Patients' and nurses' views of nurse-led heart failure clinics in general practice: a qualitative study
Patients' and nurses' views of nurse-led heart failure clinics in general practice: a qualitative study
Objectives: To ascertain nurses' and patients' views and experiences of a nurse-led heart failure clinic provided in general practice.
Methods: The study was set in eight general practices in the North-West of England. Semi-structured interviews were devised and administered, with all the nurses providing the clinics and a purposive sample of patients attending the clinics. The interviews were tape-recorded and transcribed. Constant comparative analysis was used to identify key issues and themes.
Results: Nurses felt that the self-care advice provided had empowered patients to manage their condition. Explaining why a medication had been prescribed, and how it controlled heart failure, was felt to increase compliance. Although communication was deemed good, some patients were reticent about asking questions. Patients were knowledgeable about their prescribed heart failure medications, but some did not recall having discussed their medications. Also, medication inserts led some patients to question their prescription. Patients remained confused about the purpose and outcome of investigations. Furthermore, many patients suggested that they had problems adhering to or remembering the advice given.
Discussion: There are practical benefits to be obtained from attending a nurse-led heart failure clinic in primary care. However, patients and healthcare providers may have quite divergent views about such a service and its benefits, emphasizing the potential value of consumer involvement and feedback when developing and delivering such services.
clinics, heart failure, nurses, primary care, patient education
39-47
Lloyd-Williams, Ffion
e3589b2e-4cdf-4a40-a35c-c1d3454311e3
Beaton, Susan
edf22482-8aaa-40a4-ac52-ab92dd3987ee
Goldstein, Pauline
09ce794f-9a15-4d08-871c-13d6028a107b
Mair, Frances
5a57846b-cda7-4368-9d20-0aa2a1d490ca
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
Capewell, Simon
311e7154-51cb-40b6-b901-e3f8795d12fd
March 2005
Lloyd-Williams, Ffion
e3589b2e-4cdf-4a40-a35c-c1d3454311e3
Beaton, Susan
edf22482-8aaa-40a4-ac52-ab92dd3987ee
Goldstein, Pauline
09ce794f-9a15-4d08-871c-13d6028a107b
Mair, Frances
5a57846b-cda7-4368-9d20-0aa2a1d490ca
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
Capewell, Simon
311e7154-51cb-40b6-b901-e3f8795d12fd
Lloyd-Williams, Ffion, Beaton, Susan, Goldstein, Pauline, Mair, Frances, May, Carl and Capewell, Simon
(2005)
Patients' and nurses' views of nurse-led heart failure clinics in general practice: a qualitative study.
Chronic Illness, 1 (1), .
(doi:10.1177/17423953050010010201).
Abstract
Objectives: To ascertain nurses' and patients' views and experiences of a nurse-led heart failure clinic provided in general practice.
Methods: The study was set in eight general practices in the North-West of England. Semi-structured interviews were devised and administered, with all the nurses providing the clinics and a purposive sample of patients attending the clinics. The interviews were tape-recorded and transcribed. Constant comparative analysis was used to identify key issues and themes.
Results: Nurses felt that the self-care advice provided had empowered patients to manage their condition. Explaining why a medication had been prescribed, and how it controlled heart failure, was felt to increase compliance. Although communication was deemed good, some patients were reticent about asking questions. Patients were knowledgeable about their prescribed heart failure medications, but some did not recall having discussed their medications. Also, medication inserts led some patients to question their prescription. Patients remained confused about the purpose and outcome of investigations. Furthermore, many patients suggested that they had problems adhering to or remembering the advice given.
Discussion: There are practical benefits to be obtained from attending a nurse-led heart failure clinic in primary care. However, patients and healthcare providers may have quite divergent views about such a service and its benefits, emphasizing the potential value of consumer involvement and feedback when developing and delivering such services.
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Published date: March 2005
Keywords:
clinics, heart failure, nurses, primary care, patient education
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Local EPrints ID: 163521
URI: http://eprints.soton.ac.uk/id/eprint/163521
ISSN: 1742-3953
PURE UUID: 1bf52fb5-1977-4e9a-9119-af5e6a860cdb
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Date deposited: 09 Sep 2010 15:39
Last modified: 14 Mar 2024 02:05
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Contributors
Author:
Ffion Lloyd-Williams
Author:
Susan Beaton
Author:
Pauline Goldstein
Author:
Frances Mair
Author:
Carl May
Author:
Simon Capewell
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