in Danish patients with an implantable cardioverter-defibrillator: prevalence and association with indication and sex up to 2 years of follow-up (data from the national DEFIB-WOMEN study) Europace. 2020;22(12):1830–1840. doi: 10.1093/europace/euaa176. [PMID: 33106878] - DOI - PubMed
1. Sears S.F., Jr., Conti J.B. Quality of life and psychological functioning of icd patients. Heart. 2002;87(5):488–493. - PMC - PubMed

LinkOut - more resources

Full Text Sources

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

A web-based intervention for patients with an implantable cardioverter defibrillator - A qualitative study of nurses' experiences (Data from the ACQUIRE-ICD study)

Affiliations

A web-based intervention for patients with an implantable cardioverter defibrillator - A qualitative study of nurses' experiences (Data from the ACQUIRE-ICD study)

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

LinkOut - more resources

Full Text Sources