Key result
Having a PhD degree (OR 36.4; 95% CI 2.8-468.2) and previous specific training in HF (OR 19.8; 95% CI 1.4-279.3) were associated with adequate knowledge of HF self-care among primary care nurses.
Why the study?
Nurses play an important role in educating HF patients, but assessing primary care nurses' knowledge of HF self-care maintenance principles was needed to identify gaps and associated factors.
Cross-Sectional (n=216)
Yes
Odds Ratio: 36.4 (95% CI 2.8–468.2)
p-value: p=0.006
Primary care nurses demonstrate a low overall level of adequate knowledge regarding heart failure self-care principles, highlighting the need for specific HF training.
May support targeted HF training for primary care nurses; leaves open effects on knowledge or outcomes.
INTRODUCTION: Nurses play an important part in the education of patients with HF. To prepare patients with HF for self-care maintenance behaviours, nurses must have knowledge of basic self-care maintenance principles. AIM STUDY: The aim of this study was to determine the degree of knowledge of primary care (PC) nurses on the principles of self-management of HF and variables associated with this. METHODOLOGY: This is an observational, cross-sectional descriptive study, carried out in 2014, in the city of Barcelona (Catalonia). Nurses' Knowledge of Heart Failure Education Principles questionnaire (NKHFEP) was used to assess the principles of HF self-care education. Instrument items assess knowledge of nurses on 5 themes: diet, liquids/weight, worsening signs or symptoms, medication and exercise. Factors related to adequate knowledge were evaluated. RESULTS: Of 216 PC nurses, who completed the questionnaire, the average score was 15.6 (SD: 2.2). Only 36 (16.7%) obtained an adequate level of knowledge and defined as a score ≥ 18 points. In multivariate logistic regression, nurse factors associated with an adequate knowledge of principles of self-care of HF were having achieved a PhD degree (OR: 36.4, 95% CI: 2.8-468.2, p = 0.006) and previous specific training in HF (OR: 19.8, 95% CI: 1.4-279.3, p = 0.026). CONCLUSIONS: The degree of knowledge of PC nurses in the principles of self-care in HF was higher among nurses who had completed the doctorate and in nurses who had received specific training in HF.
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Pibernat et al. (2019) conducted a cross-sectional in Heart Failure (n=216). PhD degree or previous specific training in heart failure vs. Lack of PhD degree or specific training was evaluated on Adequate knowledge of principles of self-care of HF (score ≥ 18 points) (OR 36.4, 95% CI 2.8-468.2, p=0.006). Having a PhD degree (OR 36.4; 95% CI 2.8-468.2) and previous specific training in HF (OR 19.8; 95% CI 1.4-279.3) were associated with adequate knowledge of HF self-care among primary care nurses.
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