Problems Experienced in the Second and Third Months After Discharge From a Heart Failure-Related Hospitalization

Grant, Joan S.; Graven, Lucinda J.

doi:10.17294/2330-0698.1628

Cited by 4 publications

(8 citation statements)

References 27 publications

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“…117 Research is needed to examine coping strategies over the trajectory of HF as self-care demands and resources change and novel situations emerge. 118 Environmental Factors That Influence Heart Failure Self-care This update to the theory includes important new content summarizing environmental influences on HF selfcare. McCauley and Hayes 119 organize environmental science into 4 main categories: physical (eg, natural disasters), chemical (eg, allergens, lead exposure, and air pollution), biological (eg, antibiotic resistance), and cultural or social hazards (eg, violence, racism).…”

Section: Person Factors That Influence Heart Failure Self-carementioning

confidence: 99%

“… 117 Research is needed to examine coping strategies over the trajectory of HF as self-care demands and resources change and novel situations emerge. 118 …”

Section: Problem Person and Environmental Factorsmentioning

confidence: 99%

“…A qualitative study examining the HF self-care coping process identified meaning-oriented coping as a process used to recognize, respond to, and cope with the challenges of HF and self-care 117 . Research is needed to examine coping strategies over the trajectory of HF as self-care demands and resources change and novel situations emerge 118 …”

Section: Problem Person and Environmental Factorsmentioning

confidence: 99%

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The Situation-Specific Theory of Heart Failure Self-care

2022

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Many studies of heart failure (HF) self-care have been conducted since the last update of the situation-specific theory of HF self-care. Objective The aim of this study was to describe the manner in which characteristics of the problem, person, and environment interact to influence decisions about self-care made by adults with chronic HF. Methods This study is a theoretical update. Literature on the influence of the problem, person, and environment on HF self-care is summarized. Results Consistent with naturalistic decision making, the interaction of the problem, person, and environment creates a situation in which a self-care decision is needed. Problem factors influencing decisions about HF self-care include specific conditions such as cognitive impairment, diabetes mellitus, sleep disorders, depression, and symptoms. Comorbid conditions make HF self-care difficult for a variety of reasons. Person factors influencing HF self-care include age, knowledge, skill, health literacy, attitudes, perceived control, values, social norms, cultural beliefs, habits, motivation, activation, self-efficacy, and coping. Environmental factors include weather, crime, violence, access to the Internet, the built environment, social support, and public policy. Conclusions A robust body of knowledge has accumulated on the person-related factors influencing HF self-care. More research on the contribution of problem-related factors to HF self-care is needed because very few people have only HF and no other chronic conditions. The research on environment-related factors is particularly sparse. Seven new propositions are included in this update. We strongly encourage investigators to consider the interactions of problem, person, and environmental factors affecting self-care decisions in future studies.

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Section: Person Factors That Influence Heart Failure Self-carementioning

confidence: 99%

“… 117 Research is needed to examine coping strategies over the trajectory of HF as self-care demands and resources change and novel situations emerge. 118 …”

Section: Problem Person and Environmental Factorsmentioning

confidence: 99%

Section: Problem Person and Environmental Factorsmentioning

confidence: 99%

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The Situation-Specific Theory of Heart Failure Self-care

2022

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“…18 Following up a previous publication, 19 Grant and Graven add to this theme issue with a mixed-methods study of patient experiences in months 2 and 3 following hospitalization for HF. 20 Managing treatment and HF symptoms were the most common problems identified during this time period. Barriers such as negative emotions/moods, difficulty coping, and inadequate resources also were identified.…”

Section: T His Spring In Volume 5 Issue 2 Of the Journal Of Patientmentioning

confidence: 93%

“…Harkening back to the complexity inherent to shared decision-making caused by uncertainty and competing priorities, the authors noted HF patients expressed uncertainty about the future and even "hopeful" uncertainty about their diagnosis. 20 Their findings also suggested that competing, but interrelated, problems like financial insecurity impacted HF self-management. Family-based interventions were suggested for improved self-care.…”

Section: T His Spring In Volume 5 Issue 2 Of the Journal Of Patientmentioning

confidence: 97%