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Masule LS, Amakali K, Wilkinson WE. Nurses' knowledge, attitudes, and practices about rehabilitation of patients after heart valve surgery in Namibia. Health SA 2024; 29:2396. [PMID: 38322374 PMCID: PMC10839222 DOI: 10.4102/hsag.v29i0.2396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 11/08/2023] [Indexed: 02/08/2024] Open
Abstract
Background A cardiac rehabilitation programme is a medically supervised intervention to assist patients in recovery after heart surgeries and to prevent potential complications. Nurses should have the knowledge, a positive attitudes, and good practices to improve patient quality of life during the recovery process. Aim This study aimed to describe the knowledge, attitudes, and practices of the nurses regarding cardiac rehabilitation for patients after heart valve surgery. Setting The study setting was Windhoek Central Hospital, Cardiac Unit, in Windhoek, Namibia. Methods A quantitative and descriptive research design was used for convenient non-probability sampling of (N = 23) nurses who consented to participate in the study. Data were collected through self-administered questionnaires and analyzed using SPSS Version 26. Descriptive statistics were used and Fischer's Exact test for associations of variables was performed. Results The study results showed a high level of knowledge, good attitudes, and poor to fair practices toward cardiac rehabilitation. However, the respondents demonstrate a lack of knowledge about the indications, and benefits of cardiac rehabilitation, negative attitudes regarding counselling of patients on sexual activities, and poor practice regarding exercises and counseling of patients and caregivers on cardiac rehabilitation. Furthermore, there is a positive relationship between the respondents' older age, senior rank, and having been trained I cardiac conditions and their knowledge, attitudes and practices regarding some core components of cardiac rehabilitation with P-value < 0.050. Conclusion There is a need for a cardiac rehabilitation programme to improve nurses' attitudes and practices toward cardiac rehabilitation. Contribution Understanding the gap in knowledge, attitudes, and practices among the nurses regarding cardiac rehabilitation would guide the Ministry of Health and Social Services (MoHSS) in the implementation of the cardiac rehabilitation for patients after heart valve surgery.
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Affiliation(s)
- Lilian S Masule
- Department of General Nursing Science, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Windhoek, Namibia
| | - Kristofina Amakali
- Department of General Nursing Science, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Windhoek, Namibia
| | - Wilma E Wilkinson
- Department of General Nursing Science, Faculty of Health Sciences and Veterinary Medicine, School of Nursing and Public Health, University of Namibia, Windhoek, Namibia
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Validade de construto e confiabilidade do Families’ Importance In Nursing Care-Nurses’ Attitudes. ACTA PAUL ENFERM 2022. [DOI: 10.37689/acta-ape/2022ao01924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Puciato D, Rozpara M, Bugdol M, Borys T, Słaby T. Socioeconomic Determinants of Health-Related Quality of Life of Entrepreneurs. A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182212103. [PMID: 34831858 PMCID: PMC8620385 DOI: 10.3390/ijerph182212103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Revised: 11/14/2021] [Accepted: 11/15/2021] [Indexed: 11/16/2022]
Abstract
Background: Quality of life is one of the most important conceptual categories in many scientific fields and socio-economic practices. In the authors’ opinion, the assessment of the overall quality of life and the health-related quality of life of private entrepreneurs deserves particular attention. Until now, quality of life and its determinants in entrepreneurs have been investigated by few authors. The aim of this study was to identify and assess the key determinants of quality of life and its health-related aspects in entrepreneurs from Wroclaw, Poland. Methods: A questionnaire survey was carried out in a group of 616 entrepreneurs selected from among 4332 individuals (2276 women, 2056 men) who had participated in a study on the socioeconomic determinants of quality of life and physical activity of Wrocław residents of working age. The main research method was a diagnostic survey using S-ES and WHOQOL BREF questionnaires. Information was obtained on respondents’ quality of life and perceived health condition, as well as sex, age, education, marital status, number of people in the household, income per capita, savings, and indebtedness. The collected data were subjected to statistical analysis using numerical distribution, medians, and quartile deviation. Crude and adjusted odds ratios were used to assess relationships between entrepreneurs’ quality of life and socioeconomic status. Results: Over 66% of Wroclaw entrepreneurs rated their overall quality of life as average or above average and about 34% as below average. An average or above assessment of perceived health condition was provided by 71% of respondents, and below average by 29% of respondents. Health-related quality of life was assessed as average or above average in the environmental domain by 79%, physical domain by 77%, social domain by 65%, and psychological domain by 58% of the entrepreneurs. Among the respondents significant correlations were found between quality of life and perceived health condition; family status, i.e., marital status; number of persons in the household; and financial status, i.e., per capita income, savings, and debt. Conclusions: The results of this study can be used for managing the quality of life of entrepreneurs. Quality of life determinants should be constantly updated, as they may change along with further economic development and Poland’s economic convergence with better developed EU countries.
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Affiliation(s)
- Daniel Puciato
- Faculty of Finance and Management, WSB University of Wroclaw, ul. Fabryczna 29-31, 53-609 Wrocław, Poland
- Correspondence:
| | - Michał Rozpara
- Institute of Sport Sciences, Akademia Wychowania Fizycznego im. Jerzego Kukuczki w Katowicach, Mikołowska 72A, 40-065 Katowice, Poland;
| | - Marek Bugdol
- Faculty of Management and Social Communication, Jagiellonian University, ul. Prof. Stanisława Łojasiewicza 4, 30-348 Kraków, Poland;
| | - Tadeusz Borys
- Institute of Management and Quality, University of Zielona Góra, ul. Podgórna 50, 65-246 Zielona Góra, Poland;
| | - Teresa Słaby
- Institute of Management and Technical Sciences, Warsaw Management University, 03-772 Warsaw, Poland;
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Östman M, Bäck-Pettersson S, Sundler AJ, Sandvik AH. Nurses' experiences of continuity of care for patients with heart failure: A thematic analysis. J Clin Nurs 2020; 30:276-286. [PMID: 33141466 DOI: 10.1111/jocn.15547] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 10/06/2020] [Accepted: 10/23/2020] [Indexed: 01/04/2023]
Abstract
AIMS AND OBJECTIVES This study aimed to describe nurses' experiences of continuity of care for patients with heart failure. BACKGROUND Heart failure is a life-influencing condition that causes varying care needs over time with risks of fragmentation. Nurses play an important role in caring for patients with heart failure. However, nurses' experiences of continuity of care seem to be less explored in this context. DESIGN A qualitative study with a descriptive design. METHODS Four focus groups were chosen to collect the data, and the analysis was made by using a method for thematic analysis. A purposeful sampling of nurses (n = 14) with experiences from hospital-connected heart failure clinics, primary healthcare centres and municipal home healthcare settings was recruited. The COREQ checklist was used in this study. RESULTS The nurses' experiences of continuity of care for patients with heart failure were described in four themes: access and flexibility, responsibility and transparency, trustful and caring relationships and communication and collaboration. CONCLUSIONS The results indicate that nurses have an excellent position to act as the "hub" in caring for patients with heart failure, but they need to have the possibility of networking and establishing trusting relationships with their colleagues. From the nurses' point of view, mutual trust between the nurse, the patient and the patient's next of kin is crucial for promoting and maintaining continuity of care in patients with heart failure. RELEVANCE TO CLINICAL PRACTICE To promote continuity of care for patients with heart failure, nurses expressed the necessity of establishing trusting relationships in a continuity-promoting organisation with seamless coordination. Nurses can be the "hub" supporting a person-centred care approach based on the patients' needs. There seems to be a need for better collaboration with common guidelines across and within primary healthcare centres, hospital-connected heart failure clinics and municipal home healthcare settings.
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Affiliation(s)
- Malin Östman
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.,Region Västra Götaland, Närhälsan Källstorp Health Centre, Trollhättan, Sweden.,Region Västra Götaland, Research and Development Primary Health Care, R, D&E Centre Fyrbodal, Västra Götaland, Sweden
| | - Siv Bäck-Pettersson
- Region Västra Götaland, Research and Development Primary Health Care, R, D&E Centre Fyrbodal, Västra Götaland, Sweden
| | - Annelie J Sundler
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Ann-Helén Sandvik
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
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Cassidy L, Hill L, Fitzsimons D, McGaughey J. The impact of psychoeducational interventions on the outcomes of caregivers of patients with heart failure: A systematic review and meta-analysis. Int J Nurs Stud 2020; 114:103806. [PMID: 33248290 DOI: 10.1016/j.ijnurstu.2020.103806] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 10/15/2020] [Accepted: 10/16/2020] [Indexed: 01/15/2023]
Abstract
BACKGROUND Heart failure is a global health care problem that causes a significant economic burden. Despite medical advancements, it's prognosis remains poor as many patients with heart failure experience symptoms that negatively impact Quality of Life. Caregivers are often responsible for helping and supporting family members manage their heart failure symptoms at home. In addition to managing their own medical problems and maintaining social and personal lives, significant burden and stress can occur. At present, caregivers receive little guidance or information to support them in their caregiving role. OBJECTIVES This review aims to determine the impact of psychoeducational interventions on the outcomes of caregivers of patients with heart failure. DESIGN Systematic review and meta-analysis. DATA SOURCE Five electronic databases: PsycINFO, Medline, CINAHL Plus, EMBASE and SCOPUS were searched from June 2007 to August 2019. REVIEW METHODS The conduct and reporting of this review was based on the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The Cochrane Risk of Bias Tool was used to assess the risk of bias amongst randomised controlled trials, and the Newcastle Ottawa Scale was used to assess risk of bias in one quasi-experimental study. RESULTS Ten articles met the inclusion criteria, consisting of seven studies, with a total sample size of 953 participants. The pooled result from two studies, conducted in America and China, reported that psychoeducational interventions significantly reduced depression at six months' follow-up (SMD -0.82; 95% CI -1.17 to -0.47; p = 0.73, I2 =0%). The pooled result from two studies conducted in Sweden and Taiwan showed a significant improvement in heart failure knowledge at six months' follow-up (SMD 0.97; 95% CI 0.70 to 1,25; p < 0.00001, I2 =0%). Finally, pooled results from three studies conducted in Sweden, China and Taiwan found a significant improvement in Quality of Life at 3 months' follow- up (SMD 0.25; 95% CI 0.25 to 0.48; p = 0.03). The three most common intervention components included: group based educational sessions, telemonitoring and telephone support, and written resources. CONCLUSIONS There was no specific type of psychoeducational intervention found to have a significant impact on caregiver outcomes, as interventions were heterogeneous consisting of multiple components. Further research is needed to determine the effectiveness of individual and combined components to identify the ideal intervention format and design for caregivers of patients with heart failure.
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Affiliation(s)
- Lorna Cassidy
- Queen's University Belfast, School of Nursing and Midwifery, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, Northern Ireland.
| | - Loreena Hill
- Queen's University Belfast, School of Nursing and Midwifery, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, Northern Ireland.
| | - Donna Fitzsimons
- Queen's University Belfast, School of Nursing and Midwifery, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, Northern Ireland; All-Ireland Institute for Hospice And Palliative Care, Our Lady's Hospice and Care Services, Harold's Cross Rd, Harold's Cross, Dublin, Ireland.
| | - Jennifer McGaughey
- Queen's University Belfast, School of Nursing and Midwifery, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, Northern Ireland.
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García-Sanjuán S, Lillo-Crespo M, Cabañero-Martínez MJ, Richart-Martínez M, Sanjuan-Quiles Á. Experiencing the care of a family member with Crohn's disease: a qualitative study. BMJ Open 2019; 9:e030625. [PMID: 31641000 PMCID: PMC6830586 DOI: 10.1136/bmjopen-2019-030625] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 09/25/2019] [Accepted: 09/27/2019] [Indexed: 01/13/2023] Open
Abstract
OBJECTIVES To explore the experiences of caregivers living with relatives affected by Crohn's disease (CD) in a context in which the family provides social support. DESIGN A qualitative study based on a phenomenological approach was conducted through in-depth interviews. SETTING Participants living in Alicante (Spain) were recruited PARTICIPANTS: Eleven family caregivers of people with CD were interviewed. METHODS The in-depth interviews took place in the participants' homes and were audio recorded and then transcribed for a qualitative thematic analysis. RESULTS Five themes and accompanying subthemes were identified: (1) adaptation to the caring experience, (2) dichotomy 'with or without me', (3) unending burden, (4) need for knowledge and control of the disease, and (5) getting used to CD and normalising life. CONCLUSION The findings contribute to an increase in the knowledge and comprehension of the experience of being the caregiver of a relative with CD, which could be useful for professionals towards improving the quality of the CD caring process. Due to the temporal dimension of CD with frequent bouts of exacerbation and remission, family caregivers must adapt and acquire skills during chronic illness evolution. Moreover, the lack of family caregivers' inclusion and follow-up within the Spanish health system makes them feel invisible and useless, which may contribute to caregivers' burdens.
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Affiliation(s)
- Sofía García-Sanjuán
- Faculty of Health Sciences, Department of Nursing, University of Alicante, Alicante, España
| | - Manuel Lillo-Crespo
- Faculty of Health Sciences, Department of Nursing, University of Alicante, Alicante, España
| | | | | | - Ángela Sanjuan-Quiles
- Faculty of Health Sciences, Department of Nursing, University of Alicante, Alicante, España
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Gusdal AK, Josefsson K, Thors Adolfsson E, Martin L. Nurses’ attitudes toward family importance in heart failure care. Eur J Cardiovasc Nurs 2017; 16:256-266. [DOI: 10.1177/1474515116687178] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Annelie K Gusdal
- School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden
| | - Karin Josefsson
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden
| | - Eva Thors Adolfsson
- Centre for Clinical Research, County Council of Västmanland, Uppsala University, Sweden
- Västmanland County Hospital, Department of Primary Health Care, Västerås, Sweden
| | - Lene Martin
- School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden
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