A systematic review of the main mechanisms of heart failure disease management interventions

Clark, Alexander M.; Wiens, Kelly S.; Banner, Davina; Kryworuchko, Jennifer; Thirsk, Lorraine M.; McLean, Lianne; Currie, Kay

doi:10.1136/heartjnl-2015-308551

Cited by 69 publications

(71 citation statements)

References 51 publications

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“…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%

“…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. The guidelines for the management of HF from American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology (ESC) recommend to involve family members in education, in the provision of psychosocial support and in the planning of care at discharge [8,9].…”

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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“…Clark et al 11 demonstrated in a meta-analysis that the most effective intervention programmes for patients with heart failure involved improving patient knowledge of heart failure, which translated to better disease control. This has been shown in patients with AF as well 12–14.…”

Section: Introductionmentioning

confidence: 99%

Validation of a questionnaire measuring patient knowledge of atrial fibrillation in an Asian cohort

et al. 2019

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BackgroundPoor patient understanding of atrial fibrillation (AF) may contribute to underuse of anticoagulation. There are no validated instruments to measure patient knowledge in Asian cohorts. This study aims to validate a disease-specific questionnaire measuring the level of understanding of AF and its treatment among patients with AF in Singapore.MethodsA 10-item interviewer-administered questionnaire was created based on previously published questionnaires. Face and content validity were assessed. 165 participants were identified by convenience sampling at cardiology clinics of a tertiary hospital. The questionnaire was administered in either English (n = 53) or Mandarin (n = 112). Exploratory factor analysis was performed using principal component method. Internal consistency was evaluated using Cronbach’s alpha coefficient.ResultsFace validity was tested by surveying 10 cardiologists who could all identify what the questionnaire was designed to measure. Mean content validity ratio across items was 0.9. Participants were 68.7 (SD 10.5) years old. 55.8% were male. 95.2% were on oral anticoagulation. Kaiser-Meyer-Olkin measure was 0.67 and Bartlett’s test of sphericity was significant (p < 0.01). Four factors were retained based on the eigenvalue > 1. These were knowledge of the following: disease characteristics, disease-specific treatment, role of treatment in symptom management and treatment mechanisms. Internal consistency was good (Cronbach’s alpha = 0.71).ConclusionsA questionnaire on the knowledge of AF and its treatment was validated in a cohort of Asian patients in English and Mandarin. It allows quantification of patient knowledge and may be useful in Asian populations to assess the efficacy of interventions to improve patient understanding of AF.

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“…Because the intervention is multifaceted, which, if any component, is more or less important has been the subject of question, if not controversy, especially the home-based (ie, home-visiting component). [13][14][15] In some cultures, the nurse who is an expert in disease management and also a prescriber is still not widely accepted. In others, home visits might not be possible.…”

Section: Article See P 1867mentioning

confidence: 99%

Disease Management Programs in Cardiology

McMurray

2016

Circulation

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A systematic review of the main mechanisms of heart failure disease management interventions

Cited by 69 publications

References 51 publications

Nurses’ attitudes toward family importance in heart failure care

Nurses’ attitudes toward family importance in heart failure care

Validation of a questionnaire measuring patient knowledge of atrial fibrillation in an Asian cohort

Disease Management Programs in Cardiology

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