Date of Conferral

2022

Degree

Ph.D.

School

Nursing

Advisor

Leslie Hussey

Abstract

Advancement in mechanical circulatory support (MCS) device therapy has led to increased use in heart failure therapy and relies on optimized patient education for successful support. The purpose of this 3-manuscript study, guided by the Husserlian transcendental phenomenological method, was to explore the lived experiences of (a) patients with primary mechanical circulatory support education (PMCSE), (b) patients who undergo unplanned MCS implantation with PMCSE, and (c) patients who undergo planned MCS implantation with PMCSE. Eleven participants were recruited (eight planned, three unplanned) from MCS targeted social media sites and interviewed using a semistructured open-ended question format. Data were analyzed using principles of thematic analysis. Three themes were derived from the data to describe the patient experience with PMCSE and included (a) process, the participant’s experience of the mechanics of the PMCSE, (b) disposition, the mindset of the participant related to PMCSE at discharge, and (c) adjustment, the participants general outlook as it relates to PMCSE. Theme descriptions differed among the planned vs. unplanned groups suggesting differences in the PMCSE experience based on timing of implant. Future research should include additional exploratory studies as well as multicenter comparisons of PMCSE practices and their effect on the patient experience taking implant strategy into consideration. Understanding differences in patient experiences surrounding MCS implantation strategy affects positive social change by providing foundational knowledge for optimizing MCS patient knowledge transfer practices, potentially improving outcomes while decreasing cost in this resource intensive therapy.

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