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Adult nursing
Previous healthcare experiences are important in explaining the care-seeking behaviour in heart failure patients
  1. Wouter Pieteraerens
  1. Nursing, Odisee University of applied sciences, Aalst, Belgium
  1. Correspondence to Mr Wouter Pieteraerens, Odisee University College, Brussel, Belgium; wouter.pieteraerens{at}

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Commentary on: Ivynian SE, Ferguson C, Newton PJ, et al. Factors influencing care-seeking delayor avoidance of heart failure management: a mixed-methods study, International Journal of Nursing Studies 2020 doi: 10.1016/j.ijnurstu.2020.103603

Implications for practice and research

  • Healthcare providers and managers should pay more attention to, and invest in the experience of the patient, continuity of care and the relationship between the patient and the provider.

  • Future research should test an approach that focuses on the identification of (a) physical factors, (b) patient-related factors and (c) previous healthcare experiences in order to prevent heart failure-related hospitalisations by using individualised therapy based on the results.


Self-care management has been defined as ‘a naturalistic decision making process of maintaining health through positive health practices and managing illness and disease’.1 Positive health practices are those practices …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.