Serena Barello|Guendalina Graffigna|Elena Vegni|Mariarosaria Savarese|Federico Lombardi|Albino Claudio Bosio
Engage me in taking care of my heart': a grounded theory study on patient-cardiologist relationship in the hospital management of heart failure
Università Cattolica del Sacro Cuore|Università Cattolica del Sacro Cuore|University of Milan|Università Cattolica del Sacro Cuore|University of Milan|Università Cattolica del Sacro Cuore
h3objectiveh3 approaching study practice heart failure hf management authors recognise patientdoctor relationship central role engaging patients care study aims identifying features levers hf patient engagement suggestions orienting clinical encounters h3designh3 using grounded theory approach conducted 22 indepth interviews 13 patients hf 5 physicians 4 caregivers data collected analysed using open axial selective coding procedures according grounded theory principles h3settingsh3 interviews conducted office university hospital located metropolitan area milan italy h3participantsh3 data comprised total 22 patient hospital cardiologist caregiver interviews patients aged 18 years new york heart association nyha functional class ii iii eligible take part patients recruited primarily referral cardiologist h3resultsh3 hf patient engagement process develops four main phases characterised different patients emotional cognitive behavioural dynamics contribute shape process patient9s meaning making towards health illness regarding care emerging model illustrates hf patient engagement entails meaningmaking process enacted patient critical event implies patients ability give sense care experience disease symptomatology treatments changes along illness course doctors recognised crucial fostering patients engagement along phases process contribute providing patients selfcontinuity give new meaning illness experience h3conclusionsh3 study identifies core experiential domains main levers involved driving patients hf effectively engage disease management model emerging study may help clinicians think fresh way encounters patients role fostering patients health engagement