Pilot Test: Shared Care Intervention with Heart Failure Patients and Family Caregivers

2.50
Hdl Handle:
http://hdl.handle.net/10755/158429
Type:
Presentation
Title:
Pilot Test: Shared Care Intervention with Heart Failure Patients and Family Caregivers
Abstract:
Pilot Test: Shared Care Intervention with Heart Failure Patients and Family Caregivers
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Sebern, Margaret, PhD
P.I. Institution Name:Marquette University
Title:College of Nursing
Contact Address:PO Box 1881, Milwaukee, WI, 53201-1881, USA
Contact Telephone:414-288-3839
Co-Authors:M.D. Sebern, Nursing, Marquette University, Milwaukee, WI;
Although there has been extensive work on interventions for heart failure (HF) patients and care givers (CGs), most of this work focused on the individual. There is a need to evaluate interventions targeting both members of a care dyad and outcomes for both parties. To address this need, this study pilot tested a theoretically driven intervention, the Shared Care Intervention (SCI) designed for home care dyads to enhance shared care and self care. The construct shared care was used to conceptualize a system of processes (communication, decision making, and reciprocity) used in relationships to exchange support. Riegel's HF Self-Care Model was used to conceptualize self care. The study aims were to evaluate the intervention's feasibility and outcomes for both parties. To address the aims, a one group quasi-experimental design was used. Twenty-two home health care participants participated. Qualitative data (i.e., logs) and participant ratings of usefulness of content were used to analyze feasibility. Descriptive statistics were used to describe the sample and identify trends in the data. Participants rated content usefulness at 6.3 (7 hi - 1 low). Safety of the intervention was supported by no change in participants' state anxiety. Key patient trends were improved communication, HF self maintenance, and self-efficacy. Four of the 10 patients reported emergent care episodes. Key trends in the caregiver data were improvement in the caregiving situation and improved ability to give effective care. HF patients and CGs can not provide care alone and need nursing guidance, support, and skills to manage care that is often complex. The findings from this study support nurses' efforts to assess modifiable factors in family care like shared care, use interventions to strengthen skills, and measure outcomes for both. This study supports the SCI's feasibility and warrants further testing in a larger sample of HF family care dyads.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePilot Test: Shared Care Intervention with Heart Failure Patients and Family Caregiversen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158429-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pilot Test: Shared Care Intervention with Heart Failure Patients and Family Caregivers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sebern, Margaret, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">PO Box 1881, Milwaukee, WI, 53201-1881, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">414-288-3839</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">marge@sebern.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">M.D. Sebern, Nursing, Marquette University, Milwaukee, WI;</td></tr><tr><td colspan="2" class="item-abstract">Although there has been extensive work on interventions for heart failure (HF) patients and care givers (CGs), most of this work focused on the individual. There is a need to evaluate interventions targeting both members of a care dyad and outcomes for both parties. To address this need, this study pilot tested a theoretically driven intervention, the Shared Care Intervention (SCI) designed for home care dyads to enhance shared care and self care. The construct shared care was used to conceptualize a system of processes (communication, decision making, and reciprocity) used in relationships to exchange support. Riegel's HF Self-Care Model was used to conceptualize self care. The study aims were to evaluate the intervention's feasibility and outcomes for both parties. To address the aims, a one group quasi-experimental design was used. Twenty-two home health care participants participated. Qualitative data (i.e., logs) and participant ratings of usefulness of content were used to analyze feasibility. Descriptive statistics were used to describe the sample and identify trends in the data. Participants rated content usefulness at 6.3 (7 hi - 1 low). Safety of the intervention was supported by no change in participants' state anxiety. Key patient trends were improved communication, HF self maintenance, and self-efficacy. Four of the 10 patients reported emergent care episodes. Key trends in the caregiver data were improvement in the caregiving situation and improved ability to give effective care. HF patients and CGs can not provide care alone and need nursing guidance, support, and skills to manage care that is often complex. The findings from this study support nurses' efforts to assess modifiable factors in family care like shared care, use interventions to strengthen skills, and measure outcomes for both. This study supports the SCI's feasibility and warrants further testing in a larger sample of HF family care dyads.</td></tr></table>en_GB
dc.date.available2011-10-26T21:02:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:02:38Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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