L'approche expérientielle dans l'adaptation d'une intervention infirmière visant à augmenter les autosoins dans un contexte d'insuffisance cardiaque

Authors: Duval, Karyne
Advisor: Gallani, Maria Cecilia
Abstract: Heart failure (HF) is a syndrome that has serious consequences for both the patients and society. To avoid frequent decompensation episodes that directly affect HF patients’ prognosis and quality of life, they are encouraged to perform daily self-care. However, these self-care behaviors are little or not done. In order to increase adherence to these essential behaviors, we have adapted the implementation intentions strategy for nurses who work with HF patients. To ensure its acceptability and feasibility in a clinical setting, we realized the experiential approach proposed by Sidani and Braden (2011), in which the target population participates in the development of the intervention so that it is in adequacy with their realities. Thus, the purpose of this study was to carry out the experiential approach in order to understand the problem of self-care and the adaptation needs of the nursing intervention based on the implementation intentions strategy to increase the behaviors of selfcare in HF patients. Semi-structured interviews were conducted individually with seven patients and in a focus group with eight nurses. The results show that self-care is difficult for patients and that, in accordance with Riegel's situation-specific theory of HF self-care (Riegel et al., 2016), implementation intentions can respond to this problem. Furthermore, this intervention was well received by patients and nurses, provided that changes were made to it, such as reducing the time of the procedure and choosing the right time to perform it. These results demonstrate the importance of the experiential approach in the development of nursing interventions and recommendations for future research were also derived from our findings.
Document Type: Mémoire de maîtrise
Issue Date: 2019
Open Access Date: 29 November 2019
Permalink: http://hdl.handle.net/20.500.11794/37367
Grantor: Université Laval
Collection:Thèses et mémoires

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