The Caring Life Course Theory: Opening new frontiers in care—A cardiac rehabilitation example

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. Methods A secondary analysis of data collected from 15 CR programmes to identify CR patterns...

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Vydáno v:Journal of advanced nursing Ročník 81; číslo 8; s. 5163 - 5180
Hlavní autoři: Pinero de Plaza, Maria Alejandra, Hutchinson, Claire, Beleigoli, Alline, Tieu, Matthew, Lawless, Michael, Conroy, Tiffany, Feo, Rebecca, Clark, Robyn A., Dafny, Hila, McMillan, Penelope, Allande‐Cussó, Regina, Kitson, Alison A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Wiley Subscription Services, Inc 01.08.2025
John Wiley and Sons Inc
Témata:
Aged
Biographies
cardiac rehabilitation
Cardiac Rehabilitation - psychology
Cardiovascular diseases
caring life course theory
Clustering
Connectedness
Customization
Empathy
Female
fundamental care
Health disparities
Humans
Life course
Male
Middle Aged
mixed‐methods
Quality of care
Rehabilitation
Research Methodology: Discussion Paper ‐ Methodology
Researcher subject relations
Rural areas
Rural communities
rural health
Rural health care
Rural Population
Self care
Theory
Underserved populations
caring life course theory
rural health
cardiac rehabilitation
fundamental care
mixed‐methods
ISSN:0309-2402, 1365-2648, 1365-2648
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Shrnutí: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. Methods A 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. Results A 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. Conclusion The 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. Implications Integrating 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 Method EQUATOR—MMR‐RHS. Patient Contribution A consumer co‐researcher contributed to all study phases.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0309-2402
1365-2648
1365-2648
DOI:10.1111/jan.16312