title: Feasibility study of a nurse-led heart failure education program.
abstract: OBJECTIVE
  To assess the feasibility of a nurse-led heart failure (HF) education program using the Self-Care Heart Failure Index (SCHFI) instrument.
  
  
  BACKGROUND
  HF is a frequent and burdensome condition requiring support with self-care management strategies and education. Translating best practice to health services is important in improving health outcomes.
  
  
  METHODS
  Longitudinal quasi-experimental design.
  
  
  METHODS
  A convenience sample of (N = 41) patients with HF. We implemented a nurse-led education program with 30-day post-discharge home-based telephone follow-up. The SCHFI was used to measure self-care behaviors. 30-day readmission rates were assessed.
  
  
  RESULTS
  A significant difference was found in scores for self-care maintenance (p ≤ .001) and self-care management (p ≤ .001) subscales, not self-care confidence. There was no statistically significant difference between 30-day HF readmission rates.
  
  
  CONCLUSIONS
  Findings suggest that the nurse-led evidence-based HF education program improved self-care behaviors and decreased 30-day readmissions. There is a need for continued development of interventions focused on improving patient self-care confidence.
authors: a Department of Acute and Chronic Care , Johns Hopkins School of Nursing , 525 N. Wolf Street, Baltimore , MD 21205 , USA.
authors: Diana-Lyn
authors: DL
authors: Baptiste
authors: a Department of Acute and Chronic Care , Johns Hopkins School of Nursing , 525 N. Wolf Street, Baltimore , MD 21205 , USA.
authors: Patricia
authors: P
authors: Davidson
authors: b Center for Nursing Excellence , Greater Baltimore Medical Center , 6701 N. Charles Street, Towson , MD 21204 , USA.
authors: Lisa
authors: L
authors: Groff Paris
authors: c Department of Community-Public Health , Johns Hopkins School of Nursing , 525 N. Wolf Street, Baltimore , MD 21205 , USA.
authors: Kathleen
authors: K
authors: Becker
authors: d Department of Sub-acute Rehabilitation , North West Hospital , 5401 Old Court Road, Randallstown , MD 21133 , USA.
authors: Tye
authors: T
authors: Magloire
authors: e Daniel K. Inouye Graduate School of Nursing , Uniformed Services University of Health Sciences , 4301 Jones Bridge Road, Bethesda , MD 20814 , USA.
authors: Laura A
authors: LA
authors: Taylor
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D006333:Heart Failure / Q000451:nursing*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008873:Mid-Atlantic Region; D008875:Middle Aged; D024802:Nurse's Role; D010353:Patient Education as Topic / Q000458:organization & administration*; D012648:Self Care / Q000379:methods*
keywords: heart failure; patient education; readmission; self-care confidence; self-care maintenance; self-care management