RNQualitativeJournal of clinical nursing2026

Grit in the Workplace Experienced by Taiwanese Adults With Congenital Heart Disease: A Phenomenological Study.

Yu-Shiu Liu, Chun-Wei Lu, Hung-Tao Chung and 3 others

PMID 40693663

WHAT IT FOUND

Employed Taiwanese adults with congenital heart disease described managing work by choosing low-pressure jobs, pacing shifts, relying on family and colleagues, and seeing grit as persistence that respected health limits rather than pushing through pain.

Key findings

01Participants described choosing work that matched physical capacity and personal interests.

02They adjusted schedules, chose low-pressure or flexible roles, and used rest and exercise to manage fatigue.

03Family, supervisors, colleagues, and company flexibility helped them continue working, especially when symptoms worsened or surgery was needed.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only 18 people were interviewed, and they came from two centres in northern Taiwan, so the themes may not fit adults with congenital heart disease elsewhere. All participants were employed full time, so the study does not show what grit looks like for adults who cannot work or have stopped working. The sample was highly educated, with 94.44% having college or higher education, and 11 participants were NYHA class II, so it may not represent people with more severe disease or less education. The study asked only patients, not employers, family members, or healthcare providers. Most interviews were online during the pandemic, which may have changed how people shared experiences. Three participants confirmed the themes, but that does not test whether the themes apply to other people.

Declared interests

The authors declared no conflicts of interest. The study was funded by Fu Jen Catholic University Hospital.

The easy way to misread this

Do not read this as evidence that grit improves employment or heart health. It describes 18 employed adults' experiences and does not test grit as an intervention or outcome.

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