The Development of a Case Management Needs Assessment Tool for Patients with Heart Failure
Keywords:
heart failure, assessment tool, case management, patient needsAbstract
This mixed-method study aimed to develop a case management needs assessment tool for people with heart failure (HF). Study participants included 93 patients with HF admitted to the hospital and 10 nurses who provided care to patients with HF. Data were collected through in-depth interviews, focus group discussions, and assessment tool administration. The constructs and items of the assessment tool were developed from in-depth interview data of patients with heart failure and review of relevant literature.
The Case Management Needs Assessment Tool that was developed consists of 14 items from 7 dimensions, including health condition, dependency, knowledge, treatment plan adherence, financial and living conditions, access to health services, and self-maintenance activities. The overall index of item-objective congruence (IOC) was 0.9, with the subscale-IOC ranging between 0.6 and 1.0. The internal consistency of the assessment tool was 0.78, with the subscale-coefficient ranging between 0.74 and 0.78. In conclusion, the Case Management Needs Assessment Tool has acceptable psychometric properties.
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