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Nurses' attitudes toward family importance in heart failure care
Malardalen Univ, Sch Hlth Care & Social Welf, Box 325,Drottninggatan 12, SE-63105 Eskilstuna, Sweden..
Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Vastmanland Cty Hosp, Dept Primary Hlth Care, Vasteras, Sweden..
Malardalen Univ, Sch Hlth Care & Social Welf, Box 325,Drottninggatan 12, SE-63105 Eskilstuna, Sweden..
2017 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no 3, p. 256-266Article in journal (Refereed) Published
Abstract [en]

Background: Support from the family positively affects self-management, patient outcomes and the incidence of hospitalizations among patients with heart failure. To involve family members in heart failure care is thus valuable for the patients. Registered nurses frequently meet family members of patients with heart failure and the quality of these encounters is likely to be influenced by the attitudes registered nurses hold toward families. Aims: To explore registered nurses' attitudes toward the importance of families' involvement in heart failure nursing care and to identify factors that predict the most supportive attitudes. Methods: Cross-sectional, multicentre web-survey study. A sample of 303 registered nurses from 47 hospitals and 30 primary health care centres completed the instrument Families' Importance in Nursing Care - Nurses' Attitudes. Results: Overall, registered nurses were supportive of families' involvement. Nonetheless, attitudes toward inviting families to actively take part in heart failure nursing care and involve families in planning of care were less supportive. Factors predicting the most supportive attitudes were to work in a primary health care centre, a heart failure clinic, a workplace with a general approach toward families, to have a postgraduate specialization, education in cardiac and/or heart failure nursing care, and a competence to work with families. Conclusions: Experienced registered nurses in heart failure nursing care can be encouraged to mentor their younger and less experienced colleagues to strengthen their supportive attitudes toward families. Registered nurses who have designated consultation time with patients and families, as in a nurse-led heart failure clinic, may have the most favourable condition for implementing a more supportive approach to families.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2017. Vol. 16, no 3, p. 256-266
Keywords [en]
Attitudes, family, involvement, heart failure, nursing, support, survey
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:uu:diva-320838DOI: 10.1177/1474515116687178ISI: 000398178900010PubMedID: 28051331OAI: oai:DiVA.org:uu-320838DiVA, id: diva2:1091402
Available from: 2017-04-26 Created: 2017-04-26 Last updated: 2017-04-26Bibliographically approved

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Adolfsson, Eva Thors

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