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BACKGROUND Research has shown a direct relationship between staffing levels and patient outcomes for specific nurse-sensitive indicators, with lower patient to nurse ratios (i.e. less patients per nurse) associated with better outcomes. OBJECTIVES To explore the relationship between nurse staffing characteristics (the nursing hours worked by permanent and(More)
PURPOSE This paper analyses the two prominent psychological theories of patient response--illness representation and self-efficacy--and explore the possibilities of the development of a conceptual individualized care model that would make use of both theories. METHODS Analysis of the literature established common themes that were used as the basis to form(More)
AIM   This article is a report of a study exploring health-related quality of life in adults with congenital heart disease and the extent to which it is associated with patients' illness beliefs and emotional health. BACKGROUND   A reduction in mortality in patients with congenital heart disease has led to an increasingly older population that faces new(More)
AIM This paper reports a patient survey exploring the possible relationship between illness perception and self-efficacy following a cardiac event, and the implications this could have for nursing practice. BACKGROUND Cardiac rehabilitation guidelines endorse the need to improve psychological care; suggesting that individualized support will improve the(More)
OBJECTIVES To assess the measures of illness representation components in predicting measures of self-efficacy in patients with coronary heart disease. DESIGN A longitudinal design was adopted with predictor variables and dependent variables (general self-efficacy, diet self-efficacy and exercise self-efficacy) measured twice while participants were in(More)
AIM This paper is a report of a study to assess the association between coronary heart disease patients' illness beliefs and their self-efficacy 3 years after hospital discharge. BACKGROUND Cardiac rehabilitation guidelines recommend that both the illness representation model and the concept of self-efficacy are relevant frameworks for developing(More)
OBJECTIVES To examine the associations between illness perception, self-care behaviour, and quality of life in patients admitted to hospital with a primary diagnosis of heart failure (HF), and the changes in these at 2 and 6 months after discharge. DESIGN Longitudinal questionnaire-based study. SETTING Three London hospitals with specialist heart(More)
BACKGROUND Numerous cardiac rehabilitation national guidelines consistently endorse the need for psychological support to create effective individualized care. Recent surveys suggest that the psychological factors remain poorly assessed and the measurement of psychological parameters remains patchy. AIM To examine cardiac rehabilitation practitioners'(More)
BACKGROUND Recent intervention studies have attempted to address cardiac rehabilitation patients' illness beliefs to improve care. Their findings were mainly limited to short-term behaviour changes such as return to work or attendance on rehabilitation programmes. Evidence about what aspects of the patients' illness beliefs influence long-term quality of(More)