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Ethical issues in cardiovascular risk management: Patients need nurses' support
Marije S Koelewijn-van Loon1, Anneke van Dijk-de Vries2, Trudy van der Weijden1
1Maastricht University, The Netherlands.
Nursing Ethics
|November 22, 2013
Summary
Patients found a nurse-led cardiovascular disease prevention program supportive, not intrusive. The intervention fostered shared decision-making and lifestyle changes, enhancing relational autonomy.
Area of Science:
- Public Health
- Nursing
- Bioethics
Background:
- Ethical considerations arise when balancing health promotion with patient autonomy in primary prevention.
- Nurse-led interventions are crucial for cardiovascular disease (CVD) prevention in primary care settings.
Purpose of the Study:
- To ethically evaluate a nurse-led CVD prevention intervention.
- To explore patient experiences and perceptions of nurse and patient roles in shared decision-making for risk reduction.
Main Methods:
- Qualitative study design involving 18 patients who received the intervention.
- In-depth interviews were conducted and analyzed using directed content analysis.
Main Results:
- Patients viewed consultations as supportive, not infringing on autonomy.
- Patients valued the nurse's realistic advice, encouragement, and assistance in understanding health information.
- Experiences align with concepts of relational autonomy, cooperative care, and communicative action.
Conclusions:
- The nurse-led intervention facilitated patients' healthier lifestyle development through shared effort.
- Patient-centered care in primary prevention enhances autonomy and cooperation.
- Nurse-patient relationships are key to successful lifestyle modification in cardiovascular disease prevention.
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