Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Mechanisms and drivers of social inequality in phase II cardiac rehabilitation attendance: A Convergent Mixed Methods study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. We are not heroes—The flipside of the hero narrative amidst the COVID19‐pandemic: A Danish hospital ethnography

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. A qualitative study of adolescent cancer survivors perspectives on social support from healthy peers - A RESPECT study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. 了解医院外心脏骤停后日常生活中短期和长期后果的生活经验。焦点小组研究

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Cognitive training for prevention of cognitive impairment in adult intensive care unit (ICU) patients

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Does rocking motion calm delirious patients in ICU? A multicentre randomised clinical trial protocol (RockingICU)

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Iatrogenic withdrawal syndrome frequently occurs in paediatric intensive care without algorithm for tapering of analgosedation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Socioeconomic inequality in telephone triage on triage response, hospitalization and 30-day mortality

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Skills, competencies, and policies for advanced practice critical care nursing in Europe: a scoping review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

Vis graf over relationer

AIM: To explore the extent to which the qualitative and quantitative data converge and explain mechanisms and drivers of social inequality in cardiac rehabilitation attendance.

BACKGROUND: Social inequality in cardiac rehabilitation attendance has been a recognized problem for many years. However, to date the mechanisms driving these inequalities are still not fully understood.

DESIGN: The study was designed as a convergent mixed methods study.

METHODS: From March 2015 - March 2016, patients hospitalized with acute coronary syndrome to two Danish regional hospitals were included in a quantitative prospective observational study (N=302). Qualitative interview informants (N=24) were sampled from the quantitative study population and half brought a close relative (N=12) for dyadic interviews. Interviews were conducted from August 2015 to February 2016. Integrated analyses were conducted in joint displays by merging the quantitative and qualitative findings.

RESULTS: Qualitative and quantitative findings primarily confirmed and expanded each other; however, discordant results were also evident. Integrated analyses identified socially differentiated lifestyles, health beliefs, travel barriers and self-efficacy as potential drivers of social inequality in cardiac rehabilitation.

CONCLUSION: Our study adds empirical evidence regarding how a mixed methods study can be used to obtain an understanding of complex healthcare problems. The study provides new knowledge concerning the mechanisms driving social inequality in cardiac rehabilitation attendance. To prevent social inequality, cardiac rehabilitation should be accommodated to patients with a history of unhealthy behaviour and low self-efficacy. Additionally, the rehabilitation programme should be offered in locations not requiring a long commute. This article is protected by copyright. All rights reserved.

OriginalsprogEngelsk
TidsskriftJournal of Advanced Nursing
Vol/bind74
Udgave nummer9
Sider (fra-til)2181-95
ISSN0309-2402
DOI
StatusUdgivet - 2018

ID: 54646716