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Barbara Conway RGN, BSc (Hons), MSc Cardiovascular Clinical Team Leader NHS Darlington

Barbara Conway RGN, BSc (Hons), MSc Cardiovascular Clinical Team Leader NHS Darlington Co. Durham and Darlington Community Health Services. Title Barriers to the uptake and engagement in cardiac rehabilitation services among people from lower socio-economic backgrounds.

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Barbara Conway RGN, BSc (Hons), MSc Cardiovascular Clinical Team Leader NHS Darlington

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  1. Barbara Conway RGN, BSc (Hons), MSc Cardiovascular Clinical Team Leader NHS Darlington Co. Durham and Darlington Community Health Services

  2. Title Barriers to the uptake and engagement in cardiac rehabilitation services among people from lower socio-economic backgrounds Doctorate in Nursing Science thesis submission 2010

  3. Background to the study • Government Led initiatives to involve service users • The ‘unheard’ patient • Service development and innovation • Previous research

  4. Sample • 10 participants • 8 following a myocardial infarction • 1 following cardiac surgery (with heart failure) • 1 with angina • All the participants were from the 5 poorest electoral wards of Darlington

  5. Method • Semi-structured interviews • Data collection • Themes and sub themes

  6. Emerging themes • Cardiac incidents and perceptions of what has happened • Sense of symptoms • Meeting health needs • Dislike of groups • Isolation • Quality of life

  7. Emerging themes • Fear and shock • Choices and risks • Support – informal and formal • Fear of hospitals • Time and financial constraints • The bingo factor

  8. Lessons learnt from the study • Involvement of patients who do not access services in service development • ‘Out of the box’ thinking by health care professionals • Further research needed

  9. Any questions? Barbara.conway@nhs.net

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