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

Published:September 01, 2008DOI:https://doi.org/10.1016/j.hrtlng.2007.12.004

      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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      References

        • American Heart Association
        Heart disease and stroke statistics—2006 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Committee.
        Circulation. 2006; 113: 85-151
        • Moser D.K.
        • Worster P.L.
        Effect of psychosocial factors on physiologic outcomes in patients with heart failure.
        J Cardiovasc Nurs. 2000; 14: 106-115
        • Costello J.
        • Boblin S.
        What is the experience of men and women with congestive heart failure?.
        Can J Cardiovasc Nurs. 2004; 14: 9-20
        • Mahoney J.S.
        An ethnographic approach to understanding the illness experiences of participants with congestive heart failure and their family members.
        Heart Lung. 2001; 30: 429-436
        • Clark N.M.
        Management of chronic disease by participants.
        Annu Rev Public Health. 2003; 24: 289-313
        • Maves M.S.
        Mutual goal setting.
        in: Bulechek G.M. McCloskey J.C. Nursing interventions: essential nursing treatments. 2nd ed. Saunders, Philadelphia1992: 352-365
        • Carpenito L.J.
        Nursing diagnosis: application to clinical practice.
        11th ed. Lippincott Williams & Wilkins, Philadelphia2005
        • Hicks F.D.
        • Holm K.
        Self-management decision influences in heart failure.
        Clin Nurs Res. 2003; 12: 69-84
        • Scotto C.J.
        The lived experience of adherence for participants with heart failure.
        J Cardpulm Rehabil. 2005; 25: 58-163
        • Kline K.S.
        • Scott L.
        • Britton A.
        The use of supportive educative and mutual goal setting strategies to improve self-management for patients with heart failure.
        Home Healthc Nurse. 2007; 25: 502-510
        • Polit D.F.
        • Beck C.T.
        Nursing research: principles and methods.
        7th ed. Lippincott Williams & Wilkins, Philadelphia2004
        • Clark N.M.
        • Dodge J.
        Exploring self-efficacy as predictor of disease management.
        Health Educ Behav. 1999; 26: 72-89
        • Pajares F.
        Overview of social cognitive theory and of self-efficacy.
        (Accessed July 25, 2006)
        • Arnold R.
        • Ranchor A.V.
        • DeJongste M.J.
        • et al.
        The relationship between self-efficacy and self-reported physical functioning in chronic obstructive pulmonary disease and chronic heart disease.
        Behav Med. 2005; 31: 107-114
        • Wehby D.
        • Brenner P.S.
        Perceived learning needs of participants with heart failure.
        Heart Lung. 1999; 28: 31-40
        • Mårtensson J.
        • Karlsson J.-E.
        • Fridlund B.
        Male participants with congestive heart failure and their conception of the life situation.
        J Adv Nurs. 1997; 25: 579-586
        • Sawyer S.M.
        • Aroni R.A.
        Sticky issue of adherence.
        J Paediatr Child Health. 2003; 39: 2-5
        • Strömberg A.
        • Broström A.
        • Dahlström U.
        • Fridlund B.
        Factors influencing patient compliance with therapeutic regimens in chronic heart failure: a critical incident technique analysis.
        Heart Lung. 1999; 28: 334-341
        • Ågård A.
        • Hermerén G.
        • Herlitz J.
        When is a patient with heart failure adequately informed?.
        Heart Lung. 2004; 33: 219-226
        • Mårtensson J.
        • Karlsson J.-E.
        • Fridlund B.
        Female participants with congestive heart failure: How they conceive their life situation.
        J Adv Nurs. 1998; 28: 1216-1224
        • Zambroski C.H.
        Qualitative analysis of living with heart failure.
        Heart Lung. 2003; 32: 32-40
        • King I.M.
        A Theory of goal attainment: philosophical and ethical implications.
        Nurs Sci Q. 1999; 12: 292-296
        • Czar M.
        Two methods of goal setting in middle-aged adults facing critical life changes.
        Clin Nurse Spec. 1987; 1: 171-177