Determinants of effective heart failure self-care: a systematic review of patients’ and caregivers’ perceptions

Clark, Alexander M.; Spaling, Melisa; Harkness, Karen; Spiers, Jude; Strachan, Patricia H.; Thompson, David R.; Currie, Kay

doi:10.1136/heartjnl-2013-304852

Cited by 138 publications

(170 citation statements)

References 67 publications

(109 reference statements)

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“…To have a cardiovascular disease such as HF requires all those involved to adjust to and cope with the patient's new lifestyle and support the treatment regimen [4,5,6]. A recent systematic review by Clark et al [7] investigated the main HF management mechanisms and identified families' involvement as one effective intervention to improve self-management.…”

Section: Introductionmentioning

confidence: 99%

“…Family involvement in HF nursing care has shown to alleviate the family's suffering, strengthen family bonds and be an opportunity for RNs to develop a closer and more constructive relationship with the patient and family members [16,17]. Nevertheless, in practice HF nursing interventions primarily focus on patients to improve outpatient self-management [4,7]. Whilst RNs may have ambivalent attitudes toward families' involvement in nursing care, RNs have also been found not to acknowledge families' need for involvement [18].…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ attitudes toward family importance in heart failure care

Gusdal

Josefsson

Adolfsson

et al. 2017

European Journal of Cardiovascular Nursing

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Background: Support from the family positively affects self-management, patient outcomes and the incidence of hospitalizations among patients with heart failure (HF). To involve family members in HF care is thus valuable for the patients. Registered nurses (RNs) frequently meet family members to patients with HF and the quality of these encounters are likely to be influenced by the attitudes RNs hold toward families. Aims: To explore RNs' attitudes toward the importance of families' involvement in HF nursing care and to identify factors that predict the most supportive attitudes. Methods: Cross-sectional, multicentre websurvey study. A sample of 303 RNs from 47 hospitals and 30 primary health care centres (PHCC) completed the instrument Families' Importance in Nursing Care -Nurses' Attitudes. Results: Overall, RNs were supportive of families' involvement. Nonetheless, attitudes toward inviting families to actively take part in HF nursing care and involve families in planning of care were less supportive. Factors predicting the most supportive attitudes were to work in a PHCC, a HF clinic, a workplace with a general approach toward families, to have a postgraduate specialization, education in cardiac and or HF nursing care, and a competence to work with families. Conclusions: Experienced RNs in HF nursing care can be encouraged to mentor their younger and less experienced colleagues to strengthen their supportive attitudes toward families. RNs who have designated consultation time with patients and families, as in a nurse-led HF clinic, may have the most favourable condition for implementing a more supportive approach to families.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurses’ attitudes toward family importance in heart failure care

Gusdal

Josefsson

Adolfsson

et al. 2017

European Journal of Cardiovascular Nursing

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“…In patients with HF, self-care is critical to improving outcomes and minimizing the burden of the disease, and there is evidence patients are willing to take on these self-care responsibilities (Clark et al, 2014). In this intervention, the use of the diary to record specific self-care behaviors had mixed results.…”

Section: Discussionmentioning

confidence: 99%

Process evaluation of an exercise counseling intervention using motivational interviewing

McCarthy

Dickson

Katz

et al. 2015

Applied Nursing Research

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Aim To describe the results of the process evaluation of an exercise counseling intervention using motivational interviewing (MI). Background Exercise can safely be incorporated into heart failure self-care, but many lack access to cardiac rehabilitation. One alternative is to provide exercise counseling in the clinical setting. Methods This process evaluation was conducted according to previously established guidelines for health promotion programs. This includes an assessment of recruitment and retention, implementation, and reach. Results Desired number of subjects were recruited, but 25% dropped out during study. Good fidelity to the intervention was achieved; the use of MI was evaluated with improvement in adherence over time. Dose included initial session plus 12weekly phone calls. Subjects varied in participation of daily diary usage. Setting was conducive to recruitment and data collection. Conclusions Evaluating the process of an intervention provides valuable feedback on content, delivery and fidelity.

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“…Keeping up was a breeze. Now, there are over 100 published qualitative accounts of heart failure alone (Clark et al, 2014). More papers are published each week.…”

Section: Clarify Your Contributionmentioning

confidence: 99%

Why Qualitative Research Needs More and Better Systematic Review

Clark

2016

International Journal of Qualitative Methods

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Determinants of effective heart failure self-care: a systematic review of patients’ and caregivers’ perceptions

Cited by 138 publications

References 67 publications

Nurses’ attitudes toward family importance in heart failure care

Nurses’ attitudes toward family importance in heart failure care

Process evaluation of an exercise counseling intervention using motivational interviewing

Why Qualitative Research Needs More and Better Systematic Review

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