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From Qualitative Meta-Summary to Qualitative Meta-Synthesis: Introducing a New Situation-Specific Theory of Barriers and Facilitators for Self-Care in Patients With Heart Failure.
- Source :
-
Qualitative Health Research . Jan2019, Vol. 29 Issue 1, p96-106. 11p. - Publication Year :
- 2019
-
Abstract
- Situation-specific theories provide nurses with a vehicle to interpret situations, guide their decisions or make assumptions about factors influencing a health problem. In this article, we used meta-synthesis techniques to integrate statements of findings pertaining to barriers and facilitators to heart failure self-care that were derived previously through meta-summary techniques leading to a new situation-specific theory. According to our proposed theory, self-care behavior is the result of a patient's naturalistic decision-making process. This process is influenced by two key concepts: "self-efficacy" and the "patient's disease concept of heart failure." Numerous facilitative and inhibitive factors have been identified influencing these two key concepts as well as the decision-making process, thereby either enabling or hampering the execution of effective heart failure self-care. Further research is needed to validate the model through empirical testing. Once fully matured, the model may be useful in developing behavioral interventions aiming at enhancing adherence to self-care recommendations. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10497323
- Volume :
- 29
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Qualitative Health Research
- Publication Type :
- Academic Journal
- Accession number :
- 133589816
- Full Text :
- https://doi.org/10.1177/1049732318800290