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Pattern Versus Change: Community-Based Dyadic Heart Failure Self-Care
Clinical Nursing Research
  • Harleah G. Buck, University of South Florida
  • Judith Hupcey, Penn State College of Nursing
  • Alexa Watach, Penn State College of Nursing
Document Type
Publication Date
  • qualitative,
  • dyad,
  • life course,
  • symptom management,
  • intervention
Digital Object Identifier (DOI)
It is imperative that dyadic heart failure (HF) self-care be carefully examined so we can develop interventions which improve patient outcomes. The purpose of this study was to qualitatively examine how patient/informal caregiver dyads mutually engage in managing the patient’s HF at home. Twenty-seven dyads were interviewed using a theoretically derived interview guide. All interviews were digitally recorded and professionally transcribed, and iterative thematic analysis was conducted. Three descriptive themes emerged—Mutual engagement in self-care involves maintaining established patterns of engagement across the life course of the relationship, changing patterns according to whether it is day-to-day care or symptom management, and mobilizing the help of a third party as consultant. These themes reveal the dyadic conundrum—whether to change or remain the same in the face of a dynamic and progressive condition like HF. The themes suggest potential targets for intervention—interventions focused on the relationship or caregiver activation.
Citation / Publisher Attribution

Clinical Nursing Research (in press)

Citation Information
Harleah G. Buck, Judith Hupcey and Alexa Watach. "Pattern Versus Change: Community-Based Dyadic Heart Failure Self-Care" Clinical Nursing Research (2017)
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