Home > Research > Publications & Outputs > Experiences of being maintained on a ventricula...

Electronic data

  • 2018taylordclinpsy

    Final published version, 10.8 MB, PDF document

    Available under license: CC BY-ND: Creative Commons Attribution-NoDerivatives 4.0 International License

Text available via DOI:

View graph of relations

Experiences of being maintained on a ventricular assist device

Research output: ThesisDoctoral Thesis

Unpublished
  • Eleanor Taylor
Close
Publication date2018
Number of pages209
Awarding Institution
Supervisors/Advisors
Publisher
  • Lancaster University
Original languageEnglish

Abstract

This thesis explores the experiences of patients receiving cardiac support from two different types of ventricular assist device (VAD). The literature review focuses on the decisionmaking experience of patients and caregivers considering implantation of a left ventricular assist device (LVAD). The LVAD is a type of long-term/durable VAD which enables patients to be discharged from hospital. The literature review employed a thematic synthesis of the qualitative literature arriving at three major themes Context, Mechanism and Outcome. The synthesis proposes that decision-making is affected by Context and Mechanisms for both patients and caregivers which in turn leads to the theme Outcome. Context and Mechanism can be better understood by healthcare professionals by the third theme of Outcome.
The research paper explores the experiences of patients who have undergone shortterm ventricular assist device (ST-VAD) support as an emergency procedure. The short-term ventricular assist device provides temporary cardiac support while a patient is in hospital. Participants in the research paper completed interviews which were then analysed using an Interpretative Phenomenological Analysis framework. Four superordinate themes are presented following the participants journey; (1) Crisis and the fragile nature of life, (2) “You adapt, you’ve got no choice”, (3) Moving on, (4) The change in me.
The final section of the thesis comprises the author’s critical appraisal and reflections during the research process. The critical appraisal provides an opportunity for further reflection on the existential aspect of the VAD, the author’s professional development in the area of clinical health psychology, involving participants in the research process and clinical implications.