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Exploration of Learning Needs

Title: An Exploration of Learning Needs: Identifying Knowledge Deficits among Hospitalized Adults with Heart Failure.
Name(s): Raines, Erika M, author
Dickey, Sabrina, author
Type of Resource: text
Genre: Text
Research Report
Date Issued: 2018-04-27
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Purpose: The purpose of this study was to examine the learning needs of hospitalized patients with heart failure (HF) by identifying their current HF self-care behaviors and knowledge levels, while identifying relationships between clinical variables (sociodemographic data and health history) and their learning needs. Methods: A descriptive, cross-sectional design was utilized to examine a convenience sample of 42 hospitalized patients with HF. Self-care behaviors and knowledge levels were measured using the Self Care of Heart Failure Index (SCHFI) V. 6.2., and the Japanese Heart Failure Knowledge Scale. Descriptive statistics were used to describe the learning needs and sociodemographic data. Pearson product moment correlation coefficient was utilized to examine relationships between the learning needs and clinical variables. Results: The mean scores of self-care were 38.6% (maintenance), 41.6% (management) and 17.8% (confidence). The participant’s mean knowledge level score was 74.9%. Multiple HF hospital readmissions had a significant negative correlation with HF knowledge scores (r = -.358, p = 0.020), suggesting the lower the knowledge score, the higher the prevalence of HF readmissions. There were significant positive correlations between self-care maintenance (r=.525, p<0.05), management (r=.435, p<.05), confidence (r=.366, p <.05), knowledge level (r=.752, p<.05) and not living alone. Thus, indicating that living with family support is correlated with better self-care and greater knowledge. The presence of multiple comorbidities revealed significant positive correlations (p<.05) with self-care scores (maintenance [r=.391], management [r=.438], and confidence r=.504]), indicating a higher number of comorbidities, yields lower self-care behaviors. Discussion: Findings reveal poor self-care behaviors in all three areas (maintenance, management, confidence). These findings suggest that patients have difficulty implementing knowledge into self-care. Conclusions: By identifying knowledge deficits and contributing factors to suboptimal self-care, the chronic care model can be used as a guideline for ideal HF education and management. Improving self-care behaviors can be obtained by initiating an active engagement between health care teams and the patient.
Identifier: FSU_libsubv1_scholarship_submission_1524874859_831d78b8 (IID)
Keywords: Heart failure, Self-Care, Education, Knowledge
Persistent Link to This Record:
Owner Institution: FSU

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Raines, E. M., & Dickey, S. (2018). An Exploration of Learning Needs: Identifying Knowledge Deficits among Hospitalized Adults with Heart Failure. Retrieved from