Keep ticking: congestive heart failure self management program
Date
2022
Authors
Bodie, Kendra Laine
University of Lethbridge. Faculty of Health Sciences
Journal Title
Journal ISSN
Volume Title
Publisher
Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences
Abstract
The social determinants of health are factors that impact an individual’s ability to self-manage
congestive heart failure. Social determinants of health impact adherence to treatment
and self-monitoring. Assessing how the social determinants of health impact patients on an
individual level improves patient-centered care planning and health education. Registered nurses
play a key role in facilitating access to health care resources and promoting healthy behaviors by
building effective relationships and fostering open communication. There is a gap in practice
within the Calgary Integrated Home Care Program in what patients need to be supported with,
and what they end up being supported with. The Keep Ticking: Congestive Heart Failure Self-
Management program offers an education seminar to registered nurses working with heart failure
patients that highlights how the social determinants of health affect heart failure management,
the role nurses have in addressing heart failure management, and provides strategies in which
nurses can use to improve the delivery of health education. This program also uses an assessment
tool that nurses use with heart failure patients to identify specific self-management barriers
related to the social determinants of health and acts as a guideline in how nurses can help support
patients in mitigating those barriers. This program has shown to be effective in improving health
education by assessing baseline understanding of patient’s knowledge in heart failure
management. Further assessment tool adaption and timing is required to improve its applicability
in the home care program. Future program implementation will focus on collaboration and
building relationships for effective patient-provider relationships. Nurses in the home care setting
are limited on how they can address barriers related to the social determinants of health. Action
is required beyond the level of care that home care nurses can provide, and further intervention is
required on a social and political level.
Description
Keywords
congestive heart failure , social determinants of health , heart failure management , self-management barriers , patient health education , heart failure patients , nurse education , health education delivery strategies , Congestive heart failure--Patients , Congestive heart failure--Patients--Rehabilitation , Congestive heart failure--Nursing , Self-care, Health , Patient education , Heart--Diseases--Patients--Rehabilitation , Patient participation , Public health--Social aspects , Public health--Economic aspects , Health--Social aspects , Health--Economic aspects