Unmet needs following hospitalization with heart failure: Implications for clinical assessment and program planning

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dc.contributor.author Davidson, PM
dc.contributor.author Cockburn, J
dc.contributor.author Newton, PJ
dc.date.accessioned 2012-02-10T06:09:49Z
dc.date.issued 2008-11
dc.identifier.citation Journal of Cardiovascular Nursing, 2008, 23 (6), pp. 541 - 546
dc.identifier.issn 0889-4655
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/17142
dc.description.abstract BACKGROUND:: Measuring health status is increasingly important in both clinical practice and research. The Heart Failure Needs Assessment Questionnaire (HFNAQ) is a self-administered, disease-specific, 30-item questionnaire that measures an individual's perception of his/her needs in the physical, psychological, social, and spiritual domains. OBJECTIVES:: To assess the prevalence of needs in patients with heart failure (HF) recently discharged from hospital. METHODS:: The HFNAQ was administered to participants (n = 132; mean [SD] age, 72.3 [9.69] years; 63% male) consenting to attend an HF-specific cardiac rehabilitation program. RESULTS:: The total mean HFNAQ score was 67.3 (95% confidence interval, 65.03-69.75), indicating an average level of need around the midrange of the scale. In this vulnerable postdischarge phase, there was evidence of predominance of psychological and social concerns over physical needs. None of the variables that were examined for associations with the measures of needs reached statistical significance, highlighting the strongly individualized perception of need. CONCLUSIONS:: Higher levels of unmet needs in the psychological and social domains, compared with physical needs, identify psychosocial care as an important consideration for nursing interventions for people with HF. This study further demonstrates the importance of assessing the needs from the perspective of the individual to ascertain each person's unique perspective of the HF illness experience. Study findings further underscore the importance of individualized care planning for patients with HF after discharge from hospital to address their unique needs and circumstances. © 2008 Lippincott Williams & Wilkins.
dc.language eng
dc.relation.isbasedon 10.1097/01.JCN.0000338927.43469.35
dc.title Unmet needs following hospitalization with heart failure: Implications for clinical assessment and program planning
dc.type Journal Article
dc.parent Journal of Cardiovascular Nursing
dc.journal.volume 6
dc.journal.volume 23
dc.journal.number 6 en_US
dc.publocation Philadelphia, United States en_US
dc.identifier.startpage 541 en_US
dc.identifier.endpage 546 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1102 Cardiorespiratory Medicine and Haematology
dc.personcode 111808
dc.personcode 110950
dc.percentage 100 en_US
dc.classification.name Cardiovascular Medicine and Haematology en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Care planning
dc.description.keywords Heart failure
dc.description.keywords Heart Failure Needs Assessment Questionnaire
dc.description.keywords Needs assessment
dc.description.keywords Postdischarge care
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Uncategorised (ID: 363)
utslib.collection.history Closed (ID: 3)

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