The Situation-Specific Theory of Heart Failure Self-Care: Revised and Updated

  title={The Situation-Specific Theory of Heart Failure Self-Care: Revised and Updated},
  author={Barbara Riegel and Victoria Vaughan Dickson and Kenneth M Faulkner},
  journal={The Journal of Cardiovascular Nursing},
Background:Since the situation-specific theory of heart failure (HF) self-care was published in 2008, we have learned much about how and why patients with HF take care of themselves. This knowledge was used to revise and update the theory. Objective:The purpose of this article was to describe the revised, updated situation-specific theory of HF self-care. Result:Three major revisions were made to the existing theory: (1) a new theoretical concept reflecting the process of symptom perception was… 

Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update

Experiences and skills, motivation, habits, cultural beliefs and values, functional and cognitive abilities, confidence, and support and access to care are all important to consider when developing or improving interventions for patients with heart failure and their families.

Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness

A revision to the Middle-Range Theory of Self-Care of Chronic Illness where symptoms are clearly integrated with the self-care behaviors of self- care maintenance, monitoring, and management is proposed.

A Situation-Specific Theory of Caregiver Contributions to Heart Failure Self-care

The Situation-Specific Theory of Caregiver Contributions to HF Self-care is described, which may help to guide future studies addressing caregiver contributions to HF self-care and clinical practice aimed at improving caregiver and patient outcomes.

Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure: Testing a Path Model.

Self-care confidence decreases the negative effects of depressive symptoms on self-care, and the need for interventions targeting patients' self-Care confidence to maximize self- care among patients with HF is underscored.

Self-care in heart failure patients: major results of a 7-year research program in Italy

The validity and reliability of the Self-Care of HF Index v.6.2 and the Caregiver Contribution to Self-care ofHF Index in the Italian population are established and it is found that self-care confidence mediates between cognition andSelf-care, and comorbidity moderates between self-Care confidence and self- care.

The Development of a Situation-Specific Nurse-Led Culturally Tailored Self-Management Theory for Chinese Patients With Heart Failure

  • Yuanyuan JinYouqing Peng
  • Business
    Journal of transcultural nursing : official journal of the Transcultural Nursing Society
  • 2021
The situation-specific theory developed in this study has the potential to increase specificity (i.e., logical adequacy and usefulness) of existing theories while informing the application to nursing practice.

Psychometric Testing of the Revised Self-Care of Heart Failure Index

The authors' analysis supports validity and reliability of the revised 29-item Self-Care of Heart Failure Index (SCHFI) with significant correlations between SCHFI scores and health-related quality-of-life scores.

Predictors of Self-care Among Chinese Patients With Chronic Heart Failure: A Situation-Specific Theory-Guided Structural Equation Model Analysis.

The Situation-Specific Theory of Heart Failure Self-Care can be used to guide research and practice in patients with CHF and clarify the complex relationships between predictors and self-care behaviors guided by thesituation-Specific theory of heart failure self-Care.

State of the Science in Heart Failure Symptom Perception Research: An Integrative Review

Although daily weighing and HF-related symptom–monitoring behaviors were insufficient in HF patients, use of a symptom diary improved HF self-care, symptom distress and functional class, and decreased mortality, hospital stay, and medical costs.



A Situation-Specific Theory of Heart Failure Self-care

A situation-specific theory of heart failure self-care is described in which self- care is defined as a naturalistic decision-making process involving the choice of behaviors that maintain physiologic stability and the response to symptoms when they occur (management).

A Typology of Heart Failure Self-Care Management in Non-Elders

  • V. DicksonJ. DeatrickB. Riegel
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2008

Self-Care Behaviours and Heart Failure: Does Experience with Symptoms Really Make a Difference?

A Middle-Range Theory of Self-Care of Chronic Illness

A middle-range theory of self-care is described that addresses the process of maintaining health with health promoting practices within the context of the management required of a chronic illness.

An integrative review of interventions promoting self-care of patients with heart failure.

There are improved patient outcomes when standard patient education for heart failure is augmented using cognitive-behavioural strategies that include additional evidence-based education and counselling.

Self care in patients with chronic heart failure

Early evidence suggests that adequate self care is associated with an improvement in health status, a decrease in the number and duration of hospitalizations, and a decline in levels of biomarkers of stress and inflammation, and in intrathoracic impedance.

Qualitative Analysis of Naturalistic Decision Making in Adults With Chronic Heart Failure

These results support naturalistic decision making as the process used by this sample of adults with heart failure to make decisions about self-care.

Self-care and Quality of Life of Heart Failure Patients at a Multidisciplinary Heart Function Clinic

Patients attending a large multidisciplinary Canadian heart failure clinic do not perform adequate self-care as measured with the SCHFI and report only a moderate quality of life.

Delineation of self-care and associated concepts.

  • A. RichardK. Shea
  • Medicine
    Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
  • 2011
A clearer understanding of the overlap, differences, and relationships among the five concepts can provide clarity, direction and specificity to nurse researchers, policy makers, and clinicians in addressing their goals for health delivery.