Experiences and challenges of acute coronary syndrome patients in care provision: a qualitative systematic review.

Publisher: BioMed Central Country of Publication: England NLM ID: 101580575 Publication Model: Electronic Cited Medium: Internet ISSN: 2046-4053 (Electronic) Linking ISSN: 20464053 NLM ISO Abbreviation: Syst Rev Subsets: MEDLINE

Original Publication: London : BioMed Central

Acute Coronary Syndrome*/therapy ; Qualitative Research*; Humans ; Patient Satisfaction

Background: Coronary artery disease including acute coronary syndrome (ACS) constitutes the most common cause of death in people with cardiovascular disease. Prompt diagnosis and early initiation of treatment significantly impact on patient outcomes. Positive patient experience with their initial care is linked to positive clinical outcomes.
Objective: This qualitative review aimed to investigate patients' experience of care provision and the challenges faced by them during their different stages of care following an ACS.
Methods: Searches of four databases - MEDLINE, Embase, CINAHL and PsychINFO - were conducted from inception until July 13, 2022, and were limited to English-language publications. Assessment of methodological quality of studies was performed using the Jonna Briggs Institute (JBI) qualitative assessment and review instrument. Data were extracted using the standardised data extraction tool from JBI. Data synthesis following the JBI approach of meta-aggregation was performed. The level of confidence for each synthesised finding was established based on ConQual.
Results: Overall, from 578 records, 10 studies were included with 39 findings extracted from the included studies. The main synthesised findings were the need to provide tailored information and appropriate management at different stages of care, and that timely management and trust in health care workers are associated with greater patient satisfaction and more positive experiences.
Conclusion: Patients with an ACS experience many challenges during different stages of their care. Clinicians should be aware of the challenges they face and provide tailored information to patients that is appropriate for their different stages of management in order to best optimise patient experience and improve patient outcomes.
(© 2024. The Author(s).)

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Keywords: Cardiovascular disease; Care provision; Patients experience; Qualitative systematic review

Date Created: 20240717 Date Completed: 20240718 Latest Revision: 20240719

20240719

PMC11253477

10.1186/s13643-024-02578-1

39020407