Heart & Lung: The Journal of Acute and Critical Care
Volume 38, Issue 1 , Pages 1-9, January 2009

Qualitative analysis of a mutual goal-setting intervention in participants with heart failure

  • Karen L. Meyerson, MSN, RN, FNP-C, AE-C

      Affiliations

    • Asthma Network of West Michigan, Grand Rapids, Michigan
    • Corresponding Author InformationCorresponding author: Karen Meyerson, MSN, RN, FNP-C, AE-C, Manager, Asthma Network of West Michigan, 245 State Street SE, Grand Rapids, MI 49503
    • ,
  • Kay Setter Kline, PhD, RN

      Affiliations

    • Kirkhof College of Nursing, Grand Valley State University, Allendale, Michigan

published online 01 September 2008.

Objective

The purpose of this study was to identify factors influencing self-management in patients with heart failure. Themes were determined by examining the review of the Goal Attainment Follow-up Guide and anecdotal records made by nurse interventionists during their implementation of mutual goal setting for the study of participants with heart failure.

Methods

Anecdotal records from a study using a mutual goal-setting intervention with participants with heart failure were reviewed and analyzed using qualitative methods to determine emerging themes.

Results

The anecdotal records of 27 patients were reviewed. Four themes emerged from this analysis: (1) competing priorities, (2) self-efficacy related to heart failure self-management, (3) activity level, and (4) psychosocial adaptation.

Conclusion

Goals set by participants reflected their life experiences and exemplified challenges with heart failure self-management. Some themes reflected the complexity of their lives, whereas other themes demonstrated levels of knowledge and motivation. Mutual goal setting was helpful in understanding the perspective of the participants and their receptivity to the process of adopting health-promoting behaviors.

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 Supported by the American Heart Association, Midwest Affiliate [9951107Z], Kay Setter Kline, PhD, PI.

PII: S0147-9563(07)00237-3

doi:10.1016/j.hrtlng.2007.12.004

Heart & Lung: The Journal of Acute and Critical Care
Volume 38, Issue 1 , Pages 1-9, January 2009

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