Enhancing outpatient heart failure self-care through health literacy and cultural sensitivity

dc.contributor.authorLochan, Sanjy
dc.contributor.supervisorYoung, Lynne
dc.date.accessioned2013-05-01T20:29:47Z
dc.date.available2013-05-01T20:29:47Z
dc.date.copyright2013en_US
dc.date.issued2013-05-01
dc.degree.departmentSchool of Nursingen_US
dc.degree.levelMaster of Nursing M.N.en_US
dc.description.abstractIn this paper, I present an integrative literature review to explore whether health literacy (HL) and cultural sensitivity can strengthen nurses’ capacity to foster self-care in outpatient heart failure disease management programs (HFDMPs), and to enable sustainable health outcomes for adult HF patients. Literature from nursing, medicine, psychology, and social sciences is synthesized to develop the concepts of self-care, HL, and cultural sensitivity using the exemplar of outpatient adult HF care, in British Columbia (B.C.). Adults with HF cared for in outpatient clinics can be intimidated by generalized, evidence-driven self-care prescriptions, particularly if they do not fully understand the nature of their heart disease, its implications, or how certain therapies can control symptoms, delay disease progression and preserve quality of life (QOL). Health care providers can enhance the outpatient HF self-care experience using a holistic-biomedical perspective which draws on principles of Orem’s Self Care Deficit Theory (SCDT), HL, and cultural sensitivity. Future research should evaluate HFDMPs that include attention to HL and cultural sensitivity to determine if such enhanced programs enable sustainable patient improvements in HF symptoms and QOL, and if these improvements can occur sooner and with greater impact when HL and cultural sensitivity are integrated into HF self-care guidelines in an outpatient program.en_US
dc.description.scholarlevelGraduateen_US
dc.identifier.urihttp://hdl.handle.net/1828/4588
dc.language.isoenen_US
dc.rights.tempAvailable to the World Wide Weben_US
dc.subjectoutpatienten_US
dc.subjectself-careen_US
dc.subjectheart failureen_US
dc.subjectcultural sensitivityen_US
dc.subjecthealth literacyen_US
dc.subjectguidelinesen_US
dc.titleEnhancing outpatient heart failure self-care through health literacy and cultural sensitivityen_US
dc.typeprojecten_US

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