Decision-Making Practices for Patients with Chronic Heart Failure by Certified Nurses for Chronic Heart Failure

• Published in: Journal of Japan Society of Nursing Research Vol. 46; no. 4; pp. 4_647 - 4_655
• Main Authors: Nagata, Erika, Sano, Motohiro, Majima, Tomoko
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Nursing Research 20.10.2023; 一般社団法人 日本看護研究学会
• Subjects: advance care planning （ACP）; certified nurses; decision-making; heart failure; アドバンス・ケア・プランニング（ACP）; 心不全; 意思決定; 認定看護師
• ISSN: 2188-3599; 2189-6100
• DOI: 10.15065/jjsnr.20221226204

Objective: This study aims to clarify the decision-making support provided by certified chronic heart failure nurses (CNs) and obtain suggestions regarding decision-making support for heart failure patients. Methods: Twelve CNs were interviewed using a semi structured interview and the gathered data were qualitatively analyzed inductively. Results: The following five core categories of practices for CNs to assist patients with chronic heart failure in making decisions were identified: building trusting relationships that lead to decision-making, understanding patients and their families, promoting the understanding of the disease and treatment methods, eliciting patients' wishes and assisting them in realizing their desired lifestyle, predicting patients' future, and working with them when they can express their own will. Conclusions: The CNs offered guidance on the patient's condition and medical treatment while considering their desired way of life. Furthermore, in daily contact with patients, CNs were interested in the expression of patients' intentions, and they practiced situation-appropriate intention confirmation and support.