School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Ms Garland and Dr Gagnon); School of Nursing, University of Ottawa, Ottawa, Ontario, Canada (Dr Lewis); and University of Ottawa Heart Institute, Ottawa, Ontario, Canada (Dr Lewis).
ANS Adv Nurs Sci. 2022;45(4):371-386. doi: 10.1097/ANS.0000000000000430. Epub 2022 Jun 15.
Self-care is a central concept in heart failure management and nursing practice. Yet, the uptake of heart failure self-care has been uncritical and detached from broader contexts. Therefore, heart failure self-care was explored using Rodger's evolutionary concept analysis approach to identify antecedents, attributes, and consequences with attention to context, time, application, and meaning. The analysis suggests that heart failure self-care tends to focus on individual behaviors to the detriment of social and structural determinants of health. It also shifts responsibility away from the health care system and onto the individual. Moving forward, a more robust conceptualization of heart failure self-care is needed or possibly, the development of a new concept that focuses beyond the self .
自我护理是心力衰竭管理和护理实践中的一个核心概念。然而，心力衰竭的自我护理的采用一直没有受到批判，也没有脱离更广泛的背景。因此，使用罗格的进化概念分析方法来探讨心力衰竭的自我护理，以确定与背景、时间、应用和意义有关的前提、属性和结果。分析表明，心力衰竭的自我护理往往侧重于个人行为，而忽略了健康的社会和结构决定因素。它还将责任从医疗保健系统转移到个人身上。展望未来，需要对心力衰竭的自我护理进行更全面的概念化，或者可能需要开发一个新的概念，将关注点扩展到自我之外。
