Shared Heart Failure knowledge and self-care outcomes in patient- caregiver dyads

Shared Heart Failure knowledge and self-care outcomes in patient- caregiver dyads

Shared Heart Failure knowledge and self-care outcomes in patient- caregiver dyads

Shared Heart Failure knowledge and self-care outcomes in patient- caregiver dyads is a study that was conducted to evaluate outcomes of care-giver knowledge about heart failure and patient outcomes. It included 144 dyads and concluded that the dyads that had higher knowledge of heart failure had patients that were more successful with self-care behaviors (Bidwell, Higgins, Riley, Clark, Dunbar, 2018). A strength of the study is that it evaluated information specific to my PICOT question with good results. A downsize is that it also had a lot of additional information that was not necessarily pertinent to my specific PICOT question.
Caregiver Contribution to Self-care in Patients With Heart Failure: A Qualitative Descriptive Study is a study that’s objective is to describe caregiver’s contribution to heart failure self-care maintenance specifically treatment adherence, symptom monitoring and management (Durante, Paturzo, Motolla, et al, 2019 ). The study concluded that caregivers’ contribution made a difference, there were some practices that were done incorrectly reinforcing the need for continuous heart failure education to patients and their caregivers. A strength of using this article is that it reinforces the need for caregiver education being included in patients education as well which is the goal of my project. A weakness of using this article is that it focuses mostly on the caregivers previous heart failure knowledge and not a study specifically on the effect of their education on patient outcomes.
The Influence of Caregiver Preparedness on Caregiver Contributions to Self-care in Heart Failure and the Mediating Role of Caregiver Confidence study evaluates the influence of caregiver’s contribution to heart failure self-care maintenance and management as it relates to the caregivers confidence (Vellone, Biagioli, Durante, et al, 2019). The study evaluated 323 caregivers of patients with heart failure and concluded that caregiver confidence plays a role in their ability to contribute to the patients self-care behaviors and adherence. This article provided sufficient evidence that it is essential for caregivers to have education to promote their confidence in order to encourage patient’s self-care.
Exploring Patient, Caregiver, and Healthcare Provider Perceptions of Caring for Patients With Heart Failure: What Are the Implications? This study is different then the others because it evaluates patient, caregiver and health care providers perceptions of the need for family being educated and participating in heart failure care. The study concluded that interventions among caregivers are needed, and that they should involve family functioning, family assessment and skills training. A weakness of the study is that it includes the importance of a family assessment. A weakness is that it involves health care providers as caregivers also which is not the focus of my specific project.
Feasibility and acceptability of a nursing intervention with family caregiver on self-care among heart failure patients: a randomized pilot trial. This study evaluated the same nursing intervention including patient education for caregivers to improve patients outcomes and self-care behaviors. The study used 32 dyads and concluded that involving caregivers is beneficial to patient outcomes, however a downside of the study is that it only evaluated 32 dyads which is a small group and only allowed for patients and caregivers that lived together to be included (Cosette, Belaid, Heppell, Mailhot, Guertin, 2016).
First Steps Toward a Theory of Caregiver Contribution to Self-care in Heart Failure is a commentary that discusses the importance of evaluating caregiver’s contributions to self-care for heart failure patients. While this is not a specific study, the author goes into detail about the importance of caregiver involvement and makes great points about the need for a study. A weakness is that there is not a population studied. A strength is that she addresses the needs and includes results from another study and why it supports the need for caregiver education and involvement.
References
Bidwell, J. T., Higgins, M. K., Reilly, C. M., Clark, P. C., & Dunbar, S. B. (2018). Shared heart failure knowledge and self-care outcomes in patient-caregiver dyads. Heart & Lung, 47(1), 32–39. https://doi-org.lopes.idm.oclc.org/10.1016/j.hrtlng.2017.11.001
Cossette, S., Belaid, H., Heppell, S. et al. (2016). Feasibility and acceptability of a nursing intervention with family caregiver on self-care among heart failure patients: a randomized pilot trial. Pilot Feasibility Stud 2, 34. https://doi.org/10.1186/s40814-016-0077-8
Durante, Angela, MSN, RN, Paturzo, Marco, PhD, RN, Mottola, Antonella, PhD, RN, et al. (2019). Caregiver Contribution to Self-care in Patients With Heart Failure: A Qualitative Descriptive Study. Journal of Cardiovascular Nursing, 34, E28-E35. https://doi.org/10.1097/JCN.0000000000000560
Kennedy, B. M., Jaligam, V., Conish, B. K., Johnson, W. D., Melancon, B., & Katzmarzyk, P. T. (2017). Exploring Patient, Caregiver, and Healthcare Provider Perceptions of Caring for Patients With Heart Failure: What Are the Implications?. The Ochsner journal, 17(1), 93–102.
Vellone, Ercole PhD, RN, FESC First Steps Toward a Theory of Caregiver Contribution to Self-care in Heart Failure, The Journal of Cardiovascular Nursing: 11/12 2017 – Volume 32 – Issue 6 – p 584-586 doi: 10.1097/JCN.0000000000000404
Vellone, Ercole, PhD, RN, Biagioli, Valentina, PhD, RN, Durante, Angela, PhD, RN, et al. (2020). The Influence of Caregiver Preparedness on Caregiver Contributions to Self-care in Heart Failure and the Mediating Role of Caregiver Confidence. Journal of Cardiovascular Nursing, 35, 243-252. https://doi.org/10.1097/JCN.0000000000000632

2) Dounfo Thelusma
Re: Topic 3 DQ 1

In “A Systematic Global Review of Condom Availability Programs in High Schools” by Algur et al (2019), the authors conducted a systematic literature review of peer-reviewed articles published between 1990 and 2017 to analyze the impact of condom availability programs on students’ sexual behaviors and health outcomes. One strength is that twenty-nine articles from six countries were included in this review. One weakness is that the data on HIV rates was inconclusive.
“Condom Availability in Schools: A Practical Approach to the Prevention of Sexually Transmitted Infection/HIV and Unintended Pregnancy” by Brakman et al (2018), is a study conducte to evaluate the impact that condom availability in schools has with the use of condoms and improved overall sexual health in adolescents and young adults. One strength is that this article completely supports the stance of my PICOT question, backed up by The Society for Adolescent Health and Medicine. One weakness is, although they advocate for the provision of condoms in schools, they did not offer suggestions when it comes to financing condom distribution in schools.
“HIV Prevention Among Youth: A Randomized Controlled Trial of Voluntary Counseling and Testing for HIV and Male Condom Distribution in Rural Kenya” by Duflo et al (2019) conducted a study with 10,245 youth aged 17 to 24 randomly assigned to receive community-based Voluntary Counseling and Testing for HIV, 150 male condoms, both VCT and condoms, or neither program in Western Kenya. One weakness is that this study suggests that systematic community-based VCT campaigns (in addition to VCT availability at local health clinics) and condom distribution are unlikely on their own to significantly reduce the prevalence of HSV-2 among youth. One strength is that study findings demonstrate increased HIV testing among this youth population.
“Implementing Condom Distribution Programs in the United States: Qualitative Insights from Program Planners” by McCool-Myers (2019), the study was conducted to gather qualitative insights from condom distribution programs (CDP) planners to inform effective CDP implementation. One weakness is that only ten semi-structured interviews with program planners were conducted via telephone, a higher number of interviews may have provided additional insight. One strength is that there is evidence to show that CDPs not only lower the barrier to condom acquisition, they also lead to an increase in condom use and a reduction of risky sexual behavior in target populations.
“Providers’ Practices and Beliefs Regarding Distribution of Condoms to Adolescents in the Primary Care Office Setting” by Mehringer et al (2017), the study was conducted to identify the current range in providers’ practices and beliefs regarding distribution of condoms to adolescents in primary care offices. One weakness of the study is that they found most primary care providers are not currently distributing condoms to adolescents in the office setting. One strength is that a total of 184 online surveys of physicians and mid-level providers who provide primary care for patients aged 13-21 years was done, which is in the age group of my study.
In “Promoting Condom Use Through a Youth-Focused Community-Wide Free Condom Distribution Initiative” by  Tibbits et al (2018), the study was done to describe the implementation of a youth-focused condom distribution initiative in Omaha, Nebraska, developed by the Women’s Fund of Omaha. One strength is that it shows the number of condoms distributed per month increased from 9840 in September 2015 to 71?220 in February 2018. One weakness is that this focused on one group in Omaha.

References
Algur, E., Friedman, H. S., Wang, E., & Deperthes, B. (2019). A Systematic Global Review of Condom Availability Programs in High Schools. Journal of Adolescent Health, 64(3), 292–304. https://doi-org.lopes.idm.oclc.org/10.1016/j.jadohealth.2018.11.013
Brakman, A., Borzutzky, C., Carey, S., Kang, M., Mullins, T. K., Peter, N., Shafii, T., Straub, D. M. (2017). Condom Availability in Schools: A Practical Approach to the Prevention of Sexually Transmitted Infection/HIV and Unintended Pregnancy. (2017). Journal of Adolescent Health, 60(6), 754–757. https://doi-org.lopes.idm.oclc.org/10.1016/j.jadohealth.2017.03.019
Duflo, E., Dupas, P., Ginn, T., Barasa, M. G., Baraza, M., Pouliquen, V., Sharma, V. (2019). HIV Prevention Among Youth: A Randomized Controlled Trial of Voluntary Counseling and Testing for HIV and Male Condom Distribution in Rural Kenya. PLoS ONE, 14(7), e0219535. https://doi-org.lopes.idm.oclc.org/10.1371/journal.pone.0219535
McCool-Myers, M. (2019). Implementing Condom Distribution Programs in the United States: Qualitative Insights from Program Planners. Evaluation and Program Planning, 74, 20–26. https://doi-org.lopes.idm.oclc.org/10.1016/j.evalprogplan.2019.02.006
Mehringer, J. E., Gibson, E. J., Huang, J.-X., & Frankowski, B. L. (2017). Providers’ Practices and Beliefs Regarding Distribution of Condoms to Adolescents in the Primary Care Office Setting. Journal of Adolescent Health, 2. https://doi-org.lopes.idm.oclc.org/10.1016/j.jadohealth.2016.10.382
Tibbits, M., Ndashe, T. P., King, K., & Siahpush, M. (2018). Promoting Condom Use Through a Youth-Focused Community-Wide Free Condom Distribution Initiative. American Journal of Public Health, 108(11), 1506–1508. https://doi-org.lopes.idm.oclc.org/10.2105/AJPH.2018.304679

3) Donna Reamer
Re: Topic 3 DQ 2

Every primary research project should begin with a question meant to form the basis of the study and its objectives, rather then just documenting the data. FINER and PICOT criteria are two methods for evaluating evidence. FINER criteria, (F) feasible (I) interesting (N) novel (E) ethical (R) relevant, is meant to outline general points that may increase the chances of a research project being successful. PICOT criteria, (P) population (I) intervention (C) comparison (O) outcome (T) time, is more specific and creates an outline identifying the specific population to be studied and the inclusion and exclusion criteria to be used.
These two methods differ in the bias of the study that they create. PICOT, the more specific of the two methods, strictly defines the study population and may limit bias and increase the validity of the study whereas the FINER method, whose study population is broadly defined, opens the study up to more bias, reducing its validity.
Farrugia, P, Petrisor, B., Forrokhyar, F., Bhandari, M. (2009). Research questions, hypotheses and objectives. Canadian Journal of Surgery Rerieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912019/

4) April Toepfer
Re: Topic 3 DQ 2

Twon different methods for evaluating evidence include:
Case-Control Study: Researchers choose people with a particular results (the cases) and interview the groups or check their records to ascertian what different experiences they had. They compare the odds of having an experience with the outcome to the odds of having an experience without the outcome (Evalute evidence, 2019).
Controlled Clinical Trial: A type of clinical trial comparing the effectivness of one medication or treatment with the effectivness of another medication or treatment. In many controlled trial, the other treatment is a placebo (inactive substance) and is considered the “contol” (Evalute evidence, 2019).
Both methods are comparing 2 groups outcomes.
Nursing: Evalute Evidence (2019). Retireved from: https://pcc.edu/c.php?g=210096&p=1385961

5)
April Toepfer
Re: Topic 3 DQ 2

Twon different methods for evaluating evidence include:
Case-Control Study: Researchers choose people with a particular results (the cases) and interview the groups or check their records to ascertian what different experiences they had. They compare the odds of having an experience with the outcome to the odds of having an experience without the outcome (Evalute evidence, 2019).
Controlled Clinical Trial: A type of clinical trial comparing the effectivness of one medication or treatment with the effectivness of another medication or treatment. In many controlled trial, the other treatment is a placebo (inactive substance) and is considered the “contol” (Evalute evidence, 2019).
Both methods are comparing 2 groups outcomes.
Nursing: Evalute Evidence (2019). Retireved from: https://pcc.edu/c.php?g=210096&p=1385961

Kelly Botello

Re: Topic 3 DQ 1

Implementing a CAUTI prevention program in an acute care hospital setting is a quality improvement project aimed to enhance the knowledge of nurses to prevent catheter-associated urinary tract infections. The article is thorough, they completed a nursing survey, included CAUTI rates, and competencies. A weakness is that they only conducted a quality improvement project for medical-surgical units. Units such as ICU and ED departments have different patient acuities which may have influenced the research project differently. It has a lot of information about my practice change.
Enhancing Nurses’ Knowledge on Catheter-Associated Urinary Tract Infection (CAUTI) Prevention is a study that evaluates a CAUTI prevention education package on nurse knowledge. The article has information that will be utilized in my practice change. A weakness is that the study was conducted in medical-surgical, and did look at other units.
CAUTI prevention and urinary catheter maintenance have very useful data that will be utilized in my project. It did not conduct any research of its own but offered guidelines for the prevention of CAUTI. It did not offer any strategies on how to deliver education to nursing staff.
Catheter-associated urinary tract infection (CAUTI) prevention and nurses’ checklist documentation of their indwelling catheter management practices is a study that investigated nurse’s catheter management practices. The information is relevant to my project. A weakness is that it found that catheters were being inserted in the operating room, but it was not part of the study, which might have provided additional information.
Impact of SARS-CoV-2 on hospital-acquired infection rates in the United States: Predictions and early results, evaluates early results on the impact COVID may have on hospital-acquired infections. The information is relevant but may be too early to evaluate validity.
Patient perspectives on indwelling urinary catheter use in the hospital, a study conducted on patients’ knowledge of CAUTI. For the prevention of CAUTI, the educational focus is many times placed on healthcare providers, but not a lot of emphasis on patient understanding. Patient education empowers patients to be participants and leaders of their own care.

References

Ferguson, A. (2018). Implementing a CAUTI prevention program in an acute care hospital setting. Urologic Nursing, 38(6), 273-281, 302. doi:10.7257/1053-816X.2018.38.6.273
Gesmundo, M. (2016). Enhancing Nurses’ Knowledge on Catheter-Associated Urinary Tract Infection (Cauti) Prevention. Kai Tiaki Nursing Research, 7(1), 32–40.https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119345448&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=104611
Greene, L. R. (2020). CAUTI prevention and urinary catheter maintenance. American Nurse Today, 15(4), 5. https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspxdirect=true&db=ccm&AN=142657702&site=edslive&scope=site&custid=s8333196&groupid=main&profile=104611
Hernandez, M., King, A., & Stewart, L. (2019). Catheter-associated urinary tract infection (CAUTI) prevention and nurses’ checklist documentation of their indwelling catheter management practices. Nursing Praxis in New Zealand, 35(1), 29–42. https://doi.org/10.36951/ngpxnz.2019.004
McMullen, K. M., Smith, B. A., & Rebmann, T. (2020). Impact of SARS-CoV-2 on hospital-acquired infection rates in the United States: Predictions and early results. American Journal of Infection Control, 1–3. https://doi.org/10.1016/j.ajic.2020.06.209
Safdar, N., Codispoti, N., Purvis, S., & Knobloch, M. J. (2016). Patient perspectives on indwelling urinary catheter use in the hospital. American Journal of Infection Control, 44(3), 23–24. https://doi.org/10.1016/j.ajic.2015.10.011

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