Evidence map›Paper›PMID 35198939›Full record

ArticleCJC open2022

"Her Heart Matters"-Making Visible the Cardiac Pain Experiences of Women with Physical Disabilities and Heart Disease: A Qualitative Study.

Monica Parry, Ann Kristin Bjørnnes, Margaret Harrington, Michelle Duong, Salma El Ali, Arland O'Hara, Hance Clarke, Lynn Cooper, Donna Hart, Paula Harvey and 8 more

Abstract read
In one paragraph

Article in CJC open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Monica ParryLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Ann Kristin BjørnnesInstitute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Margaret HarringtonFaculty of Kinesiology & Physical Education, University of Toronto, Toronto, Ontario, Canada.
Michelle DuongLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Salma El AliFaculty of Arts & Science, University of Toronto, Toronto, Ontario, Canada.
Arland O'HaraLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Hance ClarkePain Research Unit, University Health Network, Toronto, Ontario, Canada.
Lynn CooperWoman with Lived Experience, Kitchener, Ontario, Canada.
Donna HartWoman With Lived Experience, Milton, Ontario, Canada.
Paula HarveyWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Chitra LallooResearch Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
Judith McFetridge-DurdleCollege of Nursing, Florida State University, Tallahassee, Florida, USA.
Michael H McGillionSchool of Nursing, McMaster University, Hamilton, Ontario, Canada.
Colleen NorrisFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Louise PiloteDepartment of Medicine, Divisions of Clinical Epidemiology and General Internal Medicine, McGill University, Montreal, Quebec, Canada.
Jennifer PriceWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Jennifer StinsonLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Judy Watt-WatsonLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.

Funding

Austrian Science Fund FWF I 4209
6 · The paper itself

Abstract

backgroundWomen with physical disabilities are faced with challenges in many aspects of life-education, work, income, relationships, as well as their general health. These women are at a greater risk of developing heart disease. This study aimed to explore the cardiac pain experiences of women with physical disabilities and heart disease within a Canadian healthcare context.

methodsIn this qualitative study, 8 women with physical disabilities and heart disease from across Canada were interviewed. They were asked about their pre-, peri-, and post-diagnostic experiences in the Canadian healthcare system. Transcripts of the interviews were analyzed using a hermeneutic phenomenological approach inspired by Ricoeur.

resultsTwo main themes were uncovered in the analysis of the transcripts, as follows: (i) the diagnostic journey; and (ii) life with cardiac symptoms and a disability. The women indicated that they had experienced difficulties in utilizing the Canadian healthcare system prior to receiving a cardiac diagnosis, including long waitlists, expensive and unreliable transport, issues with accessibility, and dealing with providers' attitudinal barriers regarding disability. Receiving a diagnosis was challenging due to poor relationships with healthcare providers; however, having a same-sex provider seemed essential to receiving adequate care. Self-managing a disability and heart disease had significant physical and psychological impact, which was lightened by financial and social supports, modified lifestyle choices, and self-advocacy.

conclusionsWomen with physical disabilities are often forgotten in discussions encompassing equity and inclusion. The participants' experiences offer insight into what changes are needed within the Canadian healthcare system in order to improve outcomes for these women.

Identifiers

PMID35198939
PMCPMC8843888

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.