Comparing the Barriers and Facilitators of Heart Failure Management as Perceived by Patients, Caregivers, and Clinical Providers

The Journal of Cardiovascular Nursing
Ranak TrivediJohn D Piette

Abstract

Heart failure (HF) management requires the participation of patients, their significant others, and clinical providers. Each group may face barriers to HF management that may be unique or may overlap. The aim of this study was to compare the barriers and facilitators of HF management as perceived by patients, significant others, and clinical providers. Participants were recruited from a Veterans Health Administration facility. Eligible patients had a diagnosis of HF (ICD9 code 428.XX), 1 or more HF-related visit in the previous year, and a significant other who was their primary caregiver. Significant others were adults with no history of cognitive impairments caring for patients with HF. Providers were eligible if they cared for patients with HF. All participants completed semistructured interviews designed to elicit barriers to managing HF and strategies that they used to overcome these barriers. Interviews were transcribed and analyzed using latent thematic analysis, and recruitment continued until thematic saturation was attained. A total of 17 couples and 12 providers were recruited. All 3 groups identified poor communication as a key barrier to HF management, including communication between patients and their significant ...Continue Reading

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Sep 15, 2016·Frontiers in Public Health·Ranak TrivediJohn D Piette

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Citations

Jul 25, 2019·Alcoholism, Clinical and Experimental Research·Christine TimkoMichael A Cucciare
Apr 17, 2020·International Journal of Environmental Research and Public Health·Natasa SedlarJerneja Farkas
May 10, 2020·Journal of Palliative Medicine·Vibeke Brogaard HansenAnn-Dorthe Zwisler
Dec 4, 2020·International Journal of Environmental Research and Public Health·Ina Thon AamodtIrene Lie
May 12, 2021·Journal of Participatory Medicine·Anne-Marie SuutariKristina Areskoug Josefsson
Jun 25, 2021·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Madhuvanthi SureshRanak Trivedi
Jul 10, 2021·Journal of General Internal Medicine·Margaret F ZupaAnn-Marie Rosland

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