Carers’ views on patient self-care in chronic heart failure

Cameron, Jan, Rhodes, Kerryn L., Ski, Chantal F. and Thompson, David R. (2016) Carers’ views on patient self-care in chronic heart failure. Journal of Clinical Nursing, 25 1-2: 144-152. doi:10.1111/jocn.13124


Author Cameron, Jan
Rhodes, Kerryn L.
Ski, Chantal F.
Thompson, David R.
Title Carers’ views on patient self-care in chronic heart failure
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
1365-2702
Publication date 2016-01
Year available 2015
Sub-type Article (original research)
DOI 10.1111/jocn.13124
Volume 25
Issue 1-2
Start page 144
End page 152
Total pages 9
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2016
Language eng
Formatted abstract
Aims and objectives
To examine carers’ views on patient self-care in chronic heart failure (CHF).

Background
Self-care, a key strategy in the long-term management of CHF, can be complex and difficult to master. Carers play a key role in supporting patients in self-care, yet their views on it are rarely sought.

Design
A qualitative approach was adopted with a purposeful sample of carers of patients with CHF residing in Australia.

Methods
Carers who identified themselves as providing informal care to a person diagnosed with chronic heart failure were interviewed about their views on patient self-care. Data were collected by face-to-face interviews with a semi-structured interview guide. Qualitative content analysis of the interviews was undertaken by two nurses and one psychologist.

Results
Four key themes were identified pertaining to CHF patient self-care: hindrance to engagement; roles and relationships; social support and community engagement and competency. Most carers viewed patients’ fatigue and inactivity, mood and coping, and memory loss as major challenges to engagement in self-care. They viewed emotional support and encouragement, independence and organised routines as important aspects of their relationship with the patient and as facilitators of self-care, but also required for themselves support from their families, communities and healthcare professionals. They also viewed patient and carer experience and knowledge as being essential to successful self-care.

Conclusion
Carers viewed self-care as an important issue for patients with CHF and indicated that they could play an enhanced role with the provision of better support and knowledge from their families, communities and health care professionals.

Relevance to clinical practice
Carers are closely involved in supporting patients in CHF self-care, even though their views are rarely considered in the organisation and delivery of heart failure management programmes. Therefore, their important contribution should be acknowledged and supported in contemporary heart failure health services.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 1 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 05 Jan 2016, 08:59:14 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work