OBJECTIVES: To develop a model of heart failure patients' attitudes, beliefs, expectations, and experiences based on published qualitative research that could influence the development of self-management strategies. METHODS: A synthesis of 19 qualitative research studies using the method of meta-ethnography. RESULTS: This synthesis offers a conceptual model of the attitudes, beliefs, and expectations of patients with heart failure. Patients experienced a sense of disruption before developing a mental model of heart failure. Patients' reactions included becoming a strategic avoider, a selective denier, a well-intentioned manager, or an advanced self-manager. Patients responded by forming self-management strategies and finally assimilated the strategies into everyday life seeking to feel safe. DISCUSSION: This conceptual model suggests that there are a range of interplaying factors that facilitate the process of developing self-management strategies. Interventions should take into account patients' concepts of heart failure and their subsequent reactions.
OBJECTIVES: To develop a model of heart failure patients' attitudes, beliefs, expectations, and experiences based on published qualitative research that could influence the development of self-management strategies. METHODS: A synthesis of 19 qualitative research studies using the method of meta-ethnography. RESULTS: This synthesis offers a conceptual model of the attitudes, beliefs, and expectations of patients with heart failure. Patients experienced a sense of disruption before developing a mental model of heart failure. Patients' reactions included becoming a strategic avoider, a selective denier, a well-intentioned manager, or an advanced self-manager. Patients responded by forming self-management strategies and finally assimilated the strategies into everyday life seeking to feel safe. DISCUSSION: This conceptual model suggests that there are a range of interplaying factors that facilitate the process of developing self-management strategies. Interventions should take into account patients' concepts of heart failure and their subsequent reactions.
Authors: Fiona Webster; Jennifer Christian; Elizabeth Mansfield; Onil Bhattacharyya; Gillian Hawker; Wendy Levinson; Gary Naglie; Thuy-Nga Pham; Louise Rose; Michael Schull; Samir Sinha; Vicky Stergiopoulos; Ross Upshur; Lynn Wilson Journal: BMJ Open Date: 2015-09-08 Impact factor: 2.692
Authors: Carl R May; Amanda Cummings; Michelle Myall; Jonathan Harvey; Catherine Pope; Peter Griffiths; Paul Roderick; Mick Arber; Kasey Boehmer; Frances S Mair; Alison Richardson Journal: BMJ Open Date: 2016-10-05 Impact factor: 2.692
Authors: Jennifer Wingham; Julia Frost; Nicky Britten; Colin Greaves; Charles Abraham; Fiona C Warren; Kate Jolly; Jackie Miles; Kevin Paul; Patrick J Doherty; Sally Singh; Russell Davies; Miriam Noonan; Hasnain Dalal; Rod S Taylor Journal: Eur J Cardiovasc Nurs Date: 2019-05-22 Impact factor: 3.908
Authors: Colin J Greaves; Jennifer Wingham; Carolyn Deighan; Patrick Doherty; Jennifer Elliott; Wendy Armitage; Michelle Clark; Jackie Austin; Charles Abraham; Julia Frost; Sally Singh; Kate Jolly; Kevin Paul; Louise Taylor; Sarah Buckingham; Russell Davis; Hasnain Dalal; Rod S Taylor Journal: Pilot Feasibility Stud Date: 2016-08-02