RESUMO
BACKGROUND: Heart failure (HF) is a major public health problem. Case management by nurses using telephone follow-up has been suggested as a convenient and effective mechanism to promote the self-management of HF. Similarly, a patient empowerment approach to the management of chronic disease has been suggested as one that may nurture self-management in individuals with chronic illness. OBJECTIVE: The purpose of this study was to examine the effects of a telephone-delivered empowerment intervention (EI) on clinically and theoretically relevant outcomes in patients with HF, including purposeful participation in goal attainment, self-management of HF, and perception of functional health. The EI was guided by Rogers' Science of Unitary Human Beings person-environment process. METHODS: A convenience sample of men and women aged 21 years and older with a clinical diagnosis of HF was obtained from a metropolitan hospital located in the southwestern United States. The participants were randomly assigned to the control group (n = 45) or EI group (n = 45). All participants received standardized HF patient education; the intervention group also received an EI delivered through telephone follow-up calls from a registered nurse. Repeated-measures analysis of variance was used to evaluate intervention effects. RESULTS: The telephone-delivered EI facilitated self-management of HF through self-care activities in EI group members. CONCLUSION: The knowledge gained from this study provides a beginning understanding of strategies to enhance health care providers' ability to facilitate self-management of HF among patients diagnosed with HF.
Assuntos
Continuidade da Assistência ao Paciente/organização & administração , Conhecimentos, Atitudes e Prática em Saúde , Insuficiência Cardíaca/prevenção & controle , Enfermeiros Clínicos , Participação do Paciente , Autocuidado , Telefone , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Objetivos , Insuficiência Cardíaca/enfermagem , Insuficiência Cardíaca/psicologia , Hospitais Urbanos , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Poder Psicológico , Sudoeste dos Estados Unidos , Resultado do TratamentoRESUMO
Defining and monitoring infection rates in home care is of major importance with the implementation of Adverse Event Outcome Reports. This study identifies the collective effort of home care quality improvement nurses in defining standard indicators for urinary tract infections and the ways to monitor these infections within and across home care agencies for evaluation and benchmarking.
Assuntos
Cateteres de Demora/microbiologia , Guias como Assunto , Monitorização Fisiológica/normas , Cateterismo Urinário/efeitos adversos , Infecções Urinárias/diagnóstico , Cateteres de Demora/efeitos adversos , Contaminação de Equipamentos/prevenção & controle , Feminino , Serviços de Assistência Domiciliar/normas , Humanos , Masculino , Qualidade da Assistência à Saúde , Sensibilidade e Especificidade , Cateterismo Urinário/métodos , Infecções Urinárias/etiologia , Infecções Urinárias/enfermagemAssuntos
Competência Clínica/normas , Medicina Baseada em Evidências , Conhecimentos, Atitudes e Prática em Saúde , Enfermagem Holística , Papel do Profissional de Enfermagem , Enfermagem Holística/educação , Enfermagem Holística/normas , Humanos , Pesquisa Metodológica em Enfermagem , Filosofia em Enfermagem , Autonomia Profissional , Sociedades de Enfermagem/normas , Estados UnidosRESUMO
As nurse practitioners become more vital to primary care, they are also more apt to play a role in end-of-life care. In order to be proficient providers, NPs must familiarize themselves with issues surrounding EOL care.