{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T10:33:02Z","timestamp":1784197982709,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T00:00:00Z","timestamp":1755388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Creative Nursing"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Atrial fibrillation (AF) affects approximately 2% of the population globally. Patients with AF often lack knowledge about the disease and its symptoms, leading to uncertainty about when to seek medical attention. Lack of knowledge may negatively impact several aspects of daily living. AF treatment is complex and requires a high degree of medical adherence to prevent complications and poor health-related quality of life.\n                    <jats:bold>Aim:<\/jats:bold>\n                    The aim of this study was to gain increased knowledge of how patients with AF experience their encounters with health-care professionals.\n                    <jats:bold>Method:<\/jats:bold>\n                    We conducted a qualitative study with a phenomenological\u2013hermeneutical approach. Data were collected through in-depth semi-structured interviews and analyzed with systematic text condensation.\n                    <jats:bold>Findings:<\/jats:bold>\n                    Five women and five men with a mean age of 59.9 years and varying types of AF were included. The analysis resulted in four themes: 1. Balancing life with AF, 2. uncertainty as a companion in contacts with the hospital, 3. need to understand what is wrong with me, and 4. putting the heart in the right hands. Those patients with severe symptoms of AF wished to keep in contact with the hospital specialists to help feel less uncertainty. Across the participants, there was a trend toward reduced social and physical activity as a strategy to avoid provoking AF.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Individualized patient education and access to health specialists play a critical role in how patients experience their capabilities in managing the challenges of everyday life with AF and persistent AF symptoms.\n                  <\/jats:p>","DOI":"10.1177\/10784535251361079","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T05:00:52Z","timestamp":1755493252000},"page":"112-121","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Patient Perspectives on Living with Atrial Fibrillation and Interactions with Health Care Specialists in Cardiac Outpatient Clinics: A Qualitative Study"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-2975","authenticated-orcid":false,"given":"Stine","family":"Rosenstr\u00f8m","sequence":"first","affiliation":[{"name":"Postdoc at the Department of Cardiology, Amager Hvidovre Hospital, University of Copenhagen, &amp; Adjunct Assistant Professor at Department of People and Technology, Roskilde University, Hvidovre, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5029-9480","authenticated-orcid":false,"given":"Anne","family":"Br\u00f8dsgaard","sequence":"additional","affiliation":[{"name":"Associate Professor and Senior Researcher in the Department of Paediatrics and Adolescent Medicine, &amp; Associate Professor and Senior Researcher at the Department of Gynaecology and Obstetrics, at Amager Hvidovre Hospital, University of Copenhagen, Professor at Department of People and Technology, Roskilde University &amp; Professor at Nursing and Health in the Department of Public Health, Faculty of Health Sciences, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5168-9264","authenticated-orcid":false,"given":"Signe Stelling","family":"Risom","sequence":"additional","affiliation":[{"name":"Associate Professor at Clinical Medicine at the University of Cophenhagen, Associate Professor at Institute of Nursing and Nutrition at University College Copenhagen, &amp; Associate Professor at the Cardiology Department at Herlev University Hospital, Hvidovre, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7233-1293","authenticated-orcid":false,"given":"Megan M.","family":"Streur","sequence":"additional","affiliation":[{"name":"Assistant, Professor and Lila Scott Endowed Faculty Fellow in Cardiovascular Disease Prevention, Department of Biobehavioral Nursing and Health Informatics &amp; Adjunct Assistant Professor, Electrophysiology ARNP Department of Medicine, Division of Cardiology, Seattle, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1908-258X","authenticated-orcid":false,"given":"Tom","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"Professor at the Institute of Clinical Medicine, University of Cophenhagen, and Professor at Department of Palliative Care, Bispebjerg University Hospital, Kobenhavn, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,17]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732307302665"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104263660"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2015.1116534"},{"issue":"16","key":"e_1_3_3_5_1","article-title":"Lifestyle and risk factor modification for reduction of atrial fibrillation: A scientific statement from the American Heart Association","volume":"141","author":"On behalf of the American Heart Association Electrocardiography and Arrhythmias Committee and Exercise, Cardiac Rehabilitation, and Secondary Prevention Committee of the Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular and Stroke Nursing; and Council on Lifestyle and Cardiometabolic Health.","year":"2020","unstructured":"Chung, M. K., Eckhardt, L. L., Chen, L. Y., Ahmed, H. M., Gopinathannair, R., Joglar, J. A., Noseworthy, P. A., Pack, Q. R., Sanders, P., Trulock, K. M., & On behalf of the American Heart Association Electrocardiography and Arrhythmias Committee and Exercise, Cardiac Rehabilitation, and Secondary Prevention Committee of the Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular and Stroke Nursing; and Council on Lifestyle and Cardiometabolic Health. (2020). Lifestyle and risk factor modification for reduction of atrial fibrillation: A scientific statement from the American Heart Association. Circulation, 141(16), e750\u2013e772. https:\/\/doi.org\/10.1161\/CIR.0000000000000748","journal-title":"Circulation"},{"key":"e_1_3_3_6_1","first-page":"105","volume-title":"Handbook of qualitative research","author":"Guba E. G.","year":"1994","unstructured":"Guba E. G., Lincoln Y. S. (1994). Competing paradigms in qualitative research. In Denzin N. K., Lincoln Y. S. (Eds.), Handbook of qualitative research (pp. 105\u2013117). Sage Publications, Inc."},{"issue":"4","key":"e_1_3_3_7_1","first-page":"491","article-title":"The effect of a nurse-led integrated chronic care approach on quality of life in patients with atrial fibrillation","volume":"16","author":"Hendriks J. M. L.","year":"2014","unstructured":"Hendriks J. M. L., Vrijhoef H. J. M., Crijns H. J. G. M., Brunner-La Rocca H. P. (2014). The effect of a nurse-led integrated chronic care approach on quality of life in patients with atrial fibrillation. Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology: Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology, 16(4), 491\u2013499, Article 4. https:\/\/doi.org\/10.1093\/europace\/eut286","journal-title":"Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology: Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology"},{"key":"e_1_3_3_8_1","doi-asserted-by":"crossref","unstructured":"Hindricks G. Potpara T. Dagres N. Arbelo E. Bax J. J. Blomstr\u00f6m-Lundqvist C. Boriani G. Castella M. Dan G.-A. Dilaveris P. E. Fauchier L. Filippatos G. Kalman J. M. La Meir M. Lane D. A. Lebeau J.-P. Lettino M. Lip G. Y. H. Pinto F. J. \u2026 Watkins C. L. (2020). 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). 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