The Development of a Situation-Specific Nurse-Led Culturally Tailored Self-Management Theory for Chinese Patients With Heart Failure

Jin, Yuanyuan; Peng, Youqing

doi:10.1177/10436596211023973

Cited by 7 publications

(7 citation statements)

References 35 publications

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“…Jin and Peng (2022) developed a situation‐specific theory of nurse‐led self‐management conforming to local culture for Chinese heart failure patients by integrative approach in 2021. This theory was developed in the same steps as Oliver Rudolf Herber's study, which integrated Leininger's culture care theory (CCT) and Prochaska's transtheoretical model (TTM).…”

Section: Resultsmentioning

confidence: 99%

“…It would need to be tested by the work of others to be really powerful. A culturally tailored self‐management theory can guide the practice of providing patient‐centred care for patients with chronic conditions by considering the factors of their cultural and stage of change (Jin & Peng, 2022). Then, Herber's situation‐specific theory was based entirely on a qualitative paradigm, that is, a qualitative meta‐summary and meta‐synthesis approach, requiring empirical testing to support relationships between variables (Herber et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

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Self‐management theories, models and frameworks in patients with chronic heart failure: A scoping review

Chen,

Luo,

Yang

et al. 2023

Nursing Open

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AimThe aim of this study was to synthesize the self‐management theory, model and frameworks of patients with chronic heart failure, focusing on construction process, methods and existing problems.BackgroundAlthough the self‐management theories have been created and verified for those patients with chronic heart failure, no reviews have been performed to integrate these theories.DesignA scoping review of recent literature (without a date limit) was conducted.MethodsA comprehensive literature search was performed. If the study reported the construction of a self‐management theory, model or framework about chronic heart failure cases, it would be included in the review.ResultsFourteen studies were included, which could be categorized into situation‐specific theory, middle‐range theory and other theory models (including conceptual model, hypothetic regression model and identity description model). It also includes the update and validation of theories, the situation‐specific theoretical of caregiver contributions extended from situation‐specific theories and the nurse‐led situation‐specific theory in different contexts.ConclusionSelf‐management might contribute to start an education programme before patients with chronic heart failure (CHF) begin their chronic disease live as an individual. Our scoping review indicates that a series of self‐management theories, models and frameworks for CHF patients have been developed, but more studies are still needed to validate and support these theories according to their cultural contexts.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Self‐management theories, models and frameworks in patients with chronic heart failure: A scoping review

Chen,

Luo,

Yang

et al. 2023

Nursing Open

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“…From a practice perspective, the Chinese version of SC‐CII can be used in clinical settings to assess individuals' self‐care level and measure changes in self‐care in patient‐centred interventions aimed to support self‐care in older adults with MCCs. Culturally appropriate self‐care interventions can be effective in improving various physical and mental health outcomes in people with chronic conditions (Jin & Peng, 2022; Osokpo & Riegel, 2021). The SC‐CII not only helps to understand individual self‐care practices but also assists in ensuring that self‐care interventions provided to people with MCCs are adequate and effective.…”

Section: Discussionmentioning

confidence: 99%

“…Culture plays an important role in the self‐care of chronic conditions (Jin & Peng, 2022; Osokpo & Riegel, 2021). The English version of SC‐CII has demonstrated measurement equivalence in individuals from three Western countries: Italy, Sweden and the United States (De Maria et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the self‐care of chronic illness inventory in Chinese older adults with multiple chronic conditions

Jin

Brown

Bhattarai

et al. 2023

Int J Older People Nursing

Self Cite

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Background Existing self‐care measures for the Chinese population are specific to single chronic conditions. No generic self‐care measures exist for the Chinese population with multiple chronic conditions. Objectives To test the structural validity, concurrent validity and reliability of the Self‐care of Chronic Illness Inventory (SC‐CII) in Chinese older adults with multiple chronic conditions. Methods This cross‐sectional study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology guideline. A diverse sample of Chinese older adults with multiple chronic conditions (n = 240) was recruited. Structural validity was assessed with confirmatory factor analysis. Concurrent validity was investigated with hypotheses testing of the relationships between perceived stress, resilience and self‐care. Reliability was assessed with Cronbach's alpha and McDonald's omega. Finally, a simultaneous confirmatory factor analysis was conducted to test the general model with all items and all three subscales. Results Confirmatory factor analysis supported the two‐factor structure of the self‐care maintenance and self‐care management subscales and the one‐factor structure of the self‐care monitoring subscale. Concurrent validity was supported by the significant negative correlation (r ranged from −0.18 to −0.38, p < .01) with perceived stress and the significant positive correlation (r ranged from 0.31 to 0.47, p < .01) with resilience. Reliability estimates ranged from 0.77 to 0.82 across the three subscales. The simultaneous confirmatory factor analysis did not support the more general model with the combined set of items. Conclusion The SC‐CII is valid and reliable for Chinese older adults with multiple chronic conditions. Future cross‐cultural assessment should be conducted to investigate the measurement equivalence of the SC‐CII in individuals from Western and Eastern cultural groups. Implications for practice With the increasing number of older adults in China who are living with multiple chronic conditions and the call for culturally tailored self‐care interventions, this self‐care measure can be used in geriatric primary care settings, long‐term facilities and homes to improve the understanding and practice of self‐care in older Chinese adults.

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“…Tailored information and personal interaction are conditions that may be closely intertwined and should be seen in relation to each other as insufficient information or a lack of advice about disease management may lead to extensive worrying and a lack of confidence to engage in necessary self-management after hospital discharge [ 19 ]. Moreover, depression and anxiety may impede an individual’s ability to engage in self-management behaviors [ 57 ]. For many patients, especially those living with long-term illnesses, hospital discharge often marks the start of a new round of self-management activities [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

Designing a Future eHealth Service for Posthospitalization Self-management Support in Long-term Illness: Qualitative Interview Study

Wathne¹,

Morken²,

Storm³

et al. 2023

JMIR Hum Factors

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Background For patients with noncommunicable diseases (NCDs; eg, heart failure [HF] and colorectal cancer [CRC]), eHealth interventions could meet their posthospital discharge needs and strengthen their ability to self-manage. However, inconclusive evidence exists regarding how to design eHealth services to meet the complex needs of patients. To foster patient acceptability and ensure the successful development and implementation of eHealth solutions, it is beneficial to include different stakeholders (ie, patients and health care professionals) in the design and development phase of such services. The involvement of different stakeholders could contribute to ensuring feasible, acceptable, and usable solutions and that eHealth services are developed in response to users’ supportive care needs when transitioning to home after hospitalization. This study is the first step of a larger complex intervention study aimed at meeting the postdischarge needs of 2 NCD populations. Objective This study aimed to explore the perspectives of patients with HF and CRC and health care professionals on patient self-management needs following hospital discharge and investigate how a future nurse-assisted eHealth service could be best designed to foster patient acceptability, support self-management, and smooth the transition from hospital to home. Methods A qualitative, explorative, and descriptive approach was used. We conducted 38 semistructured interviews with 10 patients with HF, 9 patients surgically treated for CRC with curative intent, 6 registered nurses recruited as nurse navigators of a planned eHealth service, and 13 general practitioners experienced in HF and CRC treatment and follow-up care. Patients were recruited conveniently from HF and CRC outpatient clinics, and the nurses were recruited from the cardiology and gastro-surgical departments at a university hospital in the southwest of Norway. The general practitioners were recruited from primary care in surrounding municipalities. Semistructured interview guides were used for data collection, and the data were analyzed using thematic analysis. Results In total, 3 main themes were derived from the data analysis: expecting information, reassurance, and guidance when using eHealth for HF and CRC self-management; expecting eHealth to be comprehensible, supportive, and knowledge promoting; and recognizing both the advantages and disadvantages of eHealth for HF and CRC self-management. The data generated from this interview study depicted the diverse needs for self-management support of patients with CRC and HF after hospital discharge. In addition, valuable suggestions were identified regarding the design and content of the eHealth service. However, participants described both possible advantages and disadvantages of a remote eHealth service. Conclusions This study is the first step in the development of an eHealth service for posthospitalization self-management support for long-term illnesses. It concerns patients’ supportive care needs and user requirements of an eHealth service. The findings of this study may add value to the planning and development of eHealth interventions for patients with NCDs.

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The Development of a Situation-Specific Nurse-Led Culturally Tailored Self-Management Theory for Chinese Patients With Heart Failure

Cited by 7 publications

References 35 publications

Self‐management theories, models and frameworks in patients with chronic heart failure: A scoping review

Self‐management theories, models and frameworks in patients with chronic heart failure: A scoping review

Psychometric properties of the self‐care of chronic illness inventory in Chinese older adults with multiple chronic conditions

Designing a Future eHealth Service for Posthospitalization Self-management Support in Long-term Illness: Qualitative Interview Study

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