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Determinants of Spiritual Well-being...

Smith, Valerie Joy.

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Determinants of Spiritual Well-being in Adults Newly Diagnosed with Heart Failure: Primary Palliative Care Applied.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Determinants of Spiritual Well-being in Adults Newly Diagnosed with Heart Failure: Primary Palliative Care Applied./
Author:	Smith, Valerie Joy.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
Description:	321 p.
Notes:	Source: Dissertations Abstracts International, Volume: 81-09, Section: B.
Contained By:	Dissertations Abstracts International81-09B.
Subject:	Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27671256
ISBN:	9781658421249

Determinants of Spiritual Well-being in Adults Newly Diagnosed with Heart Failure: Primary Palliative Care Applied.
Smith, Valerie Joy.

Determinants of Spiritual Well-being in Adults Newly Diagnosed with Heart Failure: Primary Palliative Care Applied. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 321 p.

Source: Dissertations Abstracts International, Volume: 81-09, Section: B.

Thesis (Ph.D.)--Azusa Pacific University, 2019.

This item must not be sold to any third party vendors.

Roy's Adaptation Model (Roy, 2009) and using a descriptive, correlational, comparative design, sociodemographic characteristics (age, gender, race, marital status, income), coping, primary palliative care (PPC; spiritual needs, social support, decision-making [DM] engagement, psychological support, PPC information and education provision, goals of care discussion, and care coordination across settings and times), spiritual well-being (SWB), and advance directive (AD) completion in response to living with a heart failure (HF) diagnosis within the previous 12 months were described and the potential relationships and differences between the variables explored. Three instruments were administered to a convenience sample of 120 patients newly diagnosed with HF at specialty ambulatory and general practice clinics in Los Angeles and San Bernardino counties. Data were analyzed using descriptive, Pearson's r, Spearman rho, Chi-square, ANOVA, independent t test, and multiple and logistic regression statistics. The majority of patients indicated that spiritual needs were addressed, psychological and social support and PPC information and education were provided, goals of care were discussed, and care across settings and times was coordinated. Coping and having spiritual needs addressed were related to SWB, there was no difference in SWB by gender, and coping was higher in those with high versus low SWB. Older age, White/Caucasian race, having sufficient income, and being engaged in DM were related to an increased likelihood of AD completion (6.94 and 4.53 times, respectively) in a logistic regression. There was no difference in AD completion by gender, and those who had completed an AD were older, of White/Caucasian race, had sufficient income, and were engaged in DM versus those who had not completed an AD. The variability in coping was explained by having sufficient income and spiritual needs addressed, receiving social support, and being engaged in DM, while only receiving social support was retained in multivariate analysis. There is a need to ensure this population's PPC needs are being addressed early and often. Further qualitative studies are needed to explore this population's emotions and feelings of being diagnosed with HF and the fear and uncertainty that accompany the diagnosis. Research in other geographic sites and settings with testing of interventions is warranted to care for patients with new-onset HF. Clinicians may use the findings to better understand the perceived PPC needs of patients newly diagnosed with HF.

ISBN: 9781658421249Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Advance directive completion

Determinants of Spiritual Well-being in Adults Newly Diagnosed with Heart Failure: Primary Palliative Care Applied.
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500 $a Source: Dissertations Abstracts International, Volume: 81-09, Section: B.
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500 $a Advisor: Westlake, Cheryl.
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506 $a This item must not be sold to any third party vendors.
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