Our study determined risk factors and predictors for hospital readmission after cardiac surgery. This may help to reduce readmission rates.

The locally derived model shows satisfactory results, with good calibration and discriminative power. The local model specifically outperforms all other European systems in terms of discriminatory power in combined surgery subset.

gained inspiration into making good lifestyle choices. A nursing research project designed as a research in action project was established. Method: Firstly a hermeneutic-phenomenological study was designed intended to gain insight in patient outcome from lifestyle conversation. Qualitative analyses of interviews was used. Secondly a programme was planned to create awareness of nursing conduct in these situations and thirdly another study investigated the impact of the new nursing methods. Six patients were interviewed five to six months after discharge. Seven were interviewed after the changes in communication. Results: The research showed that patients treated for ischaemic heart disease after five to six months were having difficulties remembering even having had a conversation with a nurse about lifestyle changes. It was established that knowledge was lectured on to the patient, the patient did not set the agenda and they were not met as an individual person, all which did not create meaningfulness within the patient. Developing a written invitation to a conversation is the most visible outcome. Having the conversation in a separate room and leaving the patients time to prepare a few hours before the conversation is another. Changing nurses' approach and communication skills through learning about empowerment philosophy and Self Determination Theory is an ongoing priority. Findings from new interviews show more verbalized determination in making lifestyle changes. Conclusions: Shared responsibility between the patient and the nurse into what they want to discuss with a nurse has a positive effect on what they remember and incorporate into their lifestyle in future.