Barbara%20Conway%20RGN,%20BSc%20(Hons),%20MSc

1
Barbara Conway RGN, BSc (Hons),
MSc Cardiovascular Clinical Team Leader NHS
Darlington Co. Durham and Darlington Community
Health Services
2
Title Barriers to the uptake and engagement in
cardiac rehabilitation services among people from
lower socio-economic backgrounds
Doctorate in Nursing Science thesis
submission 2010
3
Background to the study

• Government Led initiatives to involve service
  users

• The unheard patient

• Service development and innovation

• Previous research

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Sample

• 10 participants
• 8 following a myocardial infarction
• 1 following cardiac surgery (with heart failure)
• 1 with angina

• All the participants were from the 5 poorest
  electoral wards of Darlington

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Method

• Semi-structured interviews

• Data collection

• Themes and sub themes

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Emerging themes

• Cardiac incidents and perceptions of what has
  happened

• Sense of symptoms

• Meeting health needs

• Dislike of groups

• Isolation

• Quality of life

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Emerging themes

• Fear and shock

• Choices and risks

• Support informal and formal

• Fear of hospitals

• Time and financial constraints

• The bingo factor

8
Lessons learnt from the study

• Involvement of patients who do not access
  services in service development

• Out of the box thinking by health care
  professionals

• Further research needed

9
Any questions?
Barbara.conway_at_nhs.net