Jean C. McSweeney is an associate professor at the University of Arkansas for Medical Sciences, College of Nursing.
An Act of Courage: Women's Decision-Making Processes Regarding Outpatient Cardiac Rehabilitation Attendance
Article first published online: 10 JUL 2012
2001 Association of Rehabilitation Nurses
Volume 26, Issue 4, pages 132–140, July-August 2001
How to Cite
McSweeney, J. C. and Crane, P. B. (2001), An Act of Courage: Women's Decision-Making Processes Regarding Outpatient Cardiac Rehabilitation Attendance. Rehabilitation Nursing, 26: 132–140. doi: 10.1002/j.2048-7940.2001.tb01935.x
- Issue published online: 10 JUL 2012
- Article first published online: 10 JUL 2012
- cardiac rehabilitation;
The purpose of this qualitative study was to describe the factors that affect women's attendance and adherence to a cardiac rehabilitation (CR) program after a myocardial infarction (MI). We used in-depth interviews and a health survey form to collect data. The purposive sample consisted of 40 women who had experienced a first MI within the previous 6 weeks to 12 months. Of those 40, 18 women were not offered the program, 8 declined it, and 14 attended. Using content analysis and constant comparison, we identified three distinct phases: “initial decision,” “CR attendance,” and “reevaluation.” Four data clusters positively influenced the continuation of CR attendance: “Psychological Appraisal,” “Program Components,” “Staff Behaviors,” and “Outcomes.” When women encountered a fifth cluster—“Barriers”—they entered the reevaluation phase. Results of this study support specific interventions for each phase.