Table 3.
Evidence for themes of influence of hospital routines and approaches to future health.
| Theme | Evidence | Participant |
|---|---|---|
| Influence of hospital routines | P: The only thing that I’ve found a bit irritating was the inconsistency of the doctors when I got in there. You’re going home. You’re staying in. You’re going home. You’re staying in. So there was 3 different doctors, told me different things. | Participant 4, >65 y, woman (preimplementation) |
| P: It was frustrating, you know, to have to tell the nurse what had happened, and then frustrating to have to tell someone else what had happened, and then a doctor what had happened, and then the consultant what had happened; you know what I mean. So there was, I was thinking, Jesus, can we not just get everybody in the room, and I'll tell you, look, here is what happened, guys. | Participant 23, ≤65 y, man (preimplementation) | |
| P: And, uh, then a lady came back and then she said I needed to take an aspirin and I would need to stay in till after 12 to get another blood test, because it...she said if it was the heart and any damage had been done, this test showed up something that’s released into the blood. Um, and then I thought, oh, no. Then it was...slight panic set in, because I thought, it’s not as straightforward as I thought. What if they’ve found something? | Participant 14, >65 y, man (preimplementation) | |
| P: If, if the emergency department are going through their protocols, then clearly that’s their protocols for, for that. If, however, there is, something that’s flagging up, then I think it should either be referred back to the GP [general practitioner] to take up…or sent to whoever needs to make, you know, the decisionmaker. I think not being listened to is critical. | Participant 38, ≤65 y, man (postimplementation) | |
| Approaches to future health | P: Now, for me, I would have said, I’m 53, history of…aged myself prematurely here…um, you know, cardiac problem history in the family, overweight, don’t smoke and things, so those are the risk factors, aren’t they? But I would have probably seen that as an opportunity to say, okay, you’ve maybe had a bit of a scare here; these are the things you should look out for if this happens again. Because there was none of that advice, in terms of, right, if…this is what you…so if this pain happens again, that’s okay, ’cause that’s just your frozen shoulder, but these are the, the warning signs you should maybe look out for, or these are the things you should be doing to reduce your risk of heart…problems, or even go and see your GP [general practitioner] for a general checkup…. | Participant 20, ≤65 y, woman (preimplementation) |
| P: Well, it wasn't a heart attack this time. Will there be a heart attack next time? You know, that, that's my concern. Um, I need to change some lifestyle things which I know about, and I will, I am. Um, but I need to also get to the, the root cause of the stress, and anxiety bit, which is work related. | Participant 11, ≤65 y, man (preimplementation) |