Western Journal of Nursing Research最新文献

{"title":"Latent Profile Analysis of Prenatal Self-Management Among High-Risk Pregnant Women and Its Association With Adverse Pregnancy Outcomes.","authors":"Chen Dan, Wang Jinming, Yu Yajing, Liu He, Qin Tingting, Zhang Jiayuan","doi":"10.1177/01939459261420513","DOIUrl":"10.1177/01939459261420513","url":null,"abstract":"<p><strong>Background: </strong>High-risk pregnancy requires effective self-management strategies to prevent adverse outcomes. Understanding the heterogeneity in pregnant women's self-management behaviors through latent profile analysis (LPA) may inform targeted interventions.</p><p><strong>Aim: </strong>We sought to identify latent profiles of self-management behaviors among women with high-risk pregnancies and examine their associations with adverse pregnancy outcomes.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among high-risk pregnant women recruited from 2 tertiary maternal and child health hospitals in Heilongjiang, China. A total of 503 eligible participants completed questionnaires assessing demographic characteristics, clinical features, self-management behaviors, and preconception health behaviors. LPA was performed to identify distinct self-management patterns. Logistic regression analysis examined the influencing factors of profiles, and chi-squared tests were applied to examine differences in adverse pregnancy outcomes across profiles.</p><p><strong>Results: </strong>Three distinct latent profiles were identified: \"high-engagement type\" (38.6%), \"compliant executors\" (36.4%), and \"low-engagement type\" (25.0%). Factors associated with class membership included preconception health behaviors, residential location, educational level, and history of chronic diseases. High-engagement type demonstrated significantly lower rates of adverse pregnancy outcomes than other classes.</p><p><strong>Conclusion: </strong>Women with high-risk pregnancies exhibit distinct patterns of self-management behaviors. Women classified as high-engagement type show superior pregnancy outcomes, suggesting the importance of comprehensive self-management interventions targeting all behavioral dimensions.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"529-538"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Research Capacity to Enroll Spanish-Speaking Patients and Families in a Traumatic Brain Injury Transitional Care Intervention.","authors":"Victoria McReynolds, Stephanie O Ibemere, HyunBin You, Brian Anaya, Michelle Huang, Rosa Gonzalez-Guarda, Janet Prvu Bettger, Tolu O Oyesanya","doi":"10.1177/01939459261421129","DOIUrl":"10.1177/01939459261421129","url":null,"abstract":"<p><strong>Background: </strong>The Hispanic or Latino community account for under 8% of US clinical trial samples. Research is needed to facilitate increased enrollment of Hispanic or Latino individuals into trials.</p><p><strong>Objectives: </strong>The purpose of this study was to describe cultural and linguistic adaptation of the BETTER traumatic brain injury (TBI) transitional care intervention and accompanying participant workbook to be suitable for Spanish-speaking patients with TBI and their families.</p><p><strong>Methods: </strong>Building on intervention development with Spanish-speaking patients and families, the cultural adaptation (phase I) included incorporating perspectives from qualitative interviews of interpreters and providers on the overall intervention. Rapid qualitative analysis was employed in phase I, allowing for efficient implementation of cultural adaptation findings in the BETTER clinical trial. Linguistic adaptation (phase II) included workbook translation, cognitive user-testing, and participant feedback.</p><p><strong>Results: </strong>Health care providers and interpreters (n = 10, phase I) and one workbook reviewer (phase II) participated. Participants' mean age was 45.5 years, majority were female (n = 8), and all were bilingual. Phase I analysis produced 2 themes: (1) centering culture to advance patient outcomes, and (2) enhancing uptake of BETTER. The main recommendations received in phase II were related to orthographic changes (25%) and limiting use of English idioms (19%), which did not hold meaning in the Spanish language.</p><p><strong>Conclusion: </strong>Study findings supported cultural and linguistic adaptation of BETTER and the accompanying participant workbook. Steps taken in this study can serve as a model for researchers seeking to culturally and linguistically adapt interventions to engage non-English speaking and minoritized participants in research.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"539-552"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Get in Line: A Hermeneutic Phenomenological Study Exploring Moral Distress in UK Pre-Registration Student Nurses.","authors":"Barry Hill, Aby Mitchell, Alison Isabel Machin, Julie Derbyshire, Amsale Wamburu, Geeta Lamichhane, Helen Ayo-Ajayi, James Wade","doi":"10.1177/01939459261416325","DOIUrl":"10.1177/01939459261416325","url":null,"abstract":"<p><strong>Background: </strong>Moral distress among student nurses remains underexamined in clinical education in the United Kingdom, despite concern about its effects on well-being, retention and professional identity. International evidence shows moral distress is a growing challenge, yet little is known about how it shapes identity formation during preregistration training.</p><p><strong>Aim: </strong>This hermeneutic phenomenological study explored how student nurses experience and interpret moral distress during clinical placements and how these experiences influence developing professional identity, while offering internationally relevant insight into early ethical learning.</p><p><strong>Methods: </strong>Thirty final-year student nurses took part in 1-to-1 reflective discussions within a routine placement debrief activity. Data were analyzed using van Manen's hermeneutic approach, involving prolonged engagement, iterative interpretation, reflexive journalling and peer dialogue to support rigor. Analysis was manual and aligned with hermeneutic tradition.</p><p><strong>Results: </strong>Three themes were identified. Students often recognized ethical concerns but felt unable to act because of uncertainty and limited authority. They then encountered workplace expectations that discouraged speaking up, shaped by supervision structures, hierarchy, and organizational pace. Through reflection, students described moral distress as influencing the nurse they hoped to become, indicating its developmental potential. These findings offer an original account of moral distress as a formative influence on identity development with relevance for global nursing education.</p><p><strong>Conclusion: </strong>Moral distress functions as an emotional burden and a developmental experience. When supported through relational supervision and ethical dialogue, it can strengthen ethical awareness and identity formation. The findings have relevance for education, workforce well-being, and psychologically safe learning environments.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"507-515"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the Indonesian Version of the Motivation and Attitudes Toward Health Change Scale and Its Role in Glycemic Outcomes in Type 2 Diabetes.","authors":"Ollyvia Freeska Dwi Marta, Rudy Kurniawan, Hsiao-Yean Chiu, Ratsiri Thato, Safiruddin Al Baqi, Faizul Hasan, Djoko Priyono, Gangga Anuraga, Debby Syahru Romadlon","doi":"10.1177/01939459261437835","DOIUrl":"https://doi.org/10.1177/01939459261437835","url":null,"abstract":"<p><strong>Background: </strong>The Motivation and Attitudes Toward Changing Health (MATCH) scale is widely used to assess motivation and attitudes toward health behavior change. However, an Indonesian version of the MATCH (MATCH-I) has not yet been developed.</p><p><strong>Objectives: </strong>This study aimed to evaluate the psychometric properties of the MATCH-I and examine its association with glycemic control in type 2 diabetes.</p><p><strong>Methods: </strong>A psychometric validation study was conducted with 90 adults with type 2 diabetes at a diabetes management center. Internal consistency reliability and test-retest reliability were evaluated using Cronbach's alpha coefficient and intraclass correlation coefficient. Criterion and convergent validity were assessed using Pearson correlations between MATCH-I and measures of fatigue (Indonesian version of the Multidimensional Fatigue Inventory [IMFI-20]) and depression (Beck Depression Inventory-Second Edition [BDI-II]). Known-group validity was examined by comparing MATCH-I scores across hemoglobin A1c (HbA1c) levels. Construct validity was assessed using exploratory factor analysis (EFA). Glycemic control was measured via HbA1c and fasting blood glucose (FBG).</p><p><strong>Results: </strong>Participants' mean age was 52.8 years, and 61.1% were female. MATCH-I demonstrated excellent internal consistency reliability (Cronbach's alpha coefficient = 0.90) and significant correlations with IMFI-20 and BDI-II (all <i>P</i> < .05). Participants with HbA1c >7% and FBG >126 mg/dL had significantly lower MATCH-I scores (<i>P</i> < .05). EFA supported a 3-factor structure: willingness to make changes, perceived ability to make or maintain changes, and feeling changes are worthwhile.</p><p><strong>Conclusions: </strong>The MATCH-I is a reliable and valid tool for assessing motivation and attitudes toward health change in Indonesian adults diagnosed with type 2 diabetes. It is associated with glycemic outcomes and is suitable for clinical and research applications in Indonesia.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459261437835"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Well-Being as a Mediator of the Relationship Between Social Support and Health-Related Quality of Life in Patients With Coronary Heart Disease.","authors":"Ching-Hui Cheng, Kuan-Chun Chen, Hwei-Ling Chen, Yen-Ling Wu, Yi-Ting Tsai, Mei-Chen Lee","doi":"10.1177/01939459261426772","DOIUrl":"https://doi.org/10.1177/01939459261426772","url":null,"abstract":"<p><strong>Background: </strong>Coronary heart disease is a chronic disease. As patients undergo the process of adapting to a chronic disease, they are susceptible to comorbid psychological distress symptoms. Social support has a direct impact on the mental health of individuals with chronic diseases and also influences their quality of life.</p><p><strong>Purpose: </strong>This study aimed to investigate the mediating effect of psychological well-being (PWB) in the relationship between social support and health-related quality of life among patients with coronary heart disease.</p><p><strong>Methods: </strong>The study employed a cross-sectional design using purposive sampling to sample patients from a cardiology outpatient department at a regional teaching hospital in Taiwan. We collected clinical data from 280 patients diagnosed with coronary heart disease. The questionnaires used were the World Health Organization-5 Well-Being Index, Medical Outcomes Study Social Support Survey, and 12-item Short-Form General Health Survey.</p><p><strong>Results: </strong>This study found that age, age-adjusted Charlson Comorbidity Index, PWB, and social support were significant predictors of health-related quality of life, accounting for 45.4% of the variance. Of these, PWB was the most important predictor, explaining 38.4% of the variance. In addition, PWB partially mediated the relationship between social support and health-related quality of life, with an overall mediation effect of 47.12%.</p><p><strong>Conclusions: </strong>PWB emerged as the most important predictor of health-related quality of life in this population. To enhance patients' health-related quality of life, in addition to strengthening social support, promoting PWB may also contribute to improving patients' health-related quality of life.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459261426772"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Interventions to Reduce Workplace Violence Against Nurses by Patients and Visitors: A Systematic Review.","authors":"Aekkachai Fatai, Chakrit Sattayarom, Sittirat Butdee","doi":"10.1177/01939459261442054","DOIUrl":"https://doi.org/10.1177/01939459261442054","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence (WPV) against nurses by patients and visitors remains a significant threat to nurses' safety and well-being; however, evidence on the effectiveness of interventions remains fragmented.</p><p><strong>Objective: </strong>This review aimed to evaluate the effectiveness of interventions to reduce WPV against nurses by patients and visitors in healthcare settings.</p><p><strong>Methods: </strong>This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, MEDLINE, CINAHL, and PsycINFO were searched for studies published between 2020 and 2025. Eligible studies employed quantitative or mixed-methods designs and examined interventions targeting WPV among nurses. Study quality was assessed using the Mixed Methods Appraisal Tool.</p><p><strong>Results: </strong>Twenty-three studies were included in the review. Interventions were categorized into 5 themes: (1) training and education, (2) reporting and documentation, (3) policy and environmental, (4) technology-based, and (5) multi-component. Outcomes consistently demonstrated reductions in WPV incidents, enhanced nurses' confidence, preparedness, de-escalation skills, resilience, job satisfaction, and improved reporting rates.</p><p><strong>Conclusion: </strong>Integrative strategies, including skill-based training, supportive policies, strengthened environmental safety, improved reporting systems, and structured post-incident management, are effective in reducing WPV and enhancing nurses' capacity to manage violent incidents.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459261442054"},"PeriodicalIF":1.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Public Health Critical Race Praxis to Refine Black Girls Move: An Obesity Prevention Intervention for Black Adolescent Daughter/Mother Dyads.","authors":"Monique Reed, Michael E Schoeny, Tristan Banks, Barbara Swanson, Christy Tangney, Wrenetha A Julion","doi":"10.1177/01939459261431023","DOIUrl":"https://doi.org/10.1177/01939459261431023","url":null,"abstract":"<p><strong>Background: </strong>Black adolescent females are disproportionately affected by obesity and its associated adverse health outcomes. Though racial disparities in obesity and related health outcomes are often attributed to differences in socioeconomic status, growing evidence suggests that structural racism is a contributing factor. To prevent the numerous comorbidities associated with obesity in black females, interventionists must confront the tripartite impact of structural racism, racial discrimination, and intersectionality on physical activity and dietary behaviors. The purpose of this paper was to describe Public Health Critical Race Praxis (PHCRP) as a race-conscious approach to intervention development, refinement, and evaluation.</p><p><strong>Approach: </strong>PHCRP can be applied to behavioral intervention research to provide a lens to develop, refine, deliver, and/or evaluate culturally tailored interventions. We present a description of the 4 PHCRP foci for interventionists with examples of the 10 affiliated principles.PHCRP Application:The intervention team led with the overarching principle, race consciousness, to guide their refinement efforts, including acknowledgment of personal biases, identification of the mechanisms in which bias perpetuates racism, and development of counteractivities to combat these biases. The intervention team operationalized PHCRP by critically evaluating decisions through a race-conscious lens, ensuring that the 4 foci remained foundational throughout the refinement process.</p><p><strong>Discussion: </strong>Interventionists have unintentionally reinforced racism with complicit silence by not directly addressing the profound influence of racism on health behaviors. We urge interventionists to regard the inclusion of a race-conscious framework, such as PHCRP, as a necessary requirement for designing interventions with marginalized populations.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459261431023"},"PeriodicalIF":1.7,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Preliminary Validation of a Quality of Life Scale for Living Solid Organ Donors.","authors":"Yuexian Shi, Jiyue Li, Björn Nashan, Yaru Fan, Haiming Zhang, Yan Jin, Jie Zhao, Zhijun Zhu","doi":"10.1177/01939459261427849","DOIUrl":"https://doi.org/10.1177/01939459261427849","url":null,"abstract":"<p><strong>Background: </strong>Identifying the impact of living organ donation on donor quality of life (QoL) is crucial for tailored health care support. However, specific and validated instruments for this purpose remain scarce.</p><p><strong>Objective: </strong>We aimed to develop and validate a modular-design QoL scale for living solid organ donors.</p><p><strong>Methods: </strong>We recruited liver and kidney donors from 2 Chinese hospitals. After generating items via literature review and donor interviews, item selection employed the Delphi method, cognitive interviews, and item analysis. Psychometric properties were assessed through exploratory and confirmatory factor analyses, along with tests of internal consistency (Cronbach's α) and split-half reliability.</p><p><strong>Results: </strong>The item analysis was performed on 223 liver/kidney donors (mean age = 46.2), while the psychometric analysis included 563 (mean age = 45.0) donors. The Living Organ Donor QoL scale includes a common module, as well as liver donor-specific and kidney donor-specific modules. Exploratory factor analysis of the common module yielded a 30-item structure encompassing 7 factors, demonstrating acceptable construct validity. These 7 factors were subsequently categorized into 4 domains, a structure that was further validated by a second-order confirmatory factor analysis. Cronbach's α of the 7 facets ranged from 0.601 to 0.891. Cronbach's α values for the liver-specific and kidney-specific donor modules were 0.806 and 0.891, respectively.</p><p><strong>Conclusions: </strong>The Living Organ Donor QoL scale comprises a common module, 4 domains (encompassing 7 facets and 30 items), and 2 donor-specific modules (liver specific and kidney specific, with 5 items each), all of which exhibit acceptable psychometric properties.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459261427849"},"PeriodicalIF":1.7,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the Health Belief Model to Explore Behavior Change in the Community to Improve Blood Pressure Control: A Qualitative Study.","authors":"Pataporn Bawornthip, Jo Mcdonall, Decha Tamdee, Andrea Driscoll, Anastasia Hutchinson","doi":"10.1177/01939459261432411","DOIUrl":"https://doi.org/10.1177/01939459261432411","url":null,"abstract":"<p><strong>Background: </strong>Effective hypertension prevention requires understanding individual and community perceptions and responses to health promotion messages to inform culturally tailored interventions. This study aimed to explore the perceptions of local key stakeholders and consumers of the barriers and facilitators influencing the uptake of behavior change strategies that promote optimal blood pressure control.</p><p><strong>Methods: </strong>The Health Belief Model underpinned the design of this qualitative study. Three focus groups (N = 27), including community leaders (n = 9), health care workers (n = 10), and consumers (individuals with prehypertension and hypertension, family members; n = 8) were conducted. Purposive sampling based on recommendations from an advisory group was used to recruit participants. Data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Four themes and 11 subthemes were generated including the following: (1) community perceptions of the rising prevalence of hypertension and its associated health and social consequences (perceived severity); (2) hypertension is asymptomatic, and as a consequence, there is little motivation for behavior change (perceived susceptibility); (3) contextual and cultural barriers challenging the adoption a healthy lifestyle in everyday life (perceived barriers); and (4) enhancing enablers and overcoming barriers to behavior change (perceived benefits, cues to action, and self-efficacy).</p><p><strong>Conclusion: </strong>Local stakeholders and consumers identified contextual and cultural barriers as the main obstacles to behavior change, highlighting the need for both community-level strategies to promote participatory public health policy and healthy environments and individual-level strategies to motivate behavior change and help individuals overcome barriers, thereby encouraging sustained change.Reporting Method:The Consolidated Criteria for Reporting Qualitative Research was used to instruct this report.Patient or Public Contribution:Patients and community stakeholders actively participated in the data collection process through in-person focus group discussions.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459261432411"},"PeriodicalIF":1.7,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability and Usefulness of a Dyadic Problem-Solving Partnership to Promote Rural Heart Failure Self-care.","authors":"Joan S Grant, Angela Durante, Erika Bassi, Laurie S Abbott, Lucinda J Graven","doi":"10.1177/01939459261431048","DOIUrl":"https://doi.org/10.1177/01939459261431048","url":null,"abstract":"<p><strong>Background: </strong>Heart failure (HF) is a common chronic illness in the United States, and rural individuals have a higher risk of this disease, often with negative health outcomes. While dyads cope more effectively in working together to address heart-related problems, there are few innovative studies exploring the acceptability and usefulness of self-care partnership programs to assist rural dyads in managing symptoms and daily challenges.</p><p><strong>Purpose: </strong>We examined the acceptability and usefulness of a telephone problem-solving program with HF dyads for managing HF-related problems in the home. Self-care areas, process outcomes, and underlying structures and patterns regarding acceptability and usefulness were addressed.</p><p><strong>Methods: </strong>Data for this qualitative descriptive study were collected via individual telephone interviews with 29 HF dyads, using an investigator-developed semi-structured interview guide. This analysis focused on the midpoint, in-depth, 5-week analysis of the 12-week parent study to compare early and later data regarding acceptability and usefulness. Adjusted matrix analyses and multiple correspondence analysis were used to address the study aims.</p><p><strong>Results: </strong>Most dyads were completely supportive of the program, and 12 suggested strategies for improving its usefulness. Most dyads focused on self-care maintenance (diet, exercise) problems and self-monitoring (abnormal signs and symptoms). A gender pattern difference was identified in addressing self-care maintenance problems.</p><p><strong>Conclusion: </strong>Our study fills an important gap regarding collaborative transition and empowerment of self-care in rural HF dyads. It also highlights the need for longitudinal research on how gender pattern differences influence self-care in rural dyads.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459261431048"},"PeriodicalIF":1.7,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}