Nurses’ Experience of Self-Management Support for Hospitalised Cardiac Patients: A Descriptive Qualitative Study
Issue: 2023 - Volume 21 [Issue 11]
Salwa Alsolamy *
King Fahad General Hospital, Jeddah, Saudi Arabia.
*Author to whom correspondence should be addressed.
Aim: This study explores nurses' experiences supporting hospitalized cardiac patients' self-management practices and associated factors that enhance the implemention of these practices.
Background: There has been less effort given toward activating the role of self-management in the early stages of hospitalized patients’ post-cardiac events. Knowing that nurses’ experience of supporting self-management practice and the factors that empower the application of self-management practice in hospitalized patients’ post-cardiac events are not well defined, exploring nurses’ experiences in the application of a self-management approach for cardiac patients and the relevant factors will identify areas for potential improvement in supporting self-management practice as part of nursing care.
Methods: A qualitative research design was adopted using in-depth interviews with eight registered nurses in the eastern region of Saudi Arabia who worked with hospitalized post-cardiac events were conducted. Registered nurses’ participation in this study was voluntary and approached through obtaining their contact information from the nursing offices in the selected hospitals.
Results: The defined themes in this study were directed by the concepts of Orem’s Theory, and four major sub-themes emerged from this study: initiation of self-management practices, self-management system, components of self-management for cardiac patients, and nursing practice issues.
Conclusion: Initiating self-management practices at early stages for hospitalized cardiac patients’ post-cardiac events ensured achieving better control and sustained practice. Before establishing any plan, certain factors need to be considered, including patient-related factors, healthcare system, and nursing-related factors. Self-management practice for cardiac patients requires the support of multi-disciplinary teams and a well-integrated system. Nursing roles need to be defined and empowered in the healthcare system to be able to support self-management practices for hospitalized cardiac patients.
Keywords: Knowledge, practice and basic life support, cardiopulmonary, resuscitation
How to Cite
Tinsel I, Siegel A, Schmoor C, Poguntke I, Maun A, Niebling W. Encouraging Self-Management in Cardiovascular Disease Prevention. Deutsches Arzteblatt International. 2018;115(27–28):469–476. Available:https://doi.org/10.3238/arztebl.2018.0469
Rao U, Birmaher B, Kaufman J, Ryan ND, Brent DA. Developing clinician competencies in self-management support for people with chronic conditions: The Flinders Model. 1921;1–4.
Toukhsati S, Jaarsma T, Babu A, Driscoll A, Hare D. Self-care interventions that reduce hospital readmissions in patients with heart failure; Towards the identification of change agents. Clinical Medicine Insights: Cardiology. 2019;13:117954681985685. Available:https://doi.org/10.1177/1179546819856855
Otter CE, Keers J., Smit J, Schoonhoven L, de Man‐van Ginkel JM. ‘Nurses’ self-management support to hospitalized patients: A scoping review. Journal of Clinical Nursing. 2023;32(9-10): 2270-2281.
La Sala R, Dicembrino RB, Dall’Argine S, Baiguera M, Gazzotti L, Gubin E, Mamei I. Nurse training in self-management of patients with cardiovascular diseases: A multicentre observational study. Acta Bio Medica: Atenei Parmensis. 2017;88(Suppl 5):22.
Nasrawi D, Latimer S, Massey D, Gillespie BM. Delivery, barriers, and enablers to patient participation in inpatient cardiac rehabilitation following cardiac surgery: An integrative review. Australian Critical Care; 2022. Available:https://doi.org/10.1016/j.aucc.2022.01.007
Sterne P, Grossman S, Migliardi S, Swallow A. Nurses’ Knowledge of Heart Failure: Implications for Decreasing 30-Day Re-Admission Rates. Research for Practice. 2014;23(5).
Jankowska-Polańska B, Brzykowska M, Uchmanowicz I, Lisiak M, Rosinczuk J. Polish nurses’ knowledge of heart failure self-care education principles. Clinical Nurse Specialist. 2017;31(3):E7–E13. Available:https://doi.org/10.1097/NUR.0000000000000295
Mcconnell L, Office VAC. Role of nurses in managing chronic disease. Veterans Healt Administration; 2017.
Gholami M, Talaei AA, Tarrahi MJ, Taqi FM, Galehdar N, Pirinezhad P. The effect of self-management support program on patient activation and inner strength in patients with cardiovascular disease. Patient Education and Counseling. 2021; 104(12):2979-2988.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19(6):349–357. Available:https://doi.org/10.1093/intqhc/mzm042
Reynolds W, Cormack DFS. Psychiatric and mental health nursing. (First). Springer-Sciences + Business Media Dordrecht; 1990.
Weiler J, Suchan B, Koch B, Schwarz M, Daum I. Effect of the Orem Self-care Model on Quality of Life in Adolescents with Asthma. Journal of Cognitive Neuroscience. 2002;8:1–15. Available:https://doi.org/10.5812/compreped.59343.Research
Adelborg K, Horváth‐Puhó E, Ording A, Pedersen L, Sørensen HT, Henderson VW. Heart failure and risk of dementia: A Danish nationwide population‐based cohort study. European Journal of Heart Failure. 2017;19(2):253–260. Available:https://doi.org/10.1002/ejhf.631
Li J, Wu Y, Zhang D, Nie J. Associations between heart failure and risk of dementia. Medicine. 2020;99(5):e18492. Available:https://doi.org/10.1097/MD.0000000000018492
van Houtum L, Rijken M, Heijmans M, Groenewegen P. Self-management support needs of patients with chronic illness: Do needs for support differ according to the course of illness? Patient Education and Counseling. 2013;93(3):626–632. Available:https://doi.org/10.1016/j.pec.2013.08.021
Qiu R, Schick-Makaroff K, Tang L, Wang X, Zhang Q, Ye Z.
Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study. Patient Preference and Adherence. 2020;14:287–300. Available:https://doi.org/10.2147/PPA.S236348
Al-Hammouri MM, Rababah JA, Hall LA, Moser DK, Dawood Z, Jawhar W, Alawawdeh A. Self-care behavior: a new insight of the role of impulsivity into decision making process in persons with heart failure. BMC Cardiovascular Disorders. 2020;20(1):349. Available:https://doi.org/10.1186/s12872-020-01617-8
Jaarsma T, Hill L, Bayes‐Genis A, la Rocca HB, Castiello T, Čelutkienė J, Marques‐Sule E, Plymen CM, Piper SE, Riegel B, Rutten FH, ben Gal T, Bauersachs J, Coats AJS, Chioncel O, Lopatin Y, Lund LH, Lainscak M, Moura B, Strömberg A. Self‐care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure. 2021;23(1):157–174. Available:https://doi.org/10.1002/ejhf.2008
Choi EY, Park JS, Min D, Lee HS, Ahn JA. Association between self-management behaviour and quality of life in people with heart failure: A retrospective study. BMC Cardiovascular Disorders. 2022;22 (1):90. Available:https://doi.org/10.1186/s12872-022-02535-7
Coates V. Role of nurses in supporting patients to self-manage chronic conditions. Nursing Standard. 2017;31(38):42–46. Available:https://doi.org/10.7748/ns.2017.e10742
Anderson RM, Funnell MM. Patient empowerment: Myths and misconceptions. Patient Education and Counseling. 2010;79(3):277–282. Available:https://doi.org/10.1016/j.pec.2009.07.025
Shepherd CW, While AE. Cardiac rehabilitation and quality of life: A systematic review. International Journal of Nursing Studies. 2012;49(6):755–771. Available:https://doi.org/10.1016/j.ijnurstu.2011.11.019