S22 11th Annual Spring Meeting on Cardiovascular Nursing/European Journal of Cardiovascular Nursing 10 Suppl. 1 (2011) S1–S46 health care system, the condition of the patient, the therapy and to the patient. We did only find limited number of the studies that specially study the factors that motivate patients to be physically active. Most of these factors were related to the patient. We have also observed differences in opinion between men and women. In conclusion, in order to increase participation in physical activity, the factors that influence motivation and de-motivation to the adoption of or participation in physical activity need to be taken into account. Based on this information, alternative formats of physical activity programs need be tailored to enhance participation of patients for whom attendance at existing programs is not attractive. P155 Poster Dependency, subjective health and care experience among patients hospitalised in internal medicine A. Wolf 1 , L.E. Olsson 1 , K. Swedberg 2 , I. Ekman 1 1 University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg, Sweden; 2 Sahlgrenska University Hospital/Ostra, Institute of Medicine/Dpt Emergency & Cardiovascular Medicine, Gothenburg, Sweden Background: Hospitalised frailed patients are at risk of a downward trajectory in their physical state and general health status. Limited information is available about how subjective health and physical status impact on patients’ care experience with a potential impact on hospital readmission. Objectives: Explore whether subjective health and physical dependence affect the care experiences of patients, and analyse how patients report communication during their hospitalisation. Design: A Swedish adapted version of The Picker Institute “In patient” survey was used. Instrument items relate to how the patient perceives specific areas of care rather than general satisfaction with care. The study population was divided into two groups: frail-dependent and non-frail and independent, analysing how self-rated health and physical dependency impacts the care satisfaction. Setting: Patients discharged from internal, medicine wards at six regional and university hospitals in different parts of Sweden during the period 2008–2009. Results: The survey was sent to 6,034 patients and 3,813 patients responded (63.2%). Good, self-rated health and physical independence were significant predictors of a more positive care experience in areas important for decreasing the frequency of hospital readmission. Of the frail patients with low self-rated health and high physical dependence, 35% reported acceptable participation in decision making compared with 64% in the non-frail group (good health and independence) (p0.05). Conclusion: Our findings indicate a care paradox: conventional care delivered by healthcare professionals in Swedish internal medicine wards provides communication and patient participation that to an higher extend acknowledge the need and resources of the non-frail patients (i.e. those in good health), resulting in a care which does not correspond enough to the well-being of frail patients. P156 Poster Analysis of the effects of two different assessment methods on the learning process in cardiopulmonary resuscitation training F. Demir Korkmaz 1 , E. Ozsaker 1 , N. Tasdemir 1 , K. Karacabay 1 1 Ege University, School of Nursing, Izmir, Turkey Aim: This research was planned in order to analyze the effects of two different assessment methods on the learning process in cardiopulmonary resuscitation (CPR) training. Methodology: 152 third year students who took the first aid course at the School of Nursing, Ege University in the 2009–2010 Academic Year were included in the scope of the research. The students were first provided with theoretical knowledge of CPR and then shown its implementation. Afterwards, the students with odd numbers (76 students) were included in the experimental group and those with even numbers (76 students) were included in the control group. In order to avoid interaction, the students in the experimental group were taken in one by one and asked to perform CPR. At this stage, the practices of students were recorded by a video recorder. Then, the students were asked to evaluate themselves by watching the recordings. As the assessment method, CPR Performance Skills List was used. Giving 1 point to correct implementation the initial performance score was obtained. As the next step, the students were asked to repeat the implementation. The final CPR performance of the students was assessed by the researchers this time, using the same skills list, and the final performance score was determined. The same process was performed in the control group except the students was assessed by only researchers without using videotape. Findings: It was determined that the initial performance score of the control group was (17.47±2.88) and the final performance score was (20.36±1.04); the initial performance score of the experimental group was (17.17±2.65) and the final performance score was (20.00±1.13). It was seen that there was a statistically significant difference between the initial and final performance scores of both groups. When the difference between the initial and final performance of the groups were compared, a statistically significant difference was not found. The steps that the students needed to develop were as follows respectively; Laying the patient/injured on a firm ground (52.6%), Loosening the tight clothes of the patient/injured (40.8%), heart compression without touching the chest with fingers and bending the elbows (34.9%), effective rescue breath (32.9%), asking for medical help (29.6%) and applying chest compression by pressing the chest bone down to 4−5 cm (29.6%). Conclusion: As a result of the research, it was concluded that the two different assessment methods used in CPR education proved to be effective on the students’ learning process. P157 Poster Evaluation of standard education by heart failure nurses, a pilot project E. Huyghe 1 , D. Gyles 2 , M. Houbrechts 3 , J. Englebert 4 , M. Van Dijck 5 , W. Feyaerts 6 , N. De Laet 7 , Y. De Block 8 , M. Denijs 8 , D. Raes 2 1 University Hospitals (UZ) Leuven, Campus Gasthuisberg, Department of Cardiology, Leuven, Belgium; 2 GZA Sint Augustinus, Wilrijk, Belgium; 3 Jessa Hospital, Hasselt, Belgium; 4 CHU Sart Tilman, Liege, Belgium; 5 General Hospital Klina, Brasschaat, Belgium; 6 Imelda Hospital, Bonheiden, Belgium; 7 University Hospital (UZ) Brussels, Brussels, Belgium; 8 University Hospitals (UZ) Gent, Gent, Belgium Background: Heart failure (HF) is chronic and widespread. Understanding the disease and its treatment is crucial for patient self management and therapy adherence. This pilot project evaluates the education given by specialised HF nurses in 8 hospitals in Belgium. Methods: Between 25/05/2010 and 25/06/2010 all consecutive patients followed in a HF clinic and receiving HF education were included. The education session was scored on a form by the HF nurse. Items were duration and content of the education (based on the ESC guidelines), methods for education assistance and training, family presence. Results: 191 education sessions were scored. Patient age was 67±14 years, 34% were women. The cause of HF was ischemic/non-ischemic in 47/53%. The family was present in half of the cases. Average time for a session was 32±19 minutes. Most frequently (%) covered topics were medication (92), use of telephone assistance (90), symptoms and alarm signals (88), fluid restriction (87), salt restriction (87) and exercise advice (75). Least frequently covered topics were vaccination (22) and sexual advice (5). Therapy adherence, psychosocial aspects, nature and cause of HF, smoking cessation, prognosis, body weight and device implant were discussed in 74 to 26% of education sessions. One fifth of the sessions were given without any education assistance. The most commonly used assistance was a brochure (58%) or a combination of a brochure and drawings (10%). In 36% of the sessions there was an individualized training on a specific topic. The content of this training was medication changes, salt restriction, symptoms and alarm signals or fluid restriction. Conclusions: This pilot project summarizes the practical implementation of a sample of education sessions given by HF nurses in Belgium. Although medication, fluid and salt restriction and alarm signals are almost always discussed, there are several important items (including therapy adherence, psychosocial aspects, nature and cause of HF, smoking cessation, prognosis, body weight, device implant, vaccination and sexual advice) that are underrepresented during an education session.