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Published on: April 19, 2019
Feasibility study of a nurse-led heart failure education program
Diana-Lyn Baptiste1, Patricia Davidson1, Lisa Groff Paris2
1a Department of Acute and Chronic Care , Johns Hopkins School of Nursing , 525 N. Wolf Street, Baltimore , MD 21205 , USA.
Aims/Objectives:
To assess the feasibility of a nurse-led heart failure (HF) education program using the Self-Care Heart Failure Index (SCHFI) instrument.
Background:
HF is a frequent and burdensome condition requiring support with self-care management strategies and education. Translating best practice to health services is important in improving health outcomes.
Design:
Longitudinal quasi-experimental design.
Methods:
A convenience sample of (N = 41) patients with HF. We implemented a nurse-led education program with 30-day post-discharge home-based telephone follow-up. The SCHFI was used to measure self-care behaviors. 30-day readmission rates were assessed.
Results:
A significant difference was found in scores for self-care maintenance (p ≤ .001) and self-care management (p ≤ .001) subscales, not self-care confidence. There was no statistically significant difference between 30-day HF readmission rates.
Conclusions:
Findings suggest that the nurse-led evidence-based HF education program improved self-care behaviors and decreased 30-day readmissions. There is a need for continued development of interventions focused on improving patient self-care confidence.
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