Person-centered approach to nursing practice in a heart function clinic: An integrative literature review




Kerr, Susan

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The management of heart failure (HF) is complex, both for those experiencing HF and for those caring for people in an outpatient setting such as a Heart Function Clinic (HFC). Since the Institute of Medicine (IOM) (2001) identified patient-centered care as an essential foundation for quality and patient safety, much has been written about this type of care; however, it is not a new approach to nursing. In order to synthesize published literature examining the relationship between a person-centered care approach and the self-management of people living with HF, an integrative literature review was undertaken. Appropriate articles published between January 2001 and June 2014 were identified using CINAHL, Medline, Cochrane Database of Systematic Reviews, and Google Scholar. People present along their journey to self-management at different stages, which are related to certain life challenges that can affect an individual’s ability to adjust to living with HF. Supported by nursing theory and competency tools, such as the heart failure competency assessment, planning, and evaluation (HF-CAPE) tool, the nursing approach at each stage varies to support the person living with HF and their family. Following an integrative review of HF self-care literature with a person-centered care approach, the data were reduced until five themes were identified. These themes are (1) communication, (2) fostering understanding, (3) encouraging problem-solving, (4) sharing decision-making, and (5) setting person-defined goals. While the overarching theme of communication, including building of relationships, underpins the other four themes, the remaining themes are not mutually exclusive; they are interconnected but not in a linear fashion.



person-centered care approach, heart failure, self-management, outpatient care