Journal Article

Patients’ experiences of attending an adapted cardiac rehabilitation programme for heart failure in a day hospice


Background. Heart Failure is highly prevalent with poor outcomes yet only a small proportion of patients receive specialist palliative care services. Aim. To explore if a programme focussing on support and symptom management of people with heart failure in a hospice environment would be acceptable and of benefit to patients. Methods: A pre/post intervention study design using mixed methods was used to evaluate the programme. The programme was delivered in two-hour time slots over a period of 8 weeks. Participants completed 3 questionnaires pre and post and were interviewed within one week of completion. The study was conducted between June 2014 and January 2015. Findings. A response rate of 51.7% gave a final sample size of 12 patients. The questionnaire results showed a positive impact on participants’ well-being and views regarding the use of a hospice, but a desire for greater focus on emotional support. Four key themes emerged from inductive qualitative analysis: demystifying perceptions about hospice; positivity about well-being; learning together and consideration of end of life preparation. Conclusion. This adapted programme provides a useful model for the increased integration of palliative care into the provisions for those living with advancing heart failure.

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Walthall, Helen
Roberts, Christie
Butcher, Dan
Schutz, Sue

Oxford Brookes departments

Department of Nursing
Faculty of Health and Life Sciences


Year of publication: 2020
Date of RADAR deposit: 2020-02-28

“This document is the Accepted Manuscript version of a Published Work that appeared in final form in International Journal of Palliative Nursing, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see"

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This RADAR resource is the Accepted Manuscript of Patients’ experiences of attending an adapted cardiac rehabilitation programme for heart failure in a day hospice.


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