RNPilotHeart & lung : the journal of critical care2023

Analysis of action planning, achievement and life purpose statements in an intervention to support caregivers of persons with heart failure.

Martha Abshire Saylor, Catherine A Clair, Samantha Curriero and 6 others

PMID 37059045

WHAT IT FOUND

Caregivers of heart failure patients achieved 66.7% of self-care action plans.

Social support and preventive health goals were easiest to reach, while physical activity plans were hardest. Most life purpose statements centered on faith and family rather than caregiving tasks.

Key findings

01Caregivers achieved 66.7% of their assessed action plans, with social support goals having the highest achievement rate (81.8%) and physical activity goals the lowest (50%).

02The majority of action plans focused on personal health and well-being, specifically self-care, physical activity, and recreational activities.

03Life purpose statements were predominantly future-oriented and centered on faith or spirituality (n=17) and self-care or actualization (n=11), distinct from the practical focus of action plans.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was small (n=22) and predominantly female and White, limiting generalizability. Action plan achievement was based on self-report and nurse documentation without a standardized tool, introducing potential social desirability bias. The study took place during the COVID-19 pandemic, which likely influenced caregivers' ability to pursue social and physical activity goals. Only two male caregivers participated, so gender differences in goal setting were not adequately explored.

Declared interests

The authors have no financial or personal conflicts of interest.

The easy way to misread this

Do not interpret the high achievement rates as evidence that this intervention improves patient or caregiver health outcomes. This was a feasibility pilot measuring whether goals were met, not whether the intervention reduced burden or improved quality of life.

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