Shared Heart Failure knowledge Essay
Shared Heart Failure knowledge Essay
Shared Heart Failure knowledge and self-care outcomes in patient- caregiver dyads is a study that was conducted to evaluate outcomes of care-giver knowledge about heart failure and patient outcomes. It included 144 dyads and concluded that the dyads that had higher knowledge of heart failure had patients that were more successful with self-care behaviors (Bidwell, Higgins, Riley, Clark, Dunbar, 2018). A strength of the study is that it evaluated information specific to my PICOT question with good results. A downsize is that it also had a lot of additional information that was not necessarily pertinent to my specific PICOT question.
Caregiver Contribution to Self-care in Patients With Heart Failure: A Qualitative Descriptive Study is a study that’s objective is to describe caregiver’s contribution to heart failure self-care maintenance specifically treatment adherence, symptom monitoring and management (Durante, Paturzo, Motolla, et al, 2019 ). The study concluded that caregivers’ contribution made a difference, there were some practices that were done incorrectly reinforcing the need for continuous heart failure education to patients and their caregivers. A strength of using this article is that it reinforces the need for caregiver education being included in patients education as well which is the goal of my project. A weakness of using this article is that it focuses mostly on the caregivers previous heart failure knowledge and not a study specifically on the effect of their education on patient outcomes.
The Influence of Caregiver Preparedness on Caregiver Contributions to Self-care in Heart Failure and the Mediating Role of Caregiver Confidence study evaluates the influence of caregiver’s contribution to heart failure self-care maintenance and management as it relates to the caregivers confidence (Vellone, Biagioli, Durante, et al, 2019). The study evaluated 323 caregivers of patients with heart failure and concluded that caregiver confidence plays a role in their ability to contribute to the patients self-care behaviors and adherence. This article provided sufficient evidence that it is essential for caregivers to have education to promote their confidence in order to encourage patient’s self-care.
Exploring Patient, Caregiver, and Healthcare Provider Perceptions of Caring for Patients With Heart Failure: What Are the Implications? This study is different then the others because it evaluates patient, caregiver and health care providers perceptions of the need for family being educated and participating in heart failure care. The study concluded that interventions among caregivers are needed, and that they should involve family functioning, family assessment and skills training. A weakness of the study is that it includes the importance of a family assessment. A weakness is that it involves health care providers as caregivers also which is not the focus of my specific project.
Feasibility and acceptability of a nursing intervention with family caregiver on self-care among heart failure patients: a randomized pilot trial. This study evaluated the same nursing intervention including patient education for caregivers to improve patients outcomes and self-care behaviors. The study used 32 dyads and concluded that involving caregivers is beneficial to patient outcomes, however a downside of the study is that it only evaluated 32 dyads which is a small group and only allowed for patients and caregivers that lived together to be included (Cosette, Belaid, Heppell, Mailhot, Guertin, 2016). Shared Heart Failure knowledge Essay
First Steps Toward a Theory of Caregiver Contribution to Self-care in Heart Failure is a commentary that discusses the importance of evaluating caregiver’s contributions to self-care for heart failure patients. While this is not a specific study, the author goes into detail about the importance of caregiver involvement and makes great points about the need for a study. A weakness is that there is not a population studied. A strength is that she addresses the needs and includes results from another study and why it supports the need for caregiver education and involvement.
References
Bidwell, J. T., Higgins, M. K., Reilly, C. M., Clark, P. C., & Dunbar, S. B. (2018). Shared heart failure knowledge and self-care outcomes in patient-caregiver dyads. Heart & Lung, 47(1), 32–39. https://doi-org.lopes.idm.oclc.org/10.1016/j.hrtlng.2017.11.001
Cossette, S., Belaid, H., Heppell, S. et al. (2016). Feasibility and acceptability of a nursing intervention with family caregiver on self-care among heart failure patients: a randomized pilot trial. Pilot Feasibility Stud 2, 34. https://doi.org/10.1186/s40814-016-0077-8
Durante, Angela, MSN, RN, Paturzo, Marco, PhD, RN, Mottola, Antonella, PhD, RN, et al. (2019). Caregiver Contribution to Self-care in Patients With Heart Failure: A Qualitative Descriptive Study. Journal of Cardiovascular Nursing, 34, E28-E35. https://doi.org/10.1097/JCN.0000000000000560
Kennedy, B. M., Jaligam, V., Conish, B. K., Johnson, W. D., Melancon, B., & Katzmarzyk, P. T. (2017). Exploring Patient, Caregiver, and Healthcare Provider Perceptions of Caring for Patients With Heart Failure: What Are the Implications?. The Ochsner journal, 17(1), 93–102.
Vellone, Ercole PhD, RN, FESC First Steps Toward a Theory of Caregiver Contribution to Self-care in Heart Failure, The Journal of Cardiovascular Nursing: 11/12 2017 – Volume 32 – Issue 6 – p 584-586 doi: 10.1097/JCN.0000000000000404
Vellone, Ercole, PhD, RN, Biagioli, Valentina, PhD, RN, Durante, Angela, PhD, RN, et al. (2020). The Influence of Caregiver Preparedness on Caregiver Contributions to Self-care in Heart Failure and the Mediating Role of Caregiver Confidence. Journal of Cardiovascular Nursing, 35, 243-252. https://doi.org/10.1097/JCN.0000000000000632 Shared Heart Failure knowledge Essay