A "basket of care" for heart failure patients managing at home: evaluating a community-based nursing intervention from a patient's perspective.
BACKGROUND
Patients with heart failure (HF) in the community represent a large and growing patient population whose complex care requires implementation of innovative care modalities. The Centre Hospitalier--Centre de Sante et de Services Sociaux--Corridor of Service for Heart Failure Patients (CH-CSSS-CSHFP) represents a novel approach to address the challenges of delivering comprehensive care to HF patients in the community.


OBJECTIVE
In this study, the researchers aimed to answer the question: What is the patient's perception of care received in the CH-CSSS-CSHFP?


METHODS
A descriptive qualitative design and semistructured interviews guided the inquiry.


METHODS
A convenience sample (n=5) of HF patients was recruited from five community health centres.


RESULTS
Themes that arose from analysis included "Staying home": A shared goal of the patient and service, "Checking on": Health-related monitoring, and "Being connected": Ties to the health care system.


CONCLUSIONS
Results of this study provide insight into the patient's unique perspective on how this service has impacted his/her HF management and may assist health care professionals in designing more effective community-based services.
Young
Brad
B
Groupe de Recherche Interuniversitaire en Sciences Infirmières de Montreal, Edmonton, AB.
Purden
Margaret
M
Sauvé
Nicole
N
Dufour
Lucille
L
Common
Carol
C
D000368:Aged; D000369:Aged, 80 and over; D003191:Comprehensive Health Care / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D005260:Female; D006333:Heart Failure / Q000451:nursing / Q000534:rehabilitation*; D018575:Home Care Services, Hospital-Based / Q000458:organization & administration*; D006801:Humans; D008297:Male; D017146:Models, Organizational; D020380:Needs Assessment; D017060:Patient Satisfaction; D011792:Quebec; D012017:Referral and Consultation; D035862:Vulnerable Populations