Women's decisions to seek help for a first AMI involve complex ontological and social meanings, highlighting the need for further exploration to understand and potentially reduce delays in care.
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May inform education on AMI symptom response in women; extends qualitative insights but leaves open impact on delays.
Background: The decision to seek professional help in the circumstances of acute myocardial infarction (AMI) is often delayed for too long. Aim: To explore the lived experience of three women in the decision phase prior to seeking professional care for a first AMI and provide justification for continuance of the study. Design: Hermeneutic phenomenology was used to explore for meaning, using in-depth, semi-structured interviews conducted in the homes of three participants purposively recruited for the pilot study from a cardiac centre situated in the West of Scotland. Results: Seven patterned themes were identified from hermeneutically analysed data: level of attunement, weighing up perception of urgency, ownership of decision, expressive language, family car, traditional perception of NHS services and relinquishing control. Conclusion: The pilot study exposed the complexity of the decision trajectory. Different ontological and social meanings were attached to women's decisions which require further exploration.
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Mayer et al. (2014) studied this question.
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