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Nurses’ Attitudes toward Family Importance in Heart Failure Care
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-6448-5866
Univ Borås, Fac Caring Sci Work Life & Social Welf, Borås, Sweden..
Cty Council Västmanland, Västmanlands Hosp Västerås, Primary Hlth Care, Västerås, Sweden..
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-5976-5193
2017 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no 3, 256-266 p.Article in journal (Refereed) Published
Abstract [en]

Background: Support from the family positively affects self-management, patient outcomes and the incidence of hospitalizations among patients with heart failure (HF). To involve family members in HF care is thus valuable for the patients. Registered nurses (RNs) frequently meet family members to patients with HF and the quality of these encounters are likely to be influenced by the attitudes RNs hold toward families.

Aims: To explore RNs' attitudes toward the importance of families' involvement in HF nursing care and to identify factors that predict the most supportive attitudes.

Methods: Cross-sectional, multicentre web-survey study. A sample of 303 RNs from 47 hospitals and 30 primary health care centres (PHCC) completed the instrument Families’ Importance in Nursing Care - Nurses’ Attitudes.

Results: Overall, RNs were supportive of families' involvement. Nonetheless, attitudes toward inviting families to actively take part in HF nursing care and involve families in planning of care were less supportive. Factors predicting the most supportive attitudes were to work in a PHCC, a HF clinic, a workplace with a general approach toward families, to have a postgraduate specialization, education in cardiac and or HF nursing care, and a competence to work with families.

Conclusions: Experienced RNs in HF nursing care can be encouraged to mentor their younger and less experienced colleagues to strengthen their supportive attitudes toward families. RNs who have designated consultation time with patients and families, as in a nurse-led HF clinic, may have the most favourable condition for implementing a more supportive approach to families.

Place, publisher, year, edition, pages
2017. Vol. 16, no 3, 256-266 p.
Keyword [en]
Attitudes, family, heart failure, involvement, nursing, support, survey
National Category
Nursing
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-34264DOI: 10.1177/1474515116687178ISI: 000398178900010Scopus ID: 2-s2.0-85012077015OAI: oai:DiVA.org:mdh-34264DiVA: diva2:1057272
Available from: 2016-12-16 Created: 2016-12-16 Last updated: 2017-04-19Bibliographically approved
In thesis
1. Family caregiving for persons with heart failure: Perspectives of family caregivers, persons with heart failure and registered nurses
Open this publication in new window or tab >>Family caregiving for persons with heart failure: Perspectives of family caregivers, persons with heart failure and registered nurses
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Heart failure is a growing public health problem associated with significant morbidity and mortality. Family support positively affects outcomes for the person with heart failure while also leading to caregiver burden. Registered nurses have a key role in supporting and meeting the needs of family caregivers.

The overall aim was to explore the situation and needs of family caregivers to a person with heart failure, and explore requisites and ways of supporting and involving family caregivers in heart failure nursing care.

Two interview studies, one web survey study and one intervention study were conducted between 2012 and 2017. A total of 22 family caregivers, eight persons with heart failure and 331 registered nurses participated in the studies.

Family caregivers' daily life was characterized by worry, uncertainty and relational incongruence but salutogenic behaviours restored new strength and motivation to care. Family caregivers experienced that their caregiving was taken for granted by health care professionals. Family caregivers expressed a need for a permanent health care contact and more involvement in the planning and implementation of their near one’s health care together with health care professionals. Registered nurses acknowledged family caregivers’ burden, lack of knowledge and relational incongruence. A registered nurse was suggested as a permanent health care contact to improve continuity and security. Registered nurses neither acknowledged family caregivers as a resource nor their need for involvement. Registered nurses working in primary health care centres, in nurse-led heart failure clinics, with district nurse specialization, with education in cardiac nursing care held the most supportive attitudes toward family involvement in heart failure nursing care. Family health conversations via telephone in nurse-led heart failure clinics were found to successfully support and involve families. The conversations enhanced nurse-family relationship and relations within the family. They also provided registered nurses with new, relevant knowledge and understanding about the family as a whole. Family health conversations via telephone were feasible to both families and registered nurses, although fewer and shorter conversations were preferred by registered nurses.

This thesis highlights the divergence between family caregivers’ experiences and needs, and registered nurses’ perceptions about family caregivers’ situation and attitudes toward the importance of family involvement. It adds to the knowledge on the importance to acknowledge family caregivers as a resource and to support and involve them in heart failure nursing care. One feasible and successful way is to conduct Family health conversations via telephone in nurse-led heart failure clinics.

Place, publisher, year, edition, pages
Västerås: Mälardalen University, 2017
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 228
Keyword
Attitudes, cardiovascular nursing, caregiving, content analysis, family, family caregiver, family-centered nursing, family systems theory, heart failure, informal caregiver, interview, intervention, older person, pretest-posttest design, questionnaire, web survey, Anhörigvårdare, attityder, familj, familjecentrerad omvårdnad, frågeformulär, före- och efter design, hjärtsvikt, informell vårdgivare, innehållsanalys, intervention, intervju, kardiovaskulär omvårdnad, webbenkät, äldre person
National Category
Nursing
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-35194 (URN)978-91-7485-329-2 (ISBN)
Public defence
2017-06-15, Delta, Mälardalens högskola, Västerås, 13:15 (English)
Opponent
Supervisors
Available from: 2017-04-28 Created: 2017-04-19 Last updated: 2017-07-10Bibliographically approved

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