Knowledge among patients with heart failure: A narrative synthesis of qualitative research |
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| Institution: | 1. Department of BioHealth Informatics, IUPUI, Indianapolis, IN, USA;2. Parkview Mirro Center for Research and Innovation, Parkview Health, Fort Wayne, IN, USA;3. Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA;4. Indiana University Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, IN, USA;1. Senior Lecturer, Oxford Brookes University, Faculty of Health and Life Sciences, Oxford School of Nursing and Midwifery, Jack Straws Lane, Oxford, United Kingdom OX3 0FL, UK;2. Director of Nursing and Midwifery Research and Innovation, Oxford University Hospitals Foundation NHS Trust, Oxford and Oxford Biomedical Research Centre. OX3 9DU, United Kingdom;1. University of North Carolina, Chapel Hill, North Carolina;2. RTI International, Center for Communication Science, Research Triangle Park, North Carolina;3. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland;4. Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina;1. American University of Beirut, School of Nursing, Lebanon;2. American University of Beirut Medical Center, Department of Cardiology, Lebanon;3. University of Colorado, Denver; College of Nursing, United States |
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| Abstract: | BackgroundPatients’ knowledge of heart failure (HF) is integral to improved outcomes. However, the HF literature has not adequately explored the nature of patients’ knowledge of HF as part of their lived experience.ObjectivesWe aimed to characterize the nature of patients’ knowledge of HF, in the context of living with the disease.MethodsWe conducted a narrative synthesis of qualitative studies that addressed patients’ knowledge of HF. Studies were systematically searched and retrieved from MEDLINE, CINAHL, PsycINFO and PsycARTICLES databases. Findings were synthesized using an iterative coding process carried out by multiple analysts and reported following Enhancing Transparency in the Reporting of Qualitative Health Research (ENTREQ) criteria.ResultsAnalysis of 73 eligible articles produced five themes: the content that comprises HF knowledge; development of HF knowledge over time; application of HF knowledge for decision making; communication of information between clinicians and patients; and patients’ experience of knowledge.ConclusionThe nature of patients’ knowledge of HF is both explicit and implicit, dynamic, and personal. This multidimensional model of knowledge-in-context calls for equally multidimensional research and intervention design. |
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