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Aim(s)To operationalize the Caring Life Course Theory (CLCT) as a framework for improving cardiac rehabilitation (CR) engagement and informing ways to address disparities in rural, low socio‐economic areas.MethodsA secondary analysis of data collected from 15 CR programmes to identify CR patterns through the CLCT lens using a mixed‐methods approach. All analytical processes were conducted in NVivo, coding qualitative data through thematic analysis based on CLCT constructs. Relationships among these constructs were quantitatively assessed using Jaccard coefficients and hierarchical clustering via dendrogram analysis to identify related clusters.ResultsA strong interconnectedness among constructs: ‘care from others’, ‘capability’, ‘care network’ and ‘care provision’ (coefficient = 1) highlights their entangled crucial role in CR. However, significant conceptual disparities between ‘care biography’ and ‘fundamental care’ (coefficient = 0.4) and between ‘self‐care’ and ‘care biography’ (coefficient = 0.384615) indicate a need for more aligned and personalized care approaches within CR.ConclusionThe CLCT provides a comprehensive theoretical and practical framework to address disparities in CR, facilitating a personalized approach to enhance engagement in rural and underserved regions.ImplicationsIntegrating CLCT into CR programme designs could effectively address participation challenges, demonstrating the theory's utility in developing targeted, accessible care interventions/solutions.Impact Explored the challenge of low CR engagement in rural, low socio‐economic settings. Uncovered care provision, transitions and individual care biographies' relevance for CR engagement. Demonstrated the potential of CLCT to inform/transform CR services for underserved populations, impacting practices and outcomes. Reporting MethodEQUATOR—MMR‐RHS.Patient ContributionA consumer co‐researcher contributed to all study phases.
Aim(s)To operationalize the Caring Life Course Theory (CLCT) as a framework for improving cardiac rehabilitation (CR) engagement and informing ways to address disparities in rural, low socio‐economic areas.MethodsA secondary analysis of data collected from 15 CR programmes to identify CR patterns through the CLCT lens using a mixed‐methods approach. All analytical processes were conducted in NVivo, coding qualitative data through thematic analysis based on CLCT constructs. Relationships among these constructs were quantitatively assessed using Jaccard coefficients and hierarchical clustering via dendrogram analysis to identify related clusters.ResultsA strong interconnectedness among constructs: ‘care from others’, ‘capability’, ‘care network’ and ‘care provision’ (coefficient = 1) highlights their entangled crucial role in CR. However, significant conceptual disparities between ‘care biography’ and ‘fundamental care’ (coefficient = 0.4) and between ‘self‐care’ and ‘care biography’ (coefficient = 0.384615) indicate a need for more aligned and personalized care approaches within CR.ConclusionThe CLCT provides a comprehensive theoretical and practical framework to address disparities in CR, facilitating a personalized approach to enhance engagement in rural and underserved regions.ImplicationsIntegrating CLCT into CR programme designs could effectively address participation challenges, demonstrating the theory's utility in developing targeted, accessible care interventions/solutions.Impact Explored the challenge of low CR engagement in rural, low socio‐economic settings. Uncovered care provision, transitions and individual care biographies' relevance for CR engagement. Demonstrated the potential of CLCT to inform/transform CR services for underserved populations, impacting practices and outcomes. Reporting MethodEQUATOR—MMR‐RHS.Patient ContributionA consumer co‐researcher contributed to all study phases.
Aims: The purpose of this study was to investigate the relationship between nurses’ perceived organizational support, work well‐being, and medical narrative ability.Background: With the proposed bio‐psycho‐social medical model, nurses’ medical narrative ability is closely related to patients’ health problems and quality of life. Nurses’ perceived organizational support and work well‐being can improve nurses’ empathy and reflection ability to a certain extent and promote patients’ rehabilitation. However, the relationship between nurses’ perceived organizational support, work well‐being, and medical narrative ability is unclear.Methods: A total of 1831 nurses from 8 hospitals in China were surveyed using an online questionnaire that included nurses’ sociodemographic, perceived organizational support, work well‐being, and medical narrative ability. IBM SPSS 27.0 was used for Pearson’s correlation analysis, one‐way ANOVA, t‐test, and mediation effect analysis using Model 4 in PROCESS (5000 resamples).Results: The total mean score of perceived organizational support (46.68 ± 11.00), work well‐being (53.09 ± 10.81), and medical narrative ability (154.48 ± 22.93) among nurses was found to be moderate. The relationship between perceived organizational support, work well‐being, and medical narrative ability was significant, with correlation coefficients ranging from 0.348 to 0.685 (p < 0.01). The relationship between perceived organizational support and medical narrative ability is partially mediated by work well‐being. The intermediate effect accounted for 52.36% of the total effect.Conclusion: This study found that nurses’ work well‐being mediated the relationship between perceived organizational support and medical narrative ability.Implications for Nursing Management: This study evaluated nurses’ medical narrative ability and explored the relationship between nurses’ perceived organizational support, work well‐being, and medical narrative ability. The results of this study can help nursing managers and educators to take appropriate measures to intervene nurses’ perceived organizational support and work well‐being, so as to improve nurses’ medical narrative ability and optimize nursing quality.
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