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Can nurses help improve self-care of patients living with atrial fibrillation? A focus group study exploring patients' disease knowledge gaps.
Nurs Open. 2020 Jul; 7(4):998-1010.NO

Abstract

Aims

To identify knowledge gaps and preferences for educational material to improve nurse-patient communication and self-care.

Design

Using a mixed-methods design, we conducted focus groups and quantitative surveys.

Methods

We conducted three focus groups with atrial fibrillation (AF) patients and support persons (N = 17 participants; 66 ± 16 years) at critical treatment junctures (recent diagnosis or medication switch). Patients and support persons were also surveyed on patient activation (self-management skills and knowledge), medication adherence, AF knowledge and health literacy. Iterative thematic analysis was performed using focus group transcripts.

Results

Although most participants had adequate health literacy, most reported gaps in AF knowledge. Participants lacked disease-related knowledge and were unsure how to manage health behaviours (e.g. diet and exercise). Few felt they received adequate education from their healthcare provider. Results emphasize the need for consistent information from nursing staff, in lay language, via both electronic and printed means.

Authors+Show Affiliations

Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana. Indiana University School of Informatics and Computing Indianapolis Indiana.Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana.Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana.Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana. Psychology Department Purdue University Fort Wayne Fort Wayne Indiana.Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana.Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana. Indiana University School of Informatics and Computing Indianapolis Indiana.Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana.Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana. Indiana University School of Informatics and Computing Indianapolis Indiana. Indiana University School of Medicine Indianapolis Indiana.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32587718

Citation

Toscos, Tammy R., et al. "Can Nurses Help Improve Self-care of Patients Living With Atrial Fibrillation? a Focus Group Study Exploring Patients' Disease Knowledge Gaps." Nursing Open, vol. 7, no. 4, 2020, pp. 998-1010.
Toscos TR, Coupe A, Wagner S, et al. Can nurses help improve self-care of patients living with atrial fibrillation? A focus group study exploring patients' disease knowledge gaps. Nurs Open. 2020;7(4):998-1010.
Toscos, T. R., Coupe, A., Wagner, S., Drouin, M., Roebuck, A. E., Daley, C. N., Carpenter, M. D., & Mirro, M. J. (2020). Can nurses help improve self-care of patients living with atrial fibrillation? A focus group study exploring patients' disease knowledge gaps. Nursing Open, 7(4), 998-1010. https://doi.org/10.1002/nop2.472
Toscos TR, et al. Can Nurses Help Improve Self-care of Patients Living With Atrial Fibrillation? a Focus Group Study Exploring Patients' Disease Knowledge Gaps. Nurs Open. 2020;7(4):998-1010. PubMed PMID: 32587718.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can nurses help improve self-care of patients living with atrial fibrillation? A focus group study exploring patients' disease knowledge gaps. AU - Toscos,Tammy R, AU - Coupe,Amanda, AU - Wagner,Shauna, AU - Drouin,Michelle, AU - Roebuck,Amelia E, AU - Daley,Carly N, AU - Carpenter,Maria D, AU - Mirro,Michael J, Y1 - 2020/05/12/ PY - 2019/08/03/received PY - 2019/12/07/revised PY - 2020/02/16/accepted PY - 2020/6/27/entrez PY - 2020/6/27/pubmed PY - 2020/6/27/medline KW - adult nursing KW - anticoagulants KW - atrial fibrillation KW - focus groups KW - health information technology KW - medication adherence KW - patient engagement KW - qualitative research SP - 998 EP - 1010 JF - Nursing open JO - Nurs Open VL - 7 IS - 4 N2 - Aims: To identify knowledge gaps and preferences for educational material to improve nurse-patient communication and self-care. Design: Using a mixed-methods design, we conducted focus groups and quantitative surveys. Methods: We conducted three focus groups with atrial fibrillation (AF) patients and support persons (N = 17 participants; 66 ± 16 years) at critical treatment junctures (recent diagnosis or medication switch). Patients and support persons were also surveyed on patient activation (self-management skills and knowledge), medication adherence, AF knowledge and health literacy. Iterative thematic analysis was performed using focus group transcripts. Results: Although most participants had adequate health literacy, most reported gaps in AF knowledge. Participants lacked disease-related knowledge and were unsure how to manage health behaviours (e.g. diet and exercise). Few felt they received adequate education from their healthcare provider. Results emphasize the need for consistent information from nursing staff, in lay language, via both electronic and printed means. SN - 2054-1058 UR - https://www.unboundmedicine.com/medline/citation/32587718/Can_nurses_help_improve_self-care_of_patients_living_with_atrial_fibrillation_A_focus_group_study_exploring_patients'_disease_knowledge_gaps L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/32587718/ DB - PRIME DP - Unbound Medicine ER -
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