Document Type
Article
Publication Date
2017
Keywords
qualitative, dyad, life course, symptom management, intervention
Digital Object Identifier (DOI)
https://doi.org/10.1177/1054773816688817
Abstract
It is imperative that dyadic heart failure (HF) self-care be carefully examined so we can develop interventions which improve patient outcomes. The purpose of this study was to qualitatively examine how patient/informal caregiver dyads mutually engage in managing the patient’s HF at home. Twenty-seven dyads were interviewed using a theoretically derived interview guide. All interviews were digitally recorded and professionally transcribed, and iterative thematic analysis was conducted. Three descriptive themes emerged—Mutual engagement in self-care involves maintaining established patterns of engagement across the life course of the relationship, changing patterns according to whether it is day-to-day care or symptom management, and mobilizing the help of a third party as consultant. These themes reveal the dyadic conundrum—whether to change or remain the same in the face of a dynamic and progressive condition like HF. The themes suggest potential targets for intervention—interventions focused on the relationship or caregiver activation.
Rights Information
Was this content written or created while at USF?
Yes
Citation / Publisher Attribution
Clinical Nursing Research, v. 27, issue 2, p. 148-161
Buck, H. G., Hupcey, J., & Watach, A., Pattern Versus Change: Community-Based Dyadic Heart Failure Self-Care. Clinical Nursing Research, 27(2), 148-161. © The Authors 2017. Reprinted by permission of SAGE Publications.
The final authenticated version is available at: https://doi.org/10.1177/1054773816688817
Scholar Commons Citation
Buck, Harleah G.; Hupcey, Judith; and Watach, Alexa, "Pattern Versus Change: Community-Based Dyadic Heart Failure Self-Care" (2017). Nursing Faculty Publications. 159.
https://digitalcommons.usf.edu/nur_facpub/159
