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Article Critique: Outpatient Nursing Support for Self-Monitoring in Patients With Chronic Heart Failure

Summary

This article is a report on a research study conducted to investigate how trained nurses in the outpatient environment assist and support self-monitoring in patients with chronic heart failure in Japan. The primary conclusion was that nurses might use the data to encourage patients with chronic heart failure to monitor their health in the outpatient environment. Self-monitoring must be supported for patients with chronic heart failure, and a solid support structure for outpatient treatment in Japan should be established.

In order to get a better understanding of how chronic heart failure patients are cared for, the authors investigated the practices of specialist and advanced practice nurses. According to the authors, patients should seek medical assistance when they notice symptoms of increased heart failure. Although recurrent attacks of acute heart failure worsen the condition, it is possible to live longer with the condition (Saltzberg 2004 as cited in Taniguchi et al., 2021). Diagnosis and treatment of heart failure at an early stage saves time and money in the hospital and critical care unit, improves the quality of life and reduces the need for additional resources.

Analysis

The study revealed significant themes, including. “Encouraging patients to reflect on their own,” “Supporting touching the body and growing body awareness, and Supporting self-monitoring that is not unduly sensitive” (Taniguchi et al. 2021). From these topics, the interviewees addressed various methods of mitigating the analyses. For instance, aside from gaining body awareness and recognizing symptoms, self-monitoring has counterintuitive detrimental effects on one’s mental health. Nursing staff must recognize this and provide a level of care tailored to each patient’s level of anxiety. When personal monitoring is given critical notice for patients with heart problems, it speeds up the outpatient checkings and checks outs by enabling nurses to work diligently on the patients’ issues because they have noticed the changes in their bodies in the first place.

The objectivity of this study centers around whether the author is biased or not. From the reading, it is evident that the authors tend to be biased toward a specific group of respondents. The authors try to only obtain data from relevant sources by using only experienced nurses and those who had done master’s level in related fields. Thus, other nurses and doctors who might have the knowledge or specialty in dealing with the condition under investigation are left out.

The study findings are reliable in this context, such that they prove that patients need to avail themselves for self-monitoring aid to be adequate. The viability of the findings also suggests that such patients may be tempted to overlook the importance of supporting their life choices while offering self-monitoring help to those with the illness. The article’s findings encourage self-monitoring to help patients better understand their symptoms, hence reliable to this study.

On the issue of relevance, scholars try to infer that the survey results supplied demonstrate evidence that the main objective in encouraging self-monitoring is incorporating self-monitoring into the patient’s way of life. Heart failure is a significant concern even in today’s communities. Being a recent article published in 2021, the article is relevant as it helps address current issues and concerns about heart problems in patients and trying to give solutions on what nurses and patients need to do when tackling such illnesses.

Application

The article instills knowledge in me on what to do when handling patients with chronic heart conditions. Living in a world where heart failure is common, the study can address the patient-nurse relationship when it comes to sharing information-sharing regarding patients’ health so that robust support systems can be the way to go to ensure that outpatients’ care is given paramount priority. By applying the themes learned in this article, I am confident that I can handle patients with heart conditions more carefully and aid in their recovery process. If I cannot do so, it may cause adverse psychological effects, especially to patients with anxiety disorders.

References

Taniguchi, C., Seto, N., & Shimizu, Y. (2021). Outpatient nursing support for self-monitoring in patients with chronic heart failure. Plos one, 16(7), e0254019.

 

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