Filling a gap in standardized nursing terminology. Development of a new nursing diagnosis proposal on heart failure self-care.
concept analysis
content analysis
heart failure
nursing diagnosis
nursing practice
self-care
Journal
International journal of nursing knowledge
ISSN: 2047-3095
Titre abrégé: Int J Nurs Knowl
Pays: United States
ID NLM: 101582422
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
revised:
24
02
2021
received:
05
10
2020
accepted:
05
03
2021
pubmed:
25
3
2021
medline:
15
1
2022
entrez:
24
3
2021
Statut:
ppublish
Résumé
Heart failure is a highly prevalent chronic health problem associated with poor quality-of-life and negative outcomes. Self-care is a cornerstone in patients suffering from heart failure. Nurses are commonly engaged in enhancing patients' self-care behaviors, but the specific condition of deficit on self-care is not clearly identified by nurses. No nursing diagnoses focused on self-care of heart failure patients is currently available. This study aimed to develop a new nursing diagnosis that focuses on self-care in heart failure patients. A concept and content analysis were used. Some steps of the concept analysis were performed through an integrative literature review conducted searching in PUBMED and CINAHL databases to identify attributes, antecedents, and consequences of the diagnosis. Forty-five articles were selected from the 1450 studies found. Then, the content analysis was performed by an international panel of 29 experts. Two Delphi rounds were used to achieve consensus and an item content validity index was calculated for each diagnostic element. Integrative review proposed four diagnostic labels, two definitions, 15 defining characteristics, and 44 related factors. After the two Delphi rounds a consensus was reached for each diagnostic indicator with a content validity index ranging from 82.8% to 100%. The nursing diagnosis-labeled heart failure self-care deficit-was validated with a definition, eight defining characteristics, 15 related factors, and five at-risk populations. This diagnosis allows nurses to document patients' self-care in daily clinical practice through a standard nursing terminology, by naming this health problem, describing its etiology, and clinical manifestations. This new diagnosis is expected to assist nursing clinicians, educators, and students in clinical reasoning with the aim to improve diagnostic accuracy in identifying patients with a heart failure self-care deficit, to select the most appropriate interventions and pursue better outcomes.
Identifiants
pubmed: 33760361
doi: 10.1111/2047-3095.12324
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
18-28Informations de copyright
© 2021 NANDA International, Inc.
Références
Awoke, M. S., Baptiste, D. L., Davidson, P., Roberts, A., & Dennison-Himmelfarb, C. (2019). A quasi-experimental study examining a nurse-led education program to improve knowledge, self-care, and reduce readmission for individuals with heart failure. Contemporary Nurse, 55(1), 15-26. https://doi.org/10.1080/10376178.2019.1568198
Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., de Ferranti, S. D., Ferguson, J. F., Fornage, M., Gillespie, C., Isasi, C. R., Jimenez, M. C., Jordan, L. C., Judd, S. E., Lackland, D., … Muntner, P. (2018). heart disease and stroke statistics-2018 update: A report from the American heart association. Circulation, 137(12), e67-e492. https://doi.org/10.1161/cir.0000000000000558
Bidwell, J. T., Vellone, E., Lyons, K. S., D'Agostino, F., Riegel, B., Juarez-Vela, R., Hiatt, S. O., Alvaro, R., & Lee, C. S. (2015). Determinants of heart failure self-care maintenance and management in patients and caregivers: A dyadic analysis. Research in Nursing & Health, 38(5), 392-402. https://doi.org/10.1002/nur.21675
Buck, H. G., Stromberg, A., Chung, M. L., Donovan, K. A., Harkness, K., Howard, A. M., Kato, N., Polo, R., & Evangelista, L. S. (2018). A systematic review of heart failure dyadic self-care interventions focusing on intervention components, contexts, and outcomes. International Journal of Nursing Studies, 77, 232-242. https://doi.org/10.1016/j.ijnurstu.2017.10.007
Chiffi, D., & Zanotti, R. (2015). Medical and nursing diagnoses: a critical comparison. Journal of Evaluation in Clinical Practice, 21(1), 1-6. https://doi.org/10.1111/jep.12146
Ciapponi, A., Alcaraz, A., Calderón, M., Matta, M. G., Chaparro, M., Soto, N., & Bardach, A. (2016). Burden of heart failure in Latin America: A systematic review and meta-analysis. Revista Española de Cardiología (English Edition), 69(11), 1051-1060. https://doi.org/10.1016/j.rec.2016.04.054
Clark, A. M., Davidson, P., Currie, K., Karimi, M., Duncan, A. S., & Thompson, D. R. (2010). Understanding and promoting effective self-care during heart failure. Current Treatment Options in Cardiovascular Medicine, 12(1), 1-9. https://doi.org/10.1007/s11936-009-0053-1
Company-Sancho, M. C., Estupiñán-Ramírez, M., Sánchez-Janáriz, H., & Tristancho-Ajamil, R. (2017). The connection between nursing diagnosis and the use of healthcare resources. Enfermería Clínica, 27(4), 214-221. https://doi.org/10.1016/j.enfcli.2017.04.002
D'Agostino, F., Vellone, E., Cocchieri, A., Welton, J., Maurici, M., Polistena, B., Spandonaro, F., Zega, M., Alvaro, R., & Sanson, G. (2019). Nursing diagnoses as predictors of hospital length of stay: A prospective observational study. Journal of Nursing Scholarship, 51(1), 96-105. https://doi.org/10.1111/jnu.12444
da Conceicao, A. P., dos Santos, M. A., dos Santos, B., & da Cruz Dde, A. (2015). Self-care in heart failure patients. Revista Latino-Americana De Enfermagem, 23(4), 578-586. https://doi.org/10.1590/0104-1169.0288.2591
de Oliveira Lopes, M. V., da Silva, V. M., & Herdman, T. H. (2017). Causation and validation of nursing diagnoses: A middle range theory. Internationl Journal of Nursing Knowledge, 28(1), 53-59. https://doi.org/10.1111/2047-3095.12104
Dickson, V. V., Buck, H., & Riegel, B. (2013). Multiple comorbid conditions challenge heart failure self-care by decreasing self-efficacy. Nursing Research, 62(1), 2-9. https://doi.org/10.1097/NNR.0b013e31827337b3
Ferreira, I. S., Fernandes, A. F. C., Rodrigues, A. B., Santiago, J., de Sousa, V. E. C., Lopes, M. V. O., & Moreira, C. B. (2020). Accuracy of the defining characteristics of the sexual dysfunction nursing diagnosis in women with breast cancer. Internationl Journal of Nursing Knowledge l, 31(1), 37-43. https://doi.org/10.1111/2047-3095.12266
Flanagan, J. (2018). Regarding Nursing Languages: Moving beyond how we feel. Internationl Journal of Nursing Knowledge, 29(1), 3. https://doi.org/10.1111/2047-3095.12199
Herdman, H. T., & Kamitsuru, S. (2017). NANDA international nursing diagnoses: definitions & classification 2018-2020. Thieme.
Ivynian, S. E., Newton, P. J., & DiGiacomo, M. (2020). Patient preferences for heart failure education and perceptions of patient-provider communication. Scandinavian Journal of Caring Sciences. https://doi.org/10.1111/scs.12820
Jaarsma, T., Cameron, J., Riegel, B., & Stromberg, A. (2017). Factors related to self-care in heart failure patients according to the middle-range theory of self-care of chronic illness: A literature update. Current Heart Failure Reports, 14(2), 71-77. https://doi.org/10.1007/s11897-017-0324-1
Jaarsma, T., Stromberg, A., Martensson, J., & Dracup, K. (2003). Development and testing of the european heart failure self-care behaviour scale. European Journal of Heart Failure, 5(3), 363-370. https://doi.org/10.1016/s1388-9842(02)00253-2
Jiang, Y., Shorey, S., Seah, B., Chan, W. X., Tam, W. W. S., & Wang, W. (2018). The effectiveness of psychological interventions on self-care, psychological and health outcomes in patients with chronic heart failure-A systematic review and meta-analysis. International Journal of Nursing Studies, 78, 16-25. https://doi.org/10.1016/j.ijnurstu.2017.08.006
Juve-Udina, M. E. (2013). What patients’ problems do nurses e-chart? Longitudinal study to evaluate the usability of an interface terminology. International Journal of Nursing Studies, 50(12), 1698-1710.
Keet, C. M. (2006). A taxonomy of types of granularity. In 2006 IEEE conference in granular computing. IEEE.
Kessing, D., Denollet, J., Widdershoven, J., & Kupper, N. (2017). Self-care and health-related quality of life in chronic heart failure: A longitudinal analysis. European Journal of Cardiovascular Nursing, 16(7), 605-613. https://doi.org/10.1177/1474515117702021
Krzemińska, S., Lomper, K., Chudiak, A., Ausili, D., & Uchmanowicz, I. (2020). The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes. Acta Diabetologica. https://doi.org/10.1007/s00592-020-01628-z
Lee, C. S., Bidwell, J. T., Paturzo, M., Alvaro, R., Cocchieri, A., Jaarsma, T., Stromberg, A., Riegel, B., & Vellone, E. (2018). Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up. Heart & Lung, 47(1), 40-46. https://doi.org/10.1016/j.hrtlng.2017.09.004
Lee, C. S., Gelow, J. M., Mudd, J. O., Green, J. K., Hiatt, S. O., Chien, C., & Riegel, B. (2015). Profiles of self-care management versus consulting behaviors in adults with heart failure. European Journal of Cardiovascular Nursing, 14(1), 63-72. https://doi.org/10.1177/1474515113519188
Lee, M. C., Wu, S. V., Lu, K. C., Liu, C. Y., Liang, S. Y., & Chuang, Y. H. (2021). Effectiveness of a self-management program in enhancing quality of life, self-care, and self-efficacy in patients with hemodialysis: A quasi-experimental design. Seminars in Dialysis. https://doi.org/10.1111/sdi.12957
Lee, S., & Riegel, B. (2018). State of the science in heart failure symptom perception research: An integrative review. Journal of Cardiovascular Nursing, 33(3), 204-210. https://doi.org/10.1097/jcn.0000000000000445
Lesyuk, W., Kriza, C., & Kolominsky-Rabas, P. (2018). Cost-of-illness studies in heart failure: a systematic review 2004-2016. Bmc Cardiovascular Disorders [Electronic Resource], 18(1), 74. https://doi.org/10.1186/s12872-018-0815-3
Linstone, H. A., & Turoff, M. (1975). The Delphi method. Addison-Wesley.
Liou, H. L., Huang, Y. T., Lai, Z. Y., Tsou, Y. Y., Tsai, Y. C., Yu, H. H., & Chen, M. S. (2020). Improving self-care efficacy and quality of life with a self-management program among patients with chronic obstructive pulmonary disease: A quasi-experimental study. Nursing & Health Sciences, 22(3), 629-638. https://doi.org/10.1111/nhs.12703
Liu, M. H., Wang, C. H., Huang, Y. Y., Cherng, W. J., & Wang, K. W. (2014). A correlational study of illness knowledge, self-care behaviors, and quality of life in elderly patients with heart failure. The Journal of Nursing Research, 22(2), 136-145. https://doi.org/10.1097/jnr.0000000000000024
Lopes, M. V., Silva, V. M., & Araujo, T. L. (2012). Methods for establishing the accuracy of clinical indicators in predicting nursing diagnoses. Internationl Journal of Nursing Knowledge, 23(3), 134-139. https://doi.org/10.1111/j.2047-3095.2012.01213.x
Ma, C. (2019). Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study. Journal of Clinical Nursing, 28(13-14), 2526-2536. https://doi.org/10.1111/jocn.14830
Mangueira Sde, O., & Lopes, M. V. (2016). Clinical validation of the nursing diagnosis of dysfunctional family processes related to alcoholism. Journal of Advanced Nursing, 72(10), 2401-2412. https://doi.org/10.1111/jan.12999
Marrs, J. A., & Lowry, L. W. (2006). Nursing theory and practice: connecting the dots. Nursing Science Quarterly, 19(1), 44-50. https://doi.org/10.1177/0894318405283547
Masterson Creber, R., Patey, M., Lee, C. S., Kuan, A., Jurgens, C., & Riegel, B. (2016). Motivational interviewing to improve self-care for patients with chronic heart failure: MITI-HF randomized controlled trial. Patient Education and Counseling, 99(2), 256-264. https://doi.org/10.1016/j.pec.2015.08.031
Matarese, M., Lommi, M., De Marinis, M. G., & Riegel, B. (2018). A systematic review and integration of concept analyses of self-care and related concepts. Journal of Nursing Scholarship, 50(3), 296-305. https://doi.org/10.1111/jnu.12385
Matsuoka, S., Tsuchihashi-Makaya, M., Kayane, T., Yamada, M., Wakabayashi, R., Kato, N. P., & Yazawa, M. (2016). Health literacy is independently associated with self-care behavior in patients with heart failure. Patient Education and Counseling, 99(6), 1026-1032. https://doi.org/10.1016/j.pec.2016.01.003
McMillan, S. S., King, M., & Tully, M. P. (2016). How to use the nominal group and Delphi techniques. International Journal of Clinical Pharmacy, 38(3), 655-662.
Neves da Costa, J., de Oliveira Lopes, M. V., & Baena de Moraes Lopes, M. H. (2020). Simultaneous concept analysis of diagnoses related to urinary incontinence. Internationl Journal of Nursing Knowledge, 31(2), 109-123. https://doi.org/10.1111/2047-3095.12254
Oosterom-Calo, R., van Ballegooijen, A. J., Terwee, C. B., te Velde, S. J., Brouwer, I. A., Jaarsma, T., & Brug, J. (2012). Determinants of heart failure self-care: a systematic literature review. Heart Failure Reviews, 17(3), 367-385. https://doi.org/10.1007/s10741-011-9292-9
Orem, D. E., Taylor, S. G., & Renpenning, K. M. (1995). Nursing concepts of practice. Mosby.
Paganin, A., & Rabelo, E. R. (2013). Clinical validation of the nursing diagnoses of impaired tissue integrity and impaired skin integrity in patients subjected to cardiac catheterization. Journal of Advanced Nursing, 69(6), 1338-1345. https://doi.org/10.1111/j.1365-2648.2012.06125.x
Paloma-Castro, O., Romero-Sanchez, J. M., Paramio-Cuevas, J. C., Pastor-Montero, S. M., Castro-Yuste, C., Frandsen, A. J., Albar-Marin, M. J., Bas-Sarmiento, P., & Moreno-Corral, L. J. (2014). Nursing diagnosis of grieving: content validity in perinatal loss situations. Internationl Journal of Nursing Knowledge, 25(2), 102-109. https://doi.org/10.1111/2047-3095.12015
Pérez Rivas, F. J., Martín-Iglesias, S., Pacheco del Cerro, J. L., Minguet Arenas, C., García López, M., & Beamud Lagos, M. (2016). Effectiveness of Nursing Process Use in Primary Care. Internationl Journal of Nursing Knowledge, 27(1), 43-48. https://doi.org/10.1111/2047-3095.12073
Pompeo, D. A., Rossi, L. A., & Galvao, C. M. (2009). Integrative literature review: the initial step in the validation process of nursing diagnoses. Acta Paulista de Enfermagem, 22(4), 434-438.
Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G. F., Coats, A. J. S., Falk, V., Gonzalez-Juanatey, J. R., Harjola, V. P., Jankowska, E. A., Jessup, M., Linde, C., Nihoyannopoulos, P., Parissis, J. T., Pieske, B., Riley, J. P., Rosano, G. M. C., Ruilope, L. M., Ruschitzka, F., … van der Meer, P. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal, 37(27), 2129-2200. https://doi.org/10.1093/eurheartj/ehw128
Quatrini Carvalho Passos Guimaraes, H. C., Pena, S. B., Lopes Jde, L., Lopes, C. T., & Bottura Leite de Barros, A. L. (2016). Experts for validation studies in nursing: New proposal and selection criteria. Internationl Journal of Nursing Knowledge, 27(3), 130-135. https://doi.org/10.1111/2047-3095.12089
Reilly, C. M., Butler, J., Culler, S. D., Gary, R. A., Higgins, M., Schindler, P., Butts, B., & Dunbar, S. B. (2015). An economic evaluation of a self-care intervention in persons with heart failure and diabetes. Journal of Cardiac Failure, 21(9), 730-737. https://doi.org/10.1016/j.cardfail.2015.06.382
Riegel, B., Dickson, V. V., & Faulkner, K. M. (2016). The situation-specific theory of heart failure self-care: Revised and updated. Journal of Cardiovascular Nursing, 31(3), 226-235. https://doi.org/10.1097/jcn.0000000000000244
Riegel, B., Lee, C. S., & Dickson, V. V. (2011). Self care in patients with chronic heart failure. Nature Reviews Cardiology, 8(11), 644-654. https://doi.org/10.1038/nrcardio.2011.95
Riegel, B., Lee, C. S., Dickson, V. V., & Carlson, B. (2009). An update on the self-care of heart failure index. The Journal of Cardiovascular Nursing, 24(6), 485.
Riley, J. P., Astin, F., Crespo-Leiro, M. G., Deaton, C. M., Kienhorst, J., Lambrinou, E., McDonagh, T. A., Rushton, C. A., Stromberg, A., Filippatos, G., & Anker, S. D. (2016). Heart Failure Association of the European Society of Cardiology heart failure nurse curriculum. European Journal of Heart Failure, 18(7), 736-743. https://doi.org/10.1002/ejhf.568
Ruppar, T. M., Cooper, P. S., Mehr, D. R., Delgado, J. M., & Dunbar-Jacob, J. M. (2016). Medication adherence interventions improve heart failure mortality and readmission rates: Systematic review and meta-analysis of controlled trials. Journal of the American Heart Association, 5(6). https://doi.org/10.1161/jaha.115.002606
Sanson, G., Vellone, E., Kangasniemi, M., Alvaro, R., & D'Agostino, F. (2017). Impact of nursing diagnoses on patient and organisational outcomes: a systematic literature review. Journal of Clinical Nursing, 26(23-24), 3764-3783. https://doi.org/10.1111/jocn.13717
Sanson, G., Welton, J., Vellone, E., Cocchieri, A., Maurici, M., Zega, M., Alvaro, R., & D'Agostino, F. (2019). Enhancing the performance of predictive models for Hospital mortality by adding nursing data. International Journal of Medical Informatics, 125, 79-85. https://doi.org/10.1016/j.ijmedinf.2019.02.009
Santos, V. B., Lopes, C. T., Dos Anjos, L. D., Begot, I., Cassiolatto, F., Guizilinni, S., & Moreira, R. S. L. (2020). Accuracy of the defining characteristics of fatigue in patients with heart failure as identified by the 6-minute walking test. Internationl Journal of Nursing Knowledge, 31(3), 188-193. https://doi.org/10.1111/2047-3095.12270
Scrutinio, D., Passantino, A., Guida, P., Ammirati, E., Oliva, F., Braga, S. S., La Rovere, M. T., Lagioia, R., & Frigerio, M. (2016). Prognostic impact of comorbidities in hospitalized patients with acute exacerbation of chronic heart failure. European Journal of Internal Medicine, 34, 63-67. https://doi.org/10.1016/j.ejim.2016.05.020
Sedlar, N., Lainscak, M., Martensson, J., Stromberg, A., Jaarsma, T., & Farkas, J. (2017). Factors related to self-care behaviours in heart failure: A systematic review of European heart failure self-care behaviour scale studies. European Journal of Cardiovascular Nursing, 16(4), 272-282. https://doi.org/10.1177/1474515117691644
Seferovic, P. M., Stoerk, S., Filippatos, G., Mareev, V., Kavoliuniene, A., Ristic, A. D., Ponikowski, P., McMurray, J., Maggioni, A., Ruschitzka, F., van Veldhuisen, D. J., Coats, A., Piepoli, M., McDonagh, T., Riley, J., Hoes, A., Pieske, B., Dobric, M., Papp, Z., … Anker, S. (2013). Organization of heart failure management in European Society of Cardiology member countries: survey of the Heart Failure Association of the European Society of Cardiology in collaboration with the Heart Failure National Societies/Working Groups. European Journal of Heart Failure, 15(9), 947-959. https://doi.org/10.1093/eurjhf/hft092
Sevilla-Cazes, J., Ahmad, F. S., Bowles, K. H., Jaskowiak, A., Gallagher, T., Goldberg, L. R., Kangovi, S., Alexander, M., Riegel, B., Barg, F. K., & Kimmel, S. E. (2018). Heart failure home management challenges and reasons for readmission: A qualitative study to understand the patient's perspective. Journal of General Internal Medicine, 33(10), 1700-1707. https://doi.org/10.1007/s11606-018-4542-3
Shao, J. H., Chang, A. M., Edwards, H., Shyu, Y. I., & Chen, S. H. (2013). A randomized controlled trial of self-management programme improves health-related outcomes of older people with heart failure. Journal of Advanced Nursing, 69(11), 2458-2469. https://doi.org/10.1111/jan.12121
Silva, R. A. R. d., Santos, W. N. d., Souza, F. M. d. L. C., Santos, R. S. d. C., Oliveira, I. C. d., Silva, H. L. L. d., & Lima, D. M. d. J. A. P. d. E. (2020). Control ineficaz de la salud en personas que viven con SIDA: análisis de contenido. Acta Paulista de Enfermagem, 33. https://doi.org/10.37689/acta-ape/2020ao0129
Stawnychy, M., Masterson Creber, R., & Riegel, B. (2013). Using brief motivational interviewing to address the complex needs of a challenging patient with heart failure. Journal of Cardiovascular Nursing, 29(5), E1-E6. https://doi.org/10.1097/JCN.0000000000000098
Sterling, M. R., Silva, A. F., Leung, P. B. K., Shaw, A. L., Tsui, E. K., Jones, C. D., Robbins, L., Escamilla, Y., Lee, A., Wiggins, F., Sadler, F., Shapiro, M. F., Charlson, M. E., Kern, L. M., & Safford, M. M. (2018). “It's like they forget that the word ‘health’ is in ‘home health aide’”: Understanding the perspectives of home care workers who care for adults with heart failure. Journal of the American Heart Association, 7(23), e010134. https://doi.org/10.1161/jaha.118.010134
Streng, K. W., Nauta, J. F., Hillege, H. L., Anker, S. D., Cleland, J. G., Dickstein, K., Filippatos, G., Lang, C. C., Metra, M., Ng, L. L., Ponikowski, P., Samani, N. J., van Veldhuisen, D. J., Zwinderman, A. H., Zannad, F., Damman, K., van der Meer, P., & Voors, A. A. (2018). Non-cardiac comorbidities in heart failure with reduced, mid-range and preserved ejection fraction. International Journal of Cardiology, 271, 132-139. https://doi.org/10.1016/j.ijcard.2018.04.001
Tanner, C. A. (2006). Thinking like a nurse: a research-based model of clinical judgment in nursing. Journal of Nursing Education, 45(6), 204-211. https://doi.org/10.3928/01484834-20060601-04
Tastan, S., Linch, G. C., Keenan, G. M., Stifter, J., McKinney, D., Fahey, L., Lopez, K. D., Yao, Y., & Wilkie, D. J. (2014). Evidence for the existing American Nurses Association-recognized standardized nursing terminologies: a systematic review. International Journal of Nursing Studies, 51(8), 1160-1170. https://doi.org/10.1016/j.ijnurstu.2013.12.004
Trupp, R. J., Penny, L., & Prasun, M. A. (2016). American Association of Heart Failure nurses position paper on the certified heart failure nurse - Knowledge (CHFN-K) certification. Heart & Lung, 45(3), 291-292. https://doi.org/10.1016/j.hrtlng.2016.03.006
Urbich, M., Globe, G., Pantiri, K., Heisen, M., Bennison, C., Wirtz, H. S., & Di Tanna, G. L. (2020). A systematic review of medical costs associated with heart failure in the USA (2014-2020). Pharmacoeconomics, 38(11), 1219-1236. https://doi.org/10.1007/s40273-020-00952-0
Vellone, E., Chung, M. L., Alvaro, R., Paturzo, M., & Dellafiore, F. (2018). The influence of mutuality on self-care in heart failure patients and caregivers: A dyadic analysis. Journal of Family Nursing, 24(4), 563-584. https://doi.org/10.1177/1074840718809484
Walker, L. O., & Avant, K. C. (2011). Strategies for theory construction in nursing. Pearson/Prentice Hall.
Ware, P., Ross, H. J., Cafazzo, J. A., Boodoo, C., Munnery, M., & Seto, E. (2020). Outcomes of a heart failure telemonitoring program implemented as the standard of care in an outpatient heart function clinic: Pretest-posttest pragmatic Study. Journal of Medical Internet Research [Electronic Resource], 22(2), e16538. https://doi.org/10.2196/16538
World Health Organization. (1998). Draft charter for general practice/family medicine in Europe. (Report on a WHO meeting, Copenhagen, Denmark February 6-7). WHO.
Wu, J. R., & Moser, D. K. (2018). Medication adherence mediates the relationship between heart failure symptoms and cardiac event-free survival in patients with heart failure. Journal of Cardiovascular Nursing, 33(1), 40-46. https://doi.org/10.1097/jcn.0000000000000427
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Jr., Colvin, M. M., Drazner, M. H., Filippatos, G. S., Fonarow, G. C., Givertz, M. M., Hollenberg, S. M., Lindenfeld, J., Masoudi, F. A., McBride, P. E., Peterson, P. N., Stevenson, L. W., & Westlake, C. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Journal of the American College of Cardiology, 70(6), 776-803. https://doi.org/10.1016/j.jacc.2017.04.025
Zhang, J., Hobkirk, J., Carroll, S., Pellicori, P., Clark, A. L., & Cleland, J. G. (2016). Exploring quality of life in patients with and without heart failure. International Journal of Cardiology, 202, 676-684. https://doi.org/10.1016/j.ijcard.2015.09.076
de Carvalho E. C., Cruz D. A. L. M, Herdman T. H. (2013). Contribuição das linguagens padronizadas para a produção do conhecimento, raciocínio clínico e prática clínica da Enfermagem. Revista Brasileira de Enfermagem, 66, (spe), 134-141. https://doi.org/10.1590/s0034-71672013000700017.