Knowledge, Self-Efficacy, and Performance of Patient Education in Heart Failure Among Nurses in Indonesia
DOI:
https://doi.org/10.33755/jkk.v7i2.239Keywords:
nurses’ knowledge, self-efficacy, performanceAbstract
Background: Nurses play a vital role in educating Heart Failure (HF) patients about the disease, and should be knowledgeable about what they teach. Likewise, a nurse should believe in his or her own capability to effectively give a health education based on his or her knowledge about HF management, and this known as self-efficacy.
Objectives: The purpose of this study was to examine the relationships among HF knowledge, self-efficacy, and performance as well as determinants of performance in HF education among nurses who took care of patients with cardiac diseases.
Methods: A cross sectional study design with convenience sampling was employed and 135 participants were recruited from five units (male and female medical ward, cardiac ward, ICU, ICCU, and VIP unit) at a general hospital in Bandar Lampung, Indonesia. Four instruments were used, including the Nurses’ Knowledge of Heart Failure Education Principles questionnaire, Nurse Self-Efficacy Scale, and HF Knowledge Education Scale of Nursing Performance. Data were analyses using, Mann-Whitney U and Kruskal-Wallis test were used to examine association between mean scores on the study variables.
Results: A significant relationship was found between nurses’ self-efficacy and performance of HF education (r=0.59, p= 0.000), but the relationship between nurses’ knowledge and performance of HF education was not significant (r= -0.33, p= 0.01).
Conclusions: This study found that the nurses in general hospital in Lampung, Indonesia, may not be sufficiently knowledgeable about HF education principles. Nevertheless, the nurses mostly had high self-efficacy as well as good performance with regard to HF education.
References
Albert, N. M. (2013). Parallel paths to improve heart failure outcomes: Evidence matters. American Journal of Critical Care, 22(4), 289-296. doi: 10.4037/ajcc2013212
Albert, N. M., Collier, S., Sumodi, V., Wilkinson, S., Hammel, J. P., Vopat, L., Bittel, B. (2002). Nurses's knowledge of heart failure education principles. Heart & Lung, 31(2), 102-112. doi: 10.1067/mhl.2002.122837
Bandura, A. (1995). Self-efficacy in changing societies. New York: Cambridge Press.
Boyde, M., Turner, C., Thompson, D. R., & Stewart, S. (2011). Educational interventions for patients with heart failure: A systematic review of randomized controlled trials. Journal of Cardiovascular Nursing, 26(4), E27-E35.
Bui, A. L., Horwich, T. B., & Fonarow, G. C. (2011). Epidemiology and risk profile of heart failure. National Insitute of Health, 8(1), 30-41. doi: 0.1038/nrcardio.2010.165
Cummins, R. A., & Gullone, E. (2000, March). Why we should not use 5-point Likert scales: The case for subjective quality of life measurement. Proceedings, second international conference on quality of life in cities (pp. 74-93)
Departemen Kesehatan Republika Indonesia. (2013). Hasil riskesdas 2013. Badan Penelitian Pengembangan Kesehatan RI.
Dubois, C. A., D'Amour, D., Pomey, M. P., Girard, F., & Brault, I. (2013). Conceptualizing performance of nursing care as a prerequisite for better measurement: A systematic and interpretive review. BioMed Central Nursing, 12, 7. doi: 10.1186/1472-6955-12-7
Grange, J. (2005). The role of nurses in the management of heart failure. Heart, 91 Supplement 2, ii39–ii42. doi: 10.1136/hrt.2005.062117
Gupta, D., Georgiopoulou, V. V., Kalogeropoulos, A. P., Dunbar, S. B., Reilly, C. M., Sands, J. M., & Butler, J. (2012). Dietary sodium intake in heart failure. Circulation, 126(4), 479-485
Hart, P. L., Spiva, L., & Kimble, L. P. (2011). Nurses' knowledge of heart failure education principles survey: a psychometric study. Journal of Clinical Nursing, 20(21-22), 3020-3028. doi: 10.1111/j.1365-2702.2011.03717.x
Heart Failure Society of America. (2010b). Section 6: Nonpharmacologic management and health care maintenance in patients with chronic heart failure. Journal of Cardiac Failure, 16(6), e61-e72. doi: 10.1016/j.cardfail.2010.05.015
Jaarsma, T., Strömberg, A., Mårtensson, J., & Dracup, K. (2003). Development and testing of the European Heart Failure Self-Care Behaviour Scale. European Journal of Heart Failure, 5(3), 363-370. doi: 10.1016/s1388-9842(02)00253-2
Jaarsma, T., Halfens, R., Abu-Saad, H. H., Dracup, K., Gorgels, T., Van Ree, J., & Stappers, J. (1999). Effects of education and support on self-care and resource utilization in patients with heart failure. European Heart Journal, 20(9), 673-682.
Kalogirou, F., Lambrinou, E., Middleton, N., & Sourtzi, P. (2012). Cypriot nurses' knowledge of heart failure self-management principles. European Journal of Cardiovascular Nursing, 12(2), 159-166. doi: 10.1177/1474515112440367
Kementrian Kesehatan, R. I. (2012). Buletin jendela data dan informasi kesehatan. Jakarta: Kementerian Kesehatan RI.
Lenz, E. R., & Shortridge-Baggett, L. M. (2002). Self-efficacy in nursing: research and measurement perspectives. Springer Publishing Company.
Mahramus, T. L., Penoyer, D. A., Sole, M. L., Wilson, D., Chamberlain, L., & Warrington, W. (2013). Clinical nurse specialist assessment of nurses' knowledge of heart failure. Clinical Nurse Specialist, 27(4), 198-204. doi: 10.1097/NUR.0b013e3182955735
McKelvie, R. S., Teo, K. K., Roberts, R., McCartney, N., Humen, D., Montague, T., & Yusuf, S. (2002). Effects of exercise training in patients with heart failure: the Exercise Rehabilitation Trial (EXERT). American Heart Journal, 144(1), 23-30.
O’Connor, C. M., Whellan, D. J., Lee, K. L., Keteyian, S. J., Cooper, L. S., Ellis, S. J., & HF-ACTION Investigators. (2009). Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. Journal of the American Medical Association, 301(14), 1439-1450.
Park, M. Y. (2005). Nurses' perception of performance and responsibility of patient education. Taehan Kanho Hakhoe Chi, 35(8), 1514-1521.
Paul, S. (2008). Hospital discharge education for patients with heart failure: What really works and what is the evidence?. Critical Care Nurse, 28(2), 66-82.
Stajkovic, A. D., & Luthans, F. (1998). Self-efficacy and work-related performance: A meta-analysis. Psychological bulletin, 124(2), 240.
Stanley, M., & Pollard, D. (2013). Relationship between knowledge, attitudes, and self-efficacy of nurses in the management of pediatric pain. Pediatric Nursing, 39(4), 165.
Stromberg, A. (2003). Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failureResults from a prospective, randomised trial. European Heart Journal, 24(11), 1014-1023. doi: 10.1016/s0195-668x(03)00112
Stromberg, A. (2005). The crucial role of patient education in heart failure. European Journal of Heart Failure, 7(3), 363-369. doi: 10.1016/j.ejheart.2005.01.002
Strömberg, A. (2002). Educating nurses and patients to manage heart failure. European Journal of Cardiovascular Nursing, 1(1), 33-40. doi: 10.1016/s1474-5151(01)00011-1
Tsang, K. K. (2012). The use of midpoint on Likert Scale: The implications for educational research. Hong Kong Teachers’ Centre Journal, 11, 121-130.
Wang, R., Hempton, B., Dugan, J. P., & Komives, S. R. (2008). Cultural differences: Why Do Asians Avoid Extreme Responses? Survey Practice, 1(3), 1-7.
Washburn, S. C., Hornberger, C. A., Klutman, A., & Skinner, L. (2005). Nurses' knowledge of heart failure education topics as reported in a small Midwestern community hospital. Journal of Cardiovascular Nursing, 20(3), 215-220
Washburn, S. C., & Hornberger, C. A. (2008). Nurse educator guidelines for the management of heart failure. Journal of Continuing Education in Nursing, 39(6), 263-267.
Willette, E. W., Surrells, D., Davis, L. L., & Bush, C. T. (2007). Nurses' knowledge of heart failure self‐management. Progress in Cardiovascular Nursing, 22(4), 190-195.
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H., & Wilkoff, B. L. (2013). 2013 ACCF/AHA guideline for the management of heart failure: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 62(16), e147-e239.
