Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing


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.


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