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The situation-specific theory of caregiver contributions to heart failure self-care

Vellone, Ercole
Riegel, Barbara
Alvaro, Rosaria
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Abstract
The situation-specific theory of caregiver contributions to heart failure (HF) self-care describes the processes that caregivers could use for HF self-care. The major concepts of the theory include: contributors, mediators, process, outcomes, and feedback loops. These major concepts are influenced by caregivers’ cultural values. The contributors are the factors related to caregivers, patients, and caregiver-patient dyads. The mediators include caregiver self-efficacy that mediates the interactions between the contributors and the process. The process that is the central focus of the theory includes the sub-concepts of caregiver contribution to self-care maintenance, caregiver contribution to symptom perception, and caregiver contribution to self-care management. The outcomes are related to caregivers’ and patients’ outcomes and can be positive or negative. Finally, the feedback loops are the influences of the outcomes on the process. The situation-specific theory of caregiver contributions to HF self-care is a new theory that needs more testing and utilization. However, it has great potential to be used in clinical practice, nursing education, and research since the prevalence and incidence rates of HF are increasing worldwide and lay caregivers have key roles in HF self-care.
Keywords
theory, caregivers, heart failure, self-care, self-efficacy, cultural values
Date
2021
Type
Book chapter
Journal
Book
Situation specific theories : Development, utilization, and evaluation in nursing
Volume
Issue
Page Range
193-206
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
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Event URL
Open Access Status
License
All rights reserved
File Access
Controlled
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