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Testing a Middle -Range Theory of Heart Failure Self-Care
Sumayya A Attaallah1, Rosalind M Peters1, Ramona Benkert1
1College of Nursing, Wayne State University, Detroit, MI, USA.
Abstract:
A middle-range theory of heart failure self-care, derived from the self-care deficit theory of nursing, was tested among 175 Arab American older adults with heart failure. The middle-range theory achieved good statistical fit, but not all hypothesized relationships were supported. Specifically, conceptualizing basic conditioning factors as a single latent variable was not supported. However, individual factors of depression, social support, and time living with heart failure had a direct effect on both self-care agency and quality of life. Understanding predictors and outcomes of self-care within a theoretical framework is essential in caring for patients with heart failure.
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