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Abstract

Background/aims
Self-management in patients with coronary heart disease is essential to the prevention of cardiac complications and the minimisation of morbidity and mortality. The aim of this study was to explore the knowledge and perceptions of student nurses on promotion of self-management and lifestyle changes in patients with coronary heart disease.

Methods
A qualitative methodology was adopted using semi-structured face-to-face interviews with undergraduate nursing students in their third and fourth year of studies. Through purposive sampling, eight participants were recruited from a higher education institute in Scotland. Interviews were transcribed verbatim and analysed by thematic analysis.

Results
Three themes emerged: self-management, barriers to effective self-management and health promotion. The perceived barriers included lack of effective communication, patients' perception of their illness and lack of time and identified motivators to good delivery of health promotion.

Conclusions
Pre-registration healthcare students may benefit from more education on patient self-management from a theoretical and practical perspective. Post-registration education might also be useful to nurses to increase their knowledge and confidence in the delivery of health promotion to patients.

Publication Type:	Article
Additional Information:	This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Cardiac Nursing, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/bjca.2020.0072.
Publisher Keywords:	Disease management; coronary heart disease; self-care; patient education; health promotion
Subjects:	R Medicine > RC Internal medicine R Medicine > RT Nursing
Departments:	School of Health & Psychological Sciences > Nursing
SWORD Depositor:	Symplectic Administrator

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