{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T02:44:54Z","timestamp":1783046694266,"version":"3.54.6"},"reference-count":45,"publisher":"CSIRO Publishing","issue":"6","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":3463,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,11,30]]},"abstract":"\n Objectives<\/jats:title>\n The aim of the present study was to explore Aboriginal patients\u2019 lived experiences of cardiac care at a major metropolitan hospital in Melbourne.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The study was a qualitative study involving in-depth interviews with a purposive sample of 10 Aboriginal patients who had been treated in the cardiology unit at the study hospital during 2012\u201313. A phenomenological approach was used to analyse the data.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Eight themes emerged from the data, each concerning various aspects of participants\u2019 experiences: \u2018dislike of hospitals\u2019, \u2018system failures\u2019, \u2018engagement with hospital staff\u2019, \u2018experiences of racism\u2019, \u2018health literacy and information needs\u2019, \u2018self-identifying as Aboriginal\u2019, \u2018family involvement in care\u2019 and \u2018going home and difficulties adapting\u2019. Most participants had positive experiences of the cardiac care, but hospitalisation was often challenging because of a sense of dislocation and disorientation. The stress of hospitalisation was greatly mediated by positive engagements with staff, but at times exacerbated by system failures or negative experiences.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Cardiac crises are stressful and hospital stays were particularly disorienting for Aboriginal people dislocated from their home land and community.<\/jats:p>\n <\/jats:sec>\n \n What is known about the topic?<\/jats:title>\n Aboriginal people have higher mortality rates due to cardiovascular diseases compared with other Australians. Along with different factors contributing to the life expectancy gap, Aboriginal people also face significant barriers in the use of the healthcare system.<\/jats:p>\n <\/jats:sec>\n \n What does this paper add?<\/jats:title>\n Aboriginal patients\u2019 lived experience of cardiac care at a major metropolitan hospital in Melbourne is explored in this paper. Different issues were revealed during their interaction with the hospital staff and the hospital system in conjunction with their cultural aspect of patient care.<\/jats:p>\n <\/jats:sec>\n \n What are the implications for practitioners?<\/jats:title>\n Positive interactions with staff, ongoing support from family and community, culturally appropriate cardiac rehabilitation programs can improve the cardiac care experiences of Aboriginal patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1071\/ah15175","type":"journal-article","created":{"date-parts":[[2016,3,8]],"date-time":"2016-03-08T16:05:33Z","timestamp":1457453133000},"page":"696-704","source":"Crossref","is-referenced-by-count":27,"title":["Exploring Aboriginal patients\u2019 experiences of cardiac care at a major metropolitan hospital in Melbourne"],"prefix":"10.1071","volume":"40","author":[{"given":"Linda","family":"Worrall-Carter","sequence":"first","affiliation":[{"name":"AHer Heart Ltd, PO Box 2525, Melbourne, Vic. 3001, Australia."},{"name":"BSt. Vincent\u2019s Centre for Nursing Research, Australian Catholic University, East Melbourne, Vic. 3002, Australia. Email: samantha.mcevedy@acu.edu.au"},{"name":"CThe Cardiovascular Research Centre, Australian Catholic University, East Melbourne, Vic. 3002, Australia."},{"name":"DSt. Vincent\u2019s Hospital Melbourne, Fitzroy, Vic. 3065, Australia. Email: karen.daws@svha.org.au; andrew.macisaac@svha.org.au; john.willis@svha.org.au"},{"name":"JCorresponding author. Email: lindaworrallcarter@herheart.org.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Daws","sequence":"additional","affiliation":[{"name":"DSt. Vincent\u2019s Hospital Melbourne, Fitzroy, Vic. 3065, Australia. Email: karen.daws@svha.org.au; andrew.macisaac@svha.org.au; john.willis@svha.org.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Aziz","family":"Rahman","sequence":"additional","affiliation":[{"name":"BSt. Vincent\u2019s Centre for Nursing Research, Australian Catholic University, East Melbourne, Vic. 3002, Australia. Email: samantha.mcevedy@acu.edu.au"},{"name":"CThe Cardiovascular Research Centre, Australian Catholic University, East Melbourne, Vic. 3002, Australia."},{"name":"EMary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Vic. 3000, Australia. Email: aziz.rahman@acu.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"MacLean","sequence":"additional","affiliation":[{"name":"FIndigenous Health Equity Unit, The University of Melbourne, Carlton South, Vic. 3053, Australia. Email: smaclean@unimelb.edu.au; rowleyk@unimelb.edu.au; kerry.arabena@unimelb.edu.au"},{"name":"GDepartment of Community and Clinical Allied Health, La Trobe University, Melbourne, Vic. 3000, Australia. Email: shawanaa@unimelb.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Rowley","sequence":"additional","affiliation":[{"name":"FIndigenous Health Equity Unit, The University of Melbourne, Carlton South, Vic. 3053, Australia. Email: smaclean@unimelb.edu.au; rowleyk@unimelb.edu.au; kerry.arabena@unimelb.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawana","family":"Andrews","sequence":"additional","affiliation":[{"name":"HSchool of Health Sciences, The University of Melbourne, Carlton South, Vic. 3053, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"MacIsaac","sequence":"additional","affiliation":[{"name":"CThe Cardiovascular Research Centre, Australian Catholic University, East Melbourne, Vic. 3002, Australia."},{"name":"DSt. Vincent\u2019s Hospital Melbourne, Fitzroy, Vic. 3065, Australia. Email: karen.daws@svha.org.au; andrew.macisaac@svha.org.au; john.willis@svha.org.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phyllis M.","family":"Lau","sequence":"additional","affiliation":[{"name":"IDepartment of General Practice, The University of Melbourne, Carlton, Vic. 3053, Australia. Email: plau@unimelb.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"McEvedy","sequence":"additional","affiliation":[{"name":"BSt. Vincent\u2019s Centre for Nursing Research, Australian Catholic University, East Melbourne, Vic. 3002, Australia. Email: samantha.mcevedy@acu.edu.au"},{"name":"EMary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Vic. 3000, Australia. 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