Abstract
AIM: To explore how adults with congenital heart disease (ACHD) experience and express grit in the workplace. DESIGN: Qualitative study using Husserl's descriptive phenomenology. METHODS: Between March 2022 and June 2023, semi-structured interviews were administered to 18 ACHD recruited from two medical centre outpatient departments. The collected data underwent analysis utilising Colaizzi's 7-step analysis method, coupled with Lincoln and Guba's framework, to ensure credibility and trustworthiness. RESULTS: The analysis revealed five prominent themes derived from the data: (a) career choices amid constraints; (b) adjustments to one's work environment for reasons of fatigue; (c) crises in the workplace arising from exceeding one's physical limits; (d) supportive networks for better health and job stability; (e) resilience at work for balance and fulfilment in life. CONCLUSION: Grit significantly influences life satisfaction and job performance among adults with congenital heart disease, highlighting its profound impact on their experiences. Patients exhibit perseverance in job pursuits, adapt work methods to manage physical fatigue, confront challenges during work crises, value family and societal support and aim for self-satisfaction. These findings highlight the impact of grit and mental health on ACHD's lives and work, providing insights for better psychological support and interventions. IMPLICATIONS FOR THE PROFESSION: This study clarifies the need for healthcare professionals to incorporate workplace grit training and assessment into ACHD care. IMPACT: Recognising grit as a key factor in ACHD patients' lives informs holistic care, workplace inclusivity and policies that enhance their long-term well-being. REPORTING METHOD: This study was performed in accordance with the COREQ guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.