ative care program for patients with HF CarePath to prevent unnecessary

Ative care program for patients with hf carepath to

This preview shows page 8 - 9 out of 10 pages.

ative care program for patients with HF, CarePath, to prevent unnecessary emergency department visits and hospitalizations and optimizing a patient’s level of func- tion through education, medication, and disease man- agement. 50 All of these programs may have heightened awareness of care providers to the needs of patients with HF, thus affecting readmission rates. Necessity-Concerns Differential and 30-Day Hospital Readmission Greater beliefs about the necessity of medications than concerns about medications (necessity-concerns differ- ential) were expected to be inversely related to hospital readmission. This was not found. However, these findings are similar to findings of others, 48,51 but it is difficult to make comparisons because few researchers have used the necessity-concerns differential to mea- sure treatment beliefs. A possible explanation for the lack of relationship in the current study may be that individuals had worked with their healthcare providers to tailor their medication regimens over time. Overall, thissamplehadhadHFformanyyears,soconcernsabout safety and adverse effects had potentially been addressed with changes in medication, eliminating concerns. Limitations of the study include its cross-sectional design, which does not allow for assessment of changes in variables over time. Generalizability of study find- ings is limited because 1 recruitment site was used, the sample consisted only of older middle-aged to older adults, non Y English-speaking individuals were excluded and par- ticipation was voluntary which could be a source of bias. Nurses can use this information to help identify individuals who may be at risk of being nonadherent. For instance, the B-IPQ and the Beliefs about Medicines Questionnaire specific subscales could easily be incor- porated into an admission assessment, review of health history, or medication reconciliation process already in place to assess an individual’s beliefs. Identifying individ- uals who may be at risk for nonadherence is 1 of the first steps in addressing this problem. More importantly, we identified individuals with high personal control as being nonadherent. In practice, nurses encourage per- sonal control and self-care, but in some people with HF, encouraging personal control may have negative conse- quences such as medication nonadherence. Findings from this study suggest that personal control in some adults with HF may be a marker for medication non- adherence. Clearly, further exploration regarding the meaning of personal control in this population is nec- essary. Finally, the findings related to treatment beliefs have important implications for nursing practice. When individuals believed that their treatment was not effec- tive in controlling their HF, they were readmitted within 30 days for HF. In addition, participants were more adherent when they believed that medication necessity outweighed the concerns they had about their medicines.
Image of page 8
Image of page 9

You've reached the end of your free preview.

Want to read all 10 pages?

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes