{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:39:22Z","timestamp":1787067562163,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,5,11]],"date-time":"2016-05-11T00:00:00Z","timestamp":1462924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"University College Zealand"},{"name":"The Department of Health Research at Region Zealand"},{"name":"The Department of Health Research in Slagelse, Naestved and Ringsted Hospitals"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      To improve cardiac care, especially cardiac rehabilitation, patients\u2019 perspectives should be better addressed. In Denmark, patients afflicted by a minor heart attack in terms of unstable angina pectoris or non\u2010\n                      <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content>\n                      \u2010elevation myocardial infarction are treated in fast\u2010track programmes with subacute treatment in hospital, early discharge and follow\u2010up specialised outpatient cardiac rehabilitation. Knowledge of these patients\u2019 experiences of their life situation is essential to develop sufficient care protocols.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To gain in\u2010depth understanding of how patients afflicted by a minor heart attack experience their life situation when following cardiac rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Focus group interviews and individual interviews were conducted with 11 patients enrolled in the cardiac rehabilitation programme. Data consisted of text in the form of transcribed interviews. A three\u2010phased interpretation inspired by Paul Ricoeur's theory of interpretation was applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>As an overall concept, the patients experienced being forced into a demanding life shaking journey. Three themes emerged: Difficulty accepting the disease: facing the disease is a difficult challenge for the patients, leading to vulnerability and helplessness; Understanding that life has become frail: patients feel shaken as they realise that the disease is chronic and life\u2010threatening; and An altered life: patients must adjust to new limitations in their everyday lives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients experience an overall demanding transition when they are afflicted by a minor heat attack, whereby their lives are sweepingly changed. Supporting patients\u2019 integrity, which becomes vulnerable during the various stages of transitions, is essential to ensure a healthy outcome. Being together with fellow patients during cardiac rehabilitation is a facilitating factor in the course of transition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.12334","type":"journal-article","created":{"date-parts":[[2016,5,11]],"date-time":"2016-05-11T01:22:45Z","timestamp":1462929765000},"page":"232-240","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["It is not just a Minor Thing \u2013 A Phenomenological\u2010Hermeneutic Study of Patients\u2019 Experiences when afflicted by a Minor Heart Attack and Participating in Cardiac Rehabilitation"],"prefix":"10.1111","volume":"31","author":[{"given":"Charlotte P.","family":"Simon\u00ff","sequence":"first","affiliation":[{"name":"Institute of Health Section of Nursing Science Aarhus University Aarhus Denmark"},{"name":"Slagelse Hospital Region Zealand Slagelse Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Dreyer","sequence":"additional","affiliation":[{"name":"Institute of Health Section of Nursing Science Aarhus University Aarhus Denmark"},{"name":"Department of Anesthesiology Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birthe D.","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Research Unit of Nursing Faculty of Health Sciences University of Southern Denmark Odense M Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regner","family":"Birkelund","sequence":"additional","affiliation":[{"name":"Section of Health Services Research Lillebaelt Hospital Denmark\/University of Southern Denmark Vejle Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.7748\/ns.23.3.35.s50","article-title":"Exploring the meaning of recovery following myocardial infarction","volume":"3","author":"Tod A","year":"2008","journal-title":"Nurs Stand"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-5151(03)00033-1"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-5151(03)00098-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12272"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2007.00538.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e328334f42d"},{"key":"e_1_2_12_8_1","first-page":"38","article-title":"Cardiac rehabilitation past, present and future: an overview","volume":"2","author":"Mampuya W","year":"2012","journal-title":"Cardiovasc Diagn Ther"},{"issue":"4","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1097\/JCN.0b013e318213efcf","article-title":"The global burden of cardiovascular disease","volume":"26","author":"Deaton C","year":"2011","journal-title":"J Cardiovasc Nurs"},{"key":"e_1_2_12_10_1","unstructured":"World Health Organization in collaboration with the World Heart Federation and the World Stroke Organization 2011"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(00)00187-7"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04836.x"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs184"},{"key":"e_1_2_12_14_1","unstructured":"Sundhedsstyrelsen 2013"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03544.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1741826711409326"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11019-011-9314-3"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00196-9"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2010.17.11.79541"},{"key":"e_1_2_12_20_1","volume-title":"Fokusgrupper (Focus Groups)","author":"Halkier B","year":"2009"},{"key":"e_1_2_12_21_1","first-page":"121","volume-title":"(Red) \u201cKvalitative metoder. En grundbog\u201d \u201cQualitative methods. A textbook\u201d)","author":"Halkier B","year":"2010"},{"key":"e_1_2_12_22_1","volume-title":"Fokusgrupper som forskningsmetode for medisin og helsefag (Focus Groups as a research method for Medicine and Health)","author":"Malterud K","year":"2010"},{"key":"e_1_2_12_23_1","unstructured":"KvaleS BrinkmannS.Interview: introduktion til et h\u00e5ndv\u00e6rk (InterViews: an Introduction to Qualitative Research Interviewing).Hans Reitzels Forlag K\u00f8benhavn 2009."},{"key":"e_1_2_12_24_1","unstructured":"J Fog 2004 Akademisk Forlag K\u00f8benhavn"},{"key":"e_1_2_12_25_1","unstructured":"BD Pedersen 2005 University of Aarhus Denmark"},{"key":"e_1_2_12_26_1","volume-title":"Interpretation Theory: Discourse and the Surplus of Meaning","author":"Ricoeur P","year":"1976"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1800.2009.00433.x"},{"key":"e_1_2_12_28_1","unstructured":"2003 Sykepleiernes Samarbeid i Norden Oslo"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-6554(94)90045-0"},{"key":"e_1_2_12_30_1","volume-title":"Transitions Theory: Middle\u2010Range and Situation\u2010Specific Theories in Nursing Research and practice","author":"Meleis AI","year":"2010"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515113475953"},{"key":"e_1_2_12_32_1","unstructured":"M Heidegger TS Wentzer 2007 Klim \u00c5rhus"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515113491649"},{"key":"e_1_2_12_34_1","volume-title":"Theoretical Nursing: Development and Progress","author":"Meleis AI","year":"2007"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2006.00421.x"},{"key":"e_1_2_12_36_1","first-page":"9","volume-title":"Bioethics and Biolaw, vol. II: Four Ethical Principles","author":"Kemp P","year":"2000"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/135910539800300304"}],"container-title":["Scandinavian Journal of Caring Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fscs.12334","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fscs.12334","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scs.12334","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T22:07:06Z","timestamp":1696198026000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scs.12334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,11]]},"references-count":36,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1111\/scs.12334"],"URL":"https:\/\/doi.org\/10.1111\/scs.12334","archive":["Portico"],"relation":{},"ISSN":["0283-9318","1471-6712"],"issn-type":[{"value":"0283-9318","type":"print"},{"value":"1471-6712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,11]]},"assertion":[{"value":"2015-05-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-01-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}