Abstract
Background: Only comprehensive care and structured education can have a significant impact on the effectiveness of treatment and prepare patients for self-care. Unfortunately, Polish nurses are not ready to perform comprehensive heart failure (HF) care tasks without careful preparation.The purpose of the study was to evaluate nurses’ knowledge of patient education in general and topic-specific perceptions of basic information important for HF self-care, and also to determine the variables (workplace, education, internship) that may affect the implementation of educational tasks in the care of patients with HF. Methods: The study involved 304 nurses who were surveyed using the Nurses’ Knowledge of Heart Failure Education Principles. Results: Cardiology nurses’ knowledge regarding patient education for self-care is insufficient. The overall knowledge score was the highest among nurses in provincial specialist hospitals and university hospitals and the lowest in regional hospitals in small towns (14.98 vs. 14.35 vs. 12.83 vs. 11.89, respectively). Nurses who completed a cardiological specialty demonstrated significantly more extensive knowledge than those who had completed other specialties (15.52 vs. 13.71). Conclusions: Cardiology nurses’ knowledge of HF self-care principles regarding patient education is satisfactory, but not with all mandatory issues, especially in the recognition of disease symptoms, exacerbations, and pharmacotherapy.
Highlights
Comprehensive care and structured education can have a significant impact on the effectiveness of treatment and prepare patients for self-care
Even if education is provided, it is not sufficient, or not to the extent that patients expect. These results suggest that nurses working in small community hospitals may not be sufficiently knowledgeable of heart failure (HF) management principles [6,8]
Nurses were not sufficiently prepared to provide patients with education on HF self-care principles related to recognizing warning symptoms and deteriorations in health conditions and in the administration of medications
Summary
Comprehensive care and structured education can have a significant impact on the effectiveness of treatment and prepare patients for self-care. Methods: The study involved 304 nurses who were surveyed using the Nurses’ Knowledge of Heart Failure Education Principles. Conclusions: Cardiology nurses’ knowledge of HF self-care principles regarding patient education is satisfactory, but not with all mandatory issues, especially in the recognition of disease symptoms, exacerbations, and pharmacotherapy. Heart failure is connected with a very high level of disease symptom exacerbation, disability and lack of patient activity, and low life quality, and it constitutes a burden and costs for the healthcare system [4]
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