Time to Revisit Heart Failure Self-Care: A Concept Analysis

Area of Science:

• Cardiology
• Nursing
• Health Management

Background:

• Self-care is a cornerstone of heart failure management and nursing.
• Current approaches to heart failure self-care lack critical evaluation and contextual understanding.
• Existing models may overemphasize individual responsibility.

Purpose of the Study:

• To critically analyze the concept of heart failure self-care.
• To identify antecedents, attributes, and consequences of heart failure self-care.
• To examine the influence of context, time, application, and meaning on heart failure self-care.

Main Methods:

• Utilized Rodger's evolutionary concept analysis approach.
• Examined antecedents, attributes, and consequences of heart failure self-care.
• Considered contextual, temporal, applicational, and semantic dimensions.

Main Results:

• Heart failure self-care primarily focuses on individual behaviors.
• This focus neglects crucial social and structural determinants of health.
• Responsibility for management is disproportionately shifted from healthcare systems to individuals.

Conclusions:

• A more comprehensive conceptualization of heart failure self-care is required.
• Consideration of a new concept focusing beyond the individual is warranted.
• Addressing broader determinants is essential for effective heart failure management.