Patients’ and health professionals’ views and experiences of atrial fibrillation and oral-anticoagulant therapy: a qualitative meta-synthesis

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Abstract

Objective - Atrial fibrillation (AF) patients are prescribed oral-anticoagulant (OAC) therapy, often warfarin, to reduce stroke risk. We explored existing qualitative evidence about patients’ and health professionals’ experiences of OAC therapy.
Methods - Systematic searches of eight bibliographic databases were conducted. Quality was appraised using the Critical Appraisal Skills Programme tool and data from ten studies were synthesised qualitatively.
Results - Four third-order constructs, emerged from the final step in the analysis process: (1) diagnosing AF and the communication of information, (2) deciding on OAC therapy, (3) challenges revolving around patient issues, and (4) healthcare challenges. Synthesis uncovered perspectives that could not be achieved through individual studies.
Conclusion - Physicians’ and patients’ experiences present a dichotomy of opinion on decision-making, which requires further exploration and changes in practice. Outcomes of workload pressure on both health professionals and patients should be investigated. The need for on-going support and education to patients and physicians is critical to achieve best practice and treatment adherence.
Practice implications - Such research could encourage health professionals to understand and attend better to the needs and concerns of the patient. Additionally these findings can be used to inform researchers and healthcare providers in developing educational interventions with both patients and health professionals.

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  • Atrial fibrillation and oral-anticoagulant therapy

    Rights statement: NOTICE: this is the author’s version of a work that was accepted for publication in Patient education and counseling. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Borg Xuereb, C, Shaw, RL & Lane, DA, 'Patients' and health professionals' views and experiences of atrial fibrillation and oral-anticoagulant therapy: a qualitative meta-synthesis' Patient education and counseling, vol 88, no. 2 (2012) DOI http://dx.doi.org/10.1016/j.pec.2012.05.011

    Accepted author manuscript, 262 KB, PDF-document

Details

Original languageEnglish
Pages (from-to)330-337
Number of pages8
JournalPatient Education and Counseling
Volume88
Issue number2
DOIs
Publication statusPublished - Aug 2012

Bibliographic note

NOTICE: this is the author’s version of a work that was accepted for publication in Patient education and counseling. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Borg Xuereb, C, Shaw, RL & Lane, DA, 'Patients' and health professionals' views and experiences of atrial fibrillation and oral-anticoagulant therapy: a qualitative meta-synthesis' Patient education and counseling, vol 88, no. 2 (2012) DOI http://dx.doi.org/10.1016/j.pec.2012.05.011

    Keywords

  • meta-synthesis, qualitative research, atrial fibrilation, oral anti-coagulant therapy, patient, doctor, experiences

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