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Purpose

This study aims to gain a deeper understanding of triggers of psychological distress among Jordanian patients with heart failure (HF).

Design/methodology/approach

A phenomenological study was adopted. In-depth, semi-structured, audio-taped interviews were conducted for 25 patients with HF. The analysis was done using interpretative phenomenological analysis.

Findings

The main theme of the findings can be expressed as “faced with stressors that are unable to cope with”, which encompasses circumstances and contexts associated with the psychological distress they faced. The following four sub-themes emerged from the data: being endorsed in significant life changes, feeling guilty about being a burden, financial burden aggravating stress and feeling overwhelmed by the fear of death.

Originality/value

The findings revealed that psychological distress is affected directly by many triggers. The findings indicate the need for informing health-care providers to support these patients and address the challenges and develop clinical guidelines to assess psychological distress among these patients.

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