Engaging in Clinical Practice of Patients With Heart Failure Through Learnings From Annotations

Running Head: ENGAGING IN CLINICAL PRACTICE 1
ENGAGING IN CLINICAL PRACTICE OF
PATIENTS WITH HEART FAILURE
THROUGH LEARNINGS FROM
ANNOTATIONS

ENGAGING IN CLINICAL PRACTICE 2
Part 1: Annotated Bibliography
Article 1
 Citation-
Im, J., Mak, S., Upshur, R., Steinberg, L., & Kuluski, K. (2019). 'The Future is Probably
Now': Understanding of illness, uncertainty and end‐of‐life discussions in older adults
with heart failure and family caregivers. Health Expectations, 22(6), 1331-1340. DOI:
10.1111/hex.12980.
 Summary-
The article discusses that earlier end- of- life communication is critical with the incidence
of heart failure due to uncertainty and high-risk of death. The end- of- life communication is
rare that can also result in discordant care. The article aims to analyze the understanding of
illness, experiences of uncertainty and insights of the end -of -life amongst the caregivers and
patients. In this regard, 19 participants in Ontario were selected for interviews to collect
primary data. The participants were aware of heart failure but did not have in-depth

ENGAGING IN CLINICAL PRACTICE 3
knowledge about the consequences of illness. The participants were not engaged in end-of-
life discussion prior, thus, due to uncertainty, they were unable to connect with the
manifestations of heart failure. The paper concluded with a result that detailed knowledge
may not necessarily interpret understanding of illness consequences.
 Critique-
The article does not give a clear understanding of the management of heart failures and
end-of-life discussion. The information provided is not reader-friendly, thus knowledge from
the article is difficult to obtain. The information is not useful in practical situations while the
objective is viewed from a narrow perspective. Therefore, further research is required in
understanding the right procedures for end-of-life discussions, managing uncertainty for
individuals and caregivers.
Article 2
 Citation-
Buck, H. G., Stromberg, A., Chung, M. L., Donovan, K. A., Harkness, K., Howard, A. M.,
Kato, N., Polo, R., & Evangelista, L. S. (2018, 2018/01/01/). A systematic review of heart
failure dyadic self-care interventions focusing on intervention components, contexts, and
outcomes. International Journal of Nursing Studies, 77, 232-242. DOI:
10.1016/j.ijnurstu.2017.10.007.
 Summary-
This article describes that informal care is essential for patients experiencing heart failure.
It discusses that informal care helps to improve the patients’ self-care but it should also be

ENGAGING IN CLINICAL PRACTICE 4
noted that caregiving may cause negative results leading to emotional reactions. The article
discusses that dyadic heart failure self-care involvements help in improving patients’ self-
care that includes obedience towards medical treatment, symptom supervision, and
management. It also notifies that no systematic valuation of dyadic interventions has been
conducted. The article aims at examining mechanisms, context, and consequences of dyadic
self-care interventions. The author has used two analytic secondary research. Thus, the
completed studies with the result and ongoing studies have been viewed to prepare this
article. In this context, 12 articles from 2000 to 2016 were reviewed to obtain information
about the intervention studies. It is concluded that dyadic intervention helps in promoting
heart failure self-care but its growth in recent times is restricted.
 Critique-
The issues of health failure self-care have been broadly viewed by the author. The work
gives us a clear understanding that informal care can be helpful in the promotion of heart
failure self-care. The only limitation is the use of research methodology, that is if primary
research had been done the results would realistic. Thus, the practical implication of this
paper is limited.
Article 3
 Citation-
Salahodinkolah, M. K., Ganji, J., Moghadam, S. H., Shafipour, V., Jafari, H., & Salari, S.
(2020). Educational intervention for improving self-care behaviors in patients with heart
failure: A narrative review. Journal of Nursing & Midwifery Sciences, 7(1), 60-68. DOI:
10.4103/JNMS.JNMS_19_19.