{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T01:13:55Z","timestamp":1790730835035,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,8,21]],"date-time":"2019-08-21T00:00:00Z","timestamp":1566345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>An improvement initiative sought to improve care for atrial fibrillation (AF) patients; many felt insecure about how to cope with AF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To reveal AF patients' and professionals' experiences of pilot\u2010testing a Learning Caf\u00e9 group education programme, aimed at increasing the patients' sense of security in everyday life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Using an organizational case study design, we combined quantitative data (patients' sense of security) and qualitative data (project documentation; focus group interviews with five patients and five professionals) analysed using inductive qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>AF patients and a multiprofessional team at a cardiac care unit in a Swedish district hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Improvement activities<\/jats:title><jats:p>Two registered nurses invited AF patients and partners to four 2.5\u2010hour Learning Caf\u00e9 sessions. In the first session, they solicited participants' questions about life with AF. A physician, a registered nurse and a physiotherapist were invited to address these questions in the remaining sessions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>AF patients reported gaining a greater sense of security in everyday life and anticipating a future shift from emergency care to planned care. Professionals reported enhanced professional development, learning more about person\u2010centredness and gaining greater control of their own work situation. The organization gained knowledge about patient and family involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The Learning Caf\u00e9 pilot test\u2014exemplifying movement towards co\u2010production through patient\u2010professional collaboration\u2014generated positive outcomes for patients (sense of security), professionals (work satisfaction; learning) and the organization (better care) in line with contemporary models for quality improvement and with Self\u2010Determination Theory. This approach merits further testing and evaluation in other contexts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.12955","type":"journal-article","created":{"date-parts":[[2019,8,21]],"date-time":"2019-08-21T12:42:32Z","timestamp":1566391352000},"page":"1240-1250","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Promoting a sense of security in everyday life\u2014A case study of patients and professionals moving towards co\u2010production in an atrial fibrillation \u201clearning caf\u00e9\u201d"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2760-4571","authenticated-orcid":false,"given":"Anne\u2010Marie","family":"Suutari","sequence":"first","affiliation":[{"name":"The J\u00f6nk\u00f6ping Academy for Improvement of Health and Welfare, School of Health and Welfare J\u00f6nk\u00f6ping University J\u00f6nk\u00f6ping Sweden"},{"name":"Department of Internal Medicine and Geriatrics, the Highland Hospital (H\u00f6glandssjukhuset) Eksj\u00f6 Region J\u00f6nk\u00f6ping County Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7669-4702","authenticated-orcid":false,"given":"Kristina","family":"Areskoug\u2010Josefsson","sequence":"additional","affiliation":[{"name":"The J\u00f6nk\u00f6ping Academy for Improvement of Health and Welfare, School of Health and Welfare J\u00f6nk\u00f6ping University J\u00f6nk\u00f6ping Sweden"},{"name":"Department of Behavioral Sciences Oslo Metropolitan University Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8952-8773","authenticated-orcid":false,"given":"Sofia","family":"Kjellstr\u00f6m","sequence":"additional","affiliation":[{"name":"The J\u00f6nk\u00f6ping Academy for Improvement of Health and Welfare, School of Health and Welfare J\u00f6nk\u00f6ping University J\u00f6nk\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika M. 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