{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:58:52Z","timestamp":1791583132827,"version":"4.3.4"},"reference-count":22,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T00:00:00Z","timestamp":1720742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021573","name":"Muhimbili University of Health and Allied Sciences","doi-asserted-by":"publisher","award":["NIL"],"award-info":[{"award-number":["NIL"]}],"id":[{"id":"10.13039\/501100021573","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\nBackground<\/jats:title>\nPatients\u2019 education along with a motivation for developing self-care management skills is an essential component in the management of heart failure(HF). Self-care management education has been practiced by nurses in many hospitals. However, there is inadequate evidence for the provision of self-care management education in low-income countries including Tanzania. Lack of self-care management education to patients with HF during discharge is the most common reason for re-admission to hospitals.<\/jats:p>\n<\/jats:sec>\n\nAim<\/jats:title>\nThis study aimed to explore nurses\u2019 perspectives focusing on facilitators and barriers to the provision of self-care management education to patients with heart failure at Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.<\/jats:p>\n<\/jats:sec>\n\nMaterials and methods<\/jats:title>\nThis study used a qualitative descriptive design. Purposive sampling was used to recruit 12 study participants. In-depth interviews were used to collect the data. We used thematic analysis to come up with the themes and sub-themes.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nThe two major themes emerged from this study; The first theme is \u201cImproved patient quality of life and health outcome\u201d which describes factors that motivate nurses to continue giving self-care management education to heart failure patients. The second theme is \u201cReduced effective uptake of self-care management education\u201d which describes nurses\u2019perspectives on barriers for providing self-care management education to heart falure patients. Nurses highlight some barriers while providing self-care management education to patients with heart failure including;inadequate knowledge of self-care management among nurses, lack of privacy during the provision of self-care education, poor communication skills among nurses, and lack of learning materials. Also, nurses pointed out facilitators that influence the provision of self-care management education such as increased involvement of family members and the use of peer educators.<\/jats:p>\n<\/jats:sec>\n\nConclusions and recommendations<\/jats:title>\nPoor self-care management for patients with heart failure results in readmission and prolonged hospital stay. Family involvement and the use of peer educators are the key steps in the improvement of self-care management for patients with HF. However, patient cognitive impairment and poverty which contribute to poor health outcomes, should be taken into consideration when planning for discharge for patients with HF. Self-care management education should be part of routine health care.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0306459","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T17:31:32Z","timestamp":1720805492000},"page":"e0306459","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Nurses\u2019 perspectives on the provision of self-care management education to patients with heart failure: A qualitative study at Cardiac Hospital, Dar es Salaam Tanzania"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3428-2995","authenticated-orcid":true,"given":"Peter M.","family":"Shirima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dickson A.","family":"Mkoka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masunga K.","family":"Iseselo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,7,12]]},"reference":[{"issue":"1","key":"pone.0306459.ref001","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/ehf2.12005","article-title":"Heart failure: preventing disease and death worldwide","volume":"1","author":"P Ponikowski","year":"2014","journal-title":"ESC Hear Fail"},{"key":"pone.0306459.ref002","volume-title":"Report on the status of major health risk factors for noncommunicable diseases:","author":"WHO","year":"2015"},{"issue":"6","key":"pone.0306459.ref003","doi-asserted-by":"crossref","first-page":"33","DOI":"10.21037\/jxym.2019.07.03","article-title":"Cardiovascular diseases in Tanzania: The burden of modifiable and intermediate risk factors.","volume":"4","author":"WP Roman","year":"2019","journal-title":"J Xiangya Med"},{"issue":"2","key":"pone.0306459.ref004","first-page":"111","volume":"28","author":"VV Dickson","year":"2013","journal-title":"Sociocultural Influences on Heart Failure Self-care Among an Ethnic Minority Black Population"},{"issue":"1","key":"pone.0306459.ref005","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1002\/ejhf.2008","article-title":"Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology","volume":"23","author":"T Jaarsma","year":"2021","journal-title":"Eur J Heart Fail"},{"key":"pone.0306459.ref006","article-title":"Jo na l P.","author":"Y Jiang","year":"2021","journal-title":"Int J Nurs Sci"},{"issue":"2","key":"pone.0306459.ref007","first-page":"243","article-title":"Improve self-care in heart failure","volume":"8","author":"Y Jiang","year":"2021","journal-title":"Int J Nurs Sci"},{"issue":"1","key":"pone.0306459.ref008","first-page":"194","article-title":"Heart failure disease management: a systematic review of effectiveness in heart failure with preserved ejection fraction","volume":"7","author":"F Kalogirou","year":"2020","journal-title":"ESC Hear Fail"},{"issue":"3","key":"pone.0306459.ref009","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/s11886-012-0267-9","article-title":"Role of self-care in the patient with heart failure","volume":"14","author":"DK Moser","year":"2012","journal-title":"Curr Cardiol Rep"},{"key":"pone.0306459.ref010","first-page":"54","author":"Azevedo PR De","year":"2018","journal-title":"Nurses \u2018 knowledge about heart failure: a comparative study Conhecimento de enfermeiros sobre insufici\u00eancia card\u00edaca: estudo comparativo Conocimiento de los enfermeros sobre la insuficiencia card\u00edaca: un estudio ABSTRACT: RESUMO"},{"key":"pone.0306459.ref011","author":"CT Bush","year":"2007","journal-title":"Nurses\u2019 Knowledge of Heart Failure Self-Management"},{"issue":"12","key":"pone.0306459.ref012","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1177\/1049732308325857","article-title":"Translation barriers in conducting qualitative research with Spanish speakers.","volume":"18","author":"GI Lopez","year":"2008","journal-title":"Qual Health Res"},{"issue":"4","key":"pone.0306459.ref013","first-page":"1","article-title":"Forum Qualitative Sozialforschung \/ Forum: Qualitative Social Grasping at Context: Cross Language Qualitative Research as Secondary Qualitative Data Analysis 2.","volume":"7","author":"B Temple","year":"2014","journal-title":"Issues of Context Within Secondary Qualitative Data Analysis."},{"key":"pone.0306459.ref014","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology.","volume":"3","author":"V. 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Principles S care","year":"2017","journal-title":"Feature Article"},{"key":"pone.0306459.ref021","author":"Kraus SG Jeon Y hee","year":"2010","journal-title":"The experience of living with chronic heart failure: a narrative review of qualitative studies"},{"key":"pone.0306459.ref022","first-page":"19","volume":"2011","author":"JR Thomas","year":"2011","journal-title":"Women with Heart Failure Are at High Psychosocial Risk: A Systematic Review of How Sex and Gender Influence Heart Failure Self-Care"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0306459","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T17:31:59Z","timestamp":1720805519000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0306459"}},"subtitle":[],"editor":[{"given":"Joyce Jebet","family":"Cheptum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,7,12]]},"references-count":22,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7,12]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0306459","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,12]]}}}