Key result
Cardiac nurses viewed the web-based intervention for ICD patients positively but felt challenged by the lack of face-to-face contact to assess patients' wellbeing.
Why the study?
To explore cardiac nurses' experiences with a comprehensive web-based intervention for patients with an implantable cardioverter defibrillator.
What are cardiac nurses' experiences with a web-based intervention for patients with an implantable cardioverter defibrillator?
What are cardiac nurses' experiences with a web-based intervention for patients with an implantable cardioverter defibrillator?
Cardiac nurses see potential in web-based interventions for ICD patients but highlight the challenge of losing face-to-face contact for assessing psychological distress.
Supports hybrid digital-in-person ICD care models; hypothesis-generating for optimizing nurse assessment without face-to-face contact.
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: Focusing 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.
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Helmark et al. (2022) studied Implantable cardioverter defibrillator (ICD) care (n=9). Comprehensive web-based intervention was evaluated on Cardiac nurses' experiences with a comprehensive web-based intervention. Cardiac nurses viewed the web-based intervention for ICD patients positively but felt challenged by the lack of face-to-face contact to assess patients' wellbeing.
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