Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators

Background: Cardiac rehabilitation (CR) is a long term multifactorial rehabilitation program aimed at the secondary prevention of cardiovascular events. However, delivery of CR services is less than optimal. Aim: This study explored the perceptions of cardiac rehabilitation (CR) coordinators relatin...

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Main Authors: Fernandez, R., Davidson, Patricia, Griffiths, R., Salamonson, Y.
Format: Journal Article
Published: Elsevier 2010
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/3739
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author Fernandez, R.
Davidson, Patricia
Griffiths, R.
Salamonson, Y.
author_facet Fernandez, R.
Davidson, Patricia
Griffiths, R.
Salamonson, Y.
author_sort Fernandez, R.
building Curtin Institutional Repository
collection Online Access
description Background: Cardiac rehabilitation (CR) is a long term multifactorial rehabilitation program aimed at the secondary prevention of cardiovascular events. However, delivery of CR services is less than optimal. Aim: This study explored the perceptions of cardiac rehabilitation (CR) coordinators relating to challenges for improving the delivery of CR services. Methods: The study design used qualitative, semi-structured in-depth telephone interviews with 20 CR coordinators from NSW Australia. Interviews were transcribed verbatim and thematic content analysis was undertaken to identify common themes. Results: Twenty CR coordinators participated in the study. Three major themes including obstacles to delivering cardiac rehabilitation services, challenges in achieving continuity and coordination, and complexities in delivering evidence-based health care were identified. Study findings indicate that limited service capacity due to a lack of investment and planning, rurality, lack of knowledge, and communication difficulties, are major challenges that CR coordinators need to overcome to provide effective services. Conclusions: The experiences of participants provide some detailed insight into the barriers encountered in providing CR services. The main message from this study is that providing CR services is a complex process and is collectively influenced by the health care system; professional and provider issues; and program characteristics.
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spelling curtin-20.500.11937-37392017-09-13T16:04:15Z Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators Fernandez, R. Davidson, Patricia Griffiths, R. Salamonson, Y. Challenges Chronic disease Secondary prevention Qualitative study Cardiac rehabilitation Background: Cardiac rehabilitation (CR) is a long term multifactorial rehabilitation program aimed at the secondary prevention of cardiovascular events. However, delivery of CR services is less than optimal. Aim: This study explored the perceptions of cardiac rehabilitation (CR) coordinators relating to challenges for improving the delivery of CR services. Methods: The study design used qualitative, semi-structured in-depth telephone interviews with 20 CR coordinators from NSW Australia. Interviews were transcribed verbatim and thematic content analysis was undertaken to identify common themes. Results: Twenty CR coordinators participated in the study. Three major themes including obstacles to delivering cardiac rehabilitation services, challenges in achieving continuity and coordination, and complexities in delivering evidence-based health care were identified. Study findings indicate that limited service capacity due to a lack of investment and planning, rurality, lack of knowledge, and communication difficulties, are major challenges that CR coordinators need to overcome to provide effective services. Conclusions: The experiences of participants provide some detailed insight into the barriers encountered in providing CR services. The main message from this study is that providing CR services is a complex process and is collectively influenced by the health care system; professional and provider issues; and program characteristics. 2010 Journal Article http://hdl.handle.net/20.500.11937/3739 10.1016/j.ejcnurse.2010.03.007 Elsevier restricted
spellingShingle Challenges
Chronic disease
Secondary prevention
Qualitative study
Cardiac rehabilitation
Fernandez, R.
Davidson, Patricia
Griffiths, R.
Salamonson, Y.
Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators
title Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators
title_full Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators
title_fullStr Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators
title_full_unstemmed Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators
title_short Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators
title_sort improving cardiac rehabilitation services - challenges for cardiac rehabilitation coordinators
topic Challenges
Chronic disease
Secondary prevention
Qualitative study
Cardiac rehabilitation
url http://hdl.handle.net/20.500.11937/3739