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Caring for patients with chronic heart failure: The trajectory model.

Publication ,  Journal Article
Granger, BB; Moser, D; Germino, B; Harrell, J; Ekman, I
Published in: European journal of cardiovascular nursing
September 2006

The purpose of this paper is to examine gaps in our understanding of the heart failure experience and describe the use of Trajectory of Chronic Illness Theory to bridge these gaps. New pharmacotherapeutic strategies have improved survival in heart failure, but research has consistently shown that clinical outcomes in these patients do not depend on physiologic variables alone. Psychological, behavioral, environmental, social and socioeconomic variables also contribute to a patient's ability to manage chronic illness. However, we have not yet identified the essential elements in helping patients engage in self-management and adhere to increasingly complex medical regimens. Theoretical models facilitate disciplinary integration, providing a comprehensive and cohesive foundation for building better science. The Trajectory of Chronic Illness Theory is particularly salient for heart failure because of its emphasis on patients' ability to manage a chronic illness. By using theory to explore gaps in our understanding of the heart failure experience, investigators may be able to develop more targeted interventions to help patients manage heart failure.

Duke Scholars

Published In

European journal of cardiovascular nursing

DOI

EISSN

1873-1953

ISSN

1474-5151

Publication Date

September 2006

Volume

5

Issue

3

Start / End Page

222 / 227

Related Subject Headings

  • Self Efficacy
  • Self Care
  • Qualitative Research
  • Patient Participation
  • Patient Education as Topic
  • Patient Care Planning
  • Outcome Assessment, Health Care
  • Nursing Methodology Research
  • Nursing Assessment
  • Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Granger, B. B., Moser, D., Germino, B., Harrell, J., & Ekman, I. (2006). Caring for patients with chronic heart failure: The trajectory model. European Journal of Cardiovascular Nursing, 5(3), 222–227. https://doi.org/10.1016/j.ejcnurse.2006.02.001
Granger, Bradi B., Debra Moser, Barbara Germino, Joanne Harrell, and Inger Ekman. “Caring for patients with chronic heart failure: The trajectory model.European Journal of Cardiovascular Nursing 5, no. 3 (September 2006): 222–27. https://doi.org/10.1016/j.ejcnurse.2006.02.001.
Granger BB, Moser D, Germino B, Harrell J, Ekman I. Caring for patients with chronic heart failure: The trajectory model. European journal of cardiovascular nursing. 2006 Sep;5(3):222–7.
Granger, Bradi B., et al. “Caring for patients with chronic heart failure: The trajectory model.European Journal of Cardiovascular Nursing, vol. 5, no. 3, Sept. 2006, pp. 222–27. Epmc, doi:10.1016/j.ejcnurse.2006.02.001.
Granger BB, Moser D, Germino B, Harrell J, Ekman I. Caring for patients with chronic heart failure: The trajectory model. European journal of cardiovascular nursing. 2006 Sep;5(3):222–227.
Journal cover image

Published In

European journal of cardiovascular nursing

DOI

EISSN

1873-1953

ISSN

1474-5151

Publication Date

September 2006

Volume

5

Issue

3

Start / End Page

222 / 227

Related Subject Headings

  • Self Efficacy
  • Self Care
  • Qualitative Research
  • Patient Participation
  • Patient Education as Topic
  • Patient Care Planning
  • Outcome Assessment, Health Care
  • Nursing Methodology Research
  • Nursing Assessment
  • Nursing