Heart-Focused Anxiety: An Evolutionary Concept Analysis : Advances in Nursing Science

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Heart-Focused Anxiety

An Evolutionary Concept Analysis

Barthle, Pamela MSN, RN, APRN-CNP

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Advances in Nursing Science 45(1):p 69-85, January/March 2022. | DOI: 10.1097/ANS.0000000000000383


Although heart-focused anxiety is a common experience of patients following a myocardial infarction, it is one rarely addressed in nursing research. I used Rodger's evolutionary method of concept analysis to review uses of heart-focused anxiety in literature from several disciplines including nursing and synthesized a definition to guide future research. Heart-focused anxiety is an experience of avoidance, fear, and heart-focused attention that follows from cardiac diagnoses, somatic symptoms, and familial factors and results in adverse health outcomes, reassurance seeking, disruption of life, and recurrent chest pain. Although heart-focused anxiety is an evolving concept, the updated definition should help provide a foundation for future research. A Supplemental Digital Content video abstract is available at https://links.lww.com/ANS/A32.

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