Acute myocardial infarction patients' information needs over the course of treatment and recovery.
OBJECTIVE
Healthcare guidelines promote including patients in healthcare decision making to optimize treatment and recovery. However, prior research varies widely in the clinical context and conceptualization of patient involvement. The current study focuses on describing cardiac patients' preferences for involvement in decision making in the context of the myocardial infarction event continuum.


METHODS
Focus groups were conducted with 19 patients who had recently experienced a myocardial infarction and received care at a regional facility in the Midwest. Data were transcribed and analyzed qualitatively to identify themes related to patient's decision-making experiences.


CONCLUSIONS
Both the role of the patient in decision making and information needs change as the patient progresses from the acute event to recovery. However, this change seems to be curvilinear, rather than linear. To maximize outcomes, clinicians must assess preferences and increase awareness of evolving information needs throughout the myocardial infarction clinical situation.
Decker
Carole
C
Mid America Heart Institute at Saint Luke's Hospital, 4401 Wornall Road, Kansas City, MO 64111, USA. c1decker@saint-lukes.org
Garavalia
Linda
L
Chen
Connie
C
Buchanan
Donna M
DM
Nugent
Karen
K
Shipman
Amy
A
Spertus
John A
JA
D000328:Adult; D000368:Aged; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology* / Q000534:rehabilitation / Q000628:therapy; D010351:Patient Discharge; D010353:Patient Education as Topic; D010358:Patient Participation / Q000523:psychology*