A thematic synthesis of qualitative studies about patients`perceptions of information and education given in relation to implantable cardioverter defibrillator (ICD) implantation
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Original versionKonf. til juni 2018
The aim of this study was to explore how implantable cardioverter defibrillator (ICD) recipients perceive information and education given by healthcare professionals in relation to device implantation. Despite the ICD benefits, device recipients might be faced with psychosocial outcomes, which may affect their quality of life. The extent to which recipients understand and grasp information and patient education about ICDs is poorly understood, and despite previous studies about the phenomena, the authors have not found studies that synthesize the results regarding these perceptions. It would therefore be important to explore the recipients’ perceived understanding of this information. A systematic review could lead to a high-level overview of primary research on the subject and inform clinical practice. The approach for this study was a systematic review of qualitative studies, and the data was analysed by the means of thematic synthesis. The selection consists of 11 qualitative articles which all address the candidates’ or recipients’ informational and educational needs. The findings indicate that perception of information provided by healthcare professionals varies, and that information gaps do exist and need to be addressed. This requires that healthcare professionals are highly educated and dedicated to educating and supporting device recipients. Simple, comprehensible advice and explanations may help to reduce uncertainty and anxiety amongst device recipients, especially with issues relating to ICD shocks. Through appropriate patient education and effective communication, while also involving and paying attention to each recipient’s informational needs, healthcare professionals can ensure that the benefits, risks, and effects of living with an ICD are properly understood. Also shared decision-making between recipients and healthcare professionals will be encouraged.
Master's thesis in Health and social sciences