A web-based intervention for patients with an implantable cardioverter defibrillator - A qualitative study of nurses' experiences (Data from the ACQUIRE-ICD study)

Charlotte Helmark; Cecilie L Egholm; Nina Rottmann; Søren J Skovbakke; Christina M Andersen; Jens B Johansen; Jens C Nielsen; Charlotte E Larroudé; Sam Riahi; Carl J Brandt; Susanne S Pedersen

doi:10.1016/j.pecinn.2022.100110

A web-based intervention for patients with an implantable cardioverter defibrillator - A qualitative study of nurses' experiences (Data from the ACQUIRE-ICD study)

PEC Innov. 2022 Nov 28:2:100110. doi: 10.1016/j.pecinn.2022.100110. eCollection 2023 Dec.

Authors

Charlotte Helmark^{1

2}, Cecilie L Egholm^{3

4}, Nina Rottmann^{2

3

4}, Søren J Skovbakke², Christina M Andersen^{2

5}, Jens B Johansen⁶, Jens C Nielsen^{7

8}, Charlotte E Larroudé⁹, Sam Riahi^{10

11}, Carl J Brandt¹², Susanne S Pedersen^{2

6}

Affiliations

¹ Department of Cardiology, Zealand University Hospital, Roskilde, Denmark.
² Department of Psychology, University of Southern Denmark, Odense, Denmark.
³ REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark.
⁴ Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
⁵ Steno Diabetes Center Odense, Odense, Denmark.
⁶ Department of Cardiology, Odense University Hospital, Odense, Denmark.
⁷ Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
⁸ Denmark and Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
⁹ Department of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Hellerup, Denmark.
¹⁰ Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
¹¹ Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
¹² Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.

Abstract

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: Specific training in eHealth communication seems necessary as web-based care entails a shift in the nursing role and requires a different way of communication.InnovationFocusing 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.

Keywords: CFIR; Implantable cardioverter defibrillator; Nursing role; Online communication; eHealth.