The Effect of Discharge Intervention Provided by an Advanced Practice Nurse on the Post-Discharge Self-Care Agency of Clients Admitted with Congestive Heart Failure

Author

Theresa Dawson, Grand Valley State University

Date Approved

1998

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

Abstract

This study used a quasi-experimental design using a two-group comparison to evaluate the effects of advanced practice nurse interventions on client compliance to self-care regimens (diet, meds, and established appointments). The conceptual framework was based upon Dorothea Orem's Self-Care Model.

This study used the premise of Ashby's (1988) "Self-Care Outcome Measurement" tool to ascertain the frequency of the clients'performance of self-care activities. The frequency was measured using a 4-point summated rating scale. The study site was a 400 bed acute care hospital in Southcentral Michigan. The convenience sample of 10 adult clients with congestive heart failure were interviewed by phone one month following discharge.

Overall, the findings demonstrated good self-care abilities, however due to small sample size and unequal group distribution between intervention and comparison clients, conclusions regarding Type I or II congestive heart failure client ability for self-care post discharge as it relates directly to advanced practice nurse intervention could not be made. No significant difference was found for medication compliance, self-care activities, or keeping scheduled appointments between the intervention and the comparison group.

Comments

Questions or concerns regarding the copyright status of this item may be directed to scholarworks@gvsu.edu.

ScholarWorks Citation

Dawson, Theresa, "The Effect of Discharge Intervention Provided by an Advanced Practice Nurse on the Post-Discharge Self-Care Agency of Clients Admitted with Congestive Heart Failure" (1998). Masters Theses. 386.
https://scholarworks.gvsu.edu/theses/386