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The aim was to report the experience of the mediating impact of a newly\u2010diagnosed disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiovascular disease is the main cause of mortality in women. Treatment modalities have improved health outcomes and survival rates, however, quality of life and ongoing morbidity after discharge is not clearly understood from a gender specific perspective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A naturalistic case study design guided this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty women participated (<jats:italic>n<\/jats:italic>\u00a0=\u00a030); a within\u2010case followed by a cross\u2010case analysis provided meticulous knowledge of each case. Data collection included participant diaries and face to face interviews. Data were analysed using modified analytic induction which allowed the emergence of theoretical insights. The theoretical concepts, liminality and transitioning were used to inform the analysis. Within\u2010methods triangulation captured the depth and breadth of the women's experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The data provide an insight into women's experiences following <jats:styled-content style=\"fixed-case\">ACS<\/jats:styled-content> and highlight a need for support structures and services after discharge. Many women reported a period of disrupted normality following discharge from hospital. While a number of women had transitioned towards recovery, many remained in a liminal space \u2018betwixt and between\u2019 health and illness. Cardiac rehabilitation was reported as a positive experience for those who were attending.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings provide a platform for a wider discourse on the needs of women with <jats:styled-content style=\"fixed-case\">ACS<\/jats:styled-content> in the immediate period after discharge from hospital. Women may benefit from gender\u2010specific, appropriately timed, and targeted interventions to facilitate recovery and adaptation to living with <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>It is essential that secondary prevention services are modelled and tailored to meet the needs of women and evaluated appropriately to ensure positive outcomes. Nursing could have a key role to play in managing and providing this support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13711","type":"journal-article","created":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T07:56:50Z","timestamp":1483603010000},"page":"3457-3470","source":"Crossref","is-referenced-by-count":11,"title":["\u2018Betwixt and between health and illness\u2019 \u2013 women's narratives following acute coronary syndrome"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9090-9642","authenticated-orcid":false,"given":"Rita","family":"Smith","sequence":"first","affiliation":[{"name":"UCD School of Nursing, Midwifery &amp; Health Systems University College Dublin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Frazer","sequence":"additional","affiliation":[{"name":"UCD School of Nursing, Midwifery &amp; Health Systems University College Dublin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Hall","sequence":"additional","affiliation":[{"name":"Irish Heart Foundation Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbey","family":"Hyde","sequence":"additional","affiliation":[{"name":"UCD School of Nursing, Midwifery &amp; Health Systems University College Dublin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laserina","family":"O'Connor","sequence":"additional","affiliation":[{"name":"UCD School of Nursing, Midwifery &amp; Health Systems University College Dublin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04776.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-172X.2010.01848.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732307307553"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.06.013"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04836.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3810\/pgm.2013.03.2644"},{"key":"e_1_2_11_8_1","volume-title":"Making Chronic Conditions Count: Hypertension, Coronary Heart Disease, Stroke, Diabetes. 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