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“Doubtful accepting”: A grounded theory study of living with cardiac resynchronization therapy

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  • Shadi Dehghanzadeh
  • Nahid Dehghan Nayeri
  • Shokoh Varaei

Abstract

Heart failure is associated with low quality of life and a high mortality rate. There is limited information about patients' experiences of living with cardiac resynchronization therapy (CRT). In the present study, we sought to explore the process of living with CRT defibrillator. This qualitative study was completed from December 2014 to April 2016 using a grounded theory approach. Twenty semistructured interviews were held with 17 patients with heart failure. Data analysis was done via a previously‐published approach. The core category of the process of living with the device is “doubtful accepting”. This process includes three sequential phases: losing integrity, attempting to cope with the device, and coexisting. The process takes place in a context of barriers and facilitators, and results in a wide spectrum of outcomes, from frustration to empowerment. Nurses' awareness of this process can help them provide higher quality care, strengthen facilitators and reduce barriers to the process, and enable patients to effectively use coping strategies.

Suggested Citation

  • Shadi Dehghanzadeh & Nahid Dehghan Nayeri & Shokoh Varaei, 2018. "“Doubtful accepting”: A grounded theory study of living with cardiac resynchronization therapy," Nursing & Health Sciences, John Wiley & Sons, vol. 20(4), pages 516-522, December.
    • Handle: RePEc:wly:nuhsci:v:20:y:2018:i:4:p:516-522
    DOI: 10.1111/nhs.12547
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    References listed on IDEAS

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    1. Domingo Palacios‐Ceña & Marta E Losa & César Fernández‐de‐las‐Peñas & Paloma Salvadores‐Fuentes, 2011. "Living with life insurance: a qualitative analysis of the experience of male implantable defibrillator recipients in Spain," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(13‐14), pages 2003-2013, July.
    2. Shadi Dehghanzadeh & Nahid Dehghan Nayeri & Shokoh Varaei & Jalal Kheirkhah, 2017. "Living with cardiac resynchronization therapy: Challenges for people with heart failure," Nursing & Health Sciences, John Wiley & Sons, vol. 19(1), pages 112-118, March.
    3. Ingvild Margreta Morken & Elisabeth Severinsson & Bjørg Karlsen, 2010. "Reconstructing unpredictability: experiences of living with an implantable cardioverter defibrillator over time," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(3‐4), pages 537-546, February.
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    Cited by:

    1. Mahdi Moshki & Abdoljavad Khajavi & Shima Minaee & Farveh Vakilian & Haydeh Hashemizadeh, 2020. "Perceived benefits of the disease: A qualitative study of patients' experiences of heart failure," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 464-471, June.

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