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The Situation-Specific Theory of Caregiver Contributions to Heart Failure Self-Care

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Situation Specific Theories: Development, Utilization, and Evaluation in Nursing

Abstract

The situation-specific theory of caregiver contributions to heart failure (HF) self-care describes the processes that caregivers could use for HF self-care. The major concepts of the theory include: contributors, mediators, process, outcomes, and feedback loops. These major concepts are influenced by caregivers’ cultural values. The contributors are the factors related to caregivers, patients, and caregiver-patient dyads. The mediators include caregiver self-efficacy that mediates the interactions between the contributors and the process. The process that is the central focus of the theory includes the sub-concepts of caregiver contribution to self-care maintenance, caregiver contribution to symptom perception, and caregiver contribution to self-care management. The outcomes are related to caregivers’ and patients’ outcomes and can be positive or negative. Finally, the feedback loops are the influences of the outcomes on the process. The situation-specific theory of caregiver contributions to HF self-care is a new theory that needs more testing and utilization. However, it has great potential to be used in clinical practice, nursing education, and research since the prevalence and incidence rates of HF are increasing worldwide and lay caregivers have key roles in HF self-care.

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Author information

Authors and Affiliations

  1. Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy

    Ercole Vellone & Rosaria Alvaro

  2. University of Pennsylvania School of Nursing, Philadelphia, PA, USA

    Barbara Riegel

Authors
  1. Ercole Vellone
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  2. Barbara Riegel
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  3. Rosaria Alvaro
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Corresponding author

Correspondence to Ercole Vellone .

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Editors and Affiliations

  1. Senior Associate Dean of Research and Innovation and Edith Folsom, Honeycutt Endowed Chair, School of Nursing, Emory University, Atlanta, GA, USA

    Eun-Ok Im

  2. Professor of Nursing and Sociology and Dean Emeritus, University of Pennsylvania, School of Nursing, Philadelphia, PA, USA

    Afaf I. Meleis

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Vellone, E., Riegel, B., Alvaro, R. (2021). The Situation-Specific Theory of Caregiver Contributions to Heart Failure Self-Care. In: Im, EO., Meleis, A.I. (eds) Situation Specific Theories: Development, Utilization, and Evaluation in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-030-63223-6_14

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  • DOI: https://doi.org/10.1007/978-3-030-63223-6_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-63222-9

  • Online ISBN: 978-3-030-63223-6

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