Abstract
to describe a medium-range nursing theory for the cardiovascular rehabilitation process. theoretical development study, addressing the elaboration of medium-range theory, based on Roy's Adaptation Model, which combined theoretical deduction with induction strategies, based on literature review and concept analysis. the Medium-Range Theory for Nursing in Cardiovascular Rehabilitation presents eleven concepts and respective definitions, organized in relationships that represent elements, through modeling and image representation. Theoretical assumptions and propositions are presented. the theory presented aims to contribute to the description of the cardiovascular rehabilitation process from the perspective of the adaptation of the person, family and groups, as well as to impact the nursing care implemented to patients in the process. The procedures advanced from conceptualization to operationalization, through the production of theoretical propositions that will guide future theoretical testing.
Highlights
Different countries and regions have proposed programs for the cardiac rehabilitation and secondary prevention process with different approaches[1,2,3,4,5,6]
Systematic review of responses of involvement, adherence and completion of cardiac rehabilitation by patients to interventions based on theories that are not from Nursing did not show significantly changes from the variables linked to patients, even if they could have some result isolated
Despite the aforementioned experiences supported by theories that do not come from Nursing, actions of rehabilitation programs are not usually supported by theories, but guided by pragmatics, clinical evidence, clinical guidelines and care lines[8]
Summary
Different countries and regions have proposed programs for the cardiac rehabilitation and secondary prevention process with different approaches[1,2,3,4,5,6]. The use of theories or theoretical models in the elaboration of cardiovascular rehabilitation programs and their results is still an issue under investigation. Systematic review of responses of involvement, adherence and completion of cardiac rehabilitation by patients to interventions based on theories that are not from Nursing did not show significantly changes from the variables linked to patients, even if they could have some result isolated. From the reading of the South American Cardiovascular Prevention and Rehabilitation Guideline, the existence of any theoretical guiding structure to allow the achievement of the rehabilitation results is not highlighted, nor has any nursing theory been used[3]. Even though the guideline is oriented to fully rehabilitate the patient, with multi-professional practice, there is a physician-centered perspective, whose nursing interventions are: executing the physician’s indications, contributing to the patient’s education regarding the knowledge of the disease, use of medications and adoption of healthy lifestyle habits, such as exercise practices[3]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
