dc.creator | Widmar, Steve Brian | |
dc.date.accessioned | 2020-08-21T21:13:15Z | |
dc.date.available | 2012-03-25 | |
dc.date.issued | 2012-03-25 | |
dc.identifier.uri | https://etd.library.vanderbilt.edu/etd-03182012-115729 | |
dc.identifier.uri | http://hdl.handle.net/1803/10856 | |
dc.description.abstract | NURSING SCIENCE
SATISFACTION WITH PATIENT-CENTERED CARE AND SELF-CARE EDUCATION IN LEFT VENTRICULAR ASSIST DEVICE PATIENTS
STEVE BRIAN WIDMAR
Dissertation under the direction of Professor Ann F. Minnick
The study’s purposes were to: a) describe care structure and ventricular assist device (VAD) patient self-care education processes used in hospitals, and b) describe VAD patient reports of patient-centered care and satisfaction with care.
The study used a prospective cross-sectional design. AIM 1: A mailed 26-item survey, based on the Minnick and Roberts framework, was sent to all VAD centers in the United States (N = 111) in 2011. Two subsequent mailings with computer or paper completion options resulted in a return rate of 63% (n = 71). AIM 2: A 59-item survey, adapted from the Health Consumer Assessment of Healthcare Providers and Services (HCAHPS) survey and from Young & Minnick (1996), was completed via telephone with five patients receiving VAD therapy from one high-volume VAD hospital.
Programs varied in their use of Advanced Practice Nurses and VAD coordinator advanced practice inpatient nursing (p < .05). There was no standard method of providing postoperative VAD patient self-care education or evaluating self-care across hospitals. Most VAD programs (75%) used more than two resources in providing self-care education in addition to education materials provided by the VAD device manufacturer. Almost half of VAD programs (46%) used more than two methods of self-care evaluation for each skill set.
Patients were satisfied with patient-centered care and self-care education, and were grateful for regained independence and reduced heart failure symptoms. Patients reported uncertainty regarding their performance in emergencies. Preparation of local non-VAD hospitals to care for VAD patient health emergencies was identified as a need.
Further research is needed to explore relationships between VAD care processes and other outcomes such as survival and readmissions. Understanding the processes of self-care education and patient reports of patient-centered care after VAD implantation is necessary to improve VAD education and outcomes. | |
dc.format.mimetype | application/pdf | |
dc.subject | self-care | |
dc.subject | ventricular assist device | |
dc.subject | heart failure | |
dc.subject | heart transplantation | |
dc.subject | self-care education | |
dc.title | Satisfaction with Patient-Centered Care and Self-Care Education in Left Ventricular Assist Device Patients | |
dc.type | dissertation | |
dc.contributor.committeeMember | Michael W. Vollman | |
dc.contributor.committeeMember | Mary S. Dietrich | |
dc.contributor.committeeMember | Kathleen L. Grady | |
dc.type.material | text | |
thesis.degree.name | PHD | |
thesis.degree.level | dissertation | |
thesis.degree.discipline | Nursing Science | |
thesis.degree.grantor | Vanderbilt University | |
local.embargo.terms | 2012-03-25 | |
local.embargo.lift | 2012-03-25 | |
dc.contributor.committeeChair | Ann F. Minnick | |