Date of Award

Spring 2020

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice (DNP)



Committee Chairperson

Dr. Cheryl Monturo

Committee Member

Dr. Cheryl Schlamb



This evidence-based quality improvement project was implemented to improve self-care behaviors in homebound heart failure patients. Heart failure is a complex disease with significant challenges for patients, caregivers, healthcare providers, and the healthcare system. Educating and engaging patients in self-care management skills can reduce the clinical and financial burden of this disease. Heart failure self-care management skills can decrease 30-day readmission rates, improve quality of life, and reduce mortality. The self-care management program was implemented over a 6-week period. The Self-Care of Heart Failure Index (SCHFI) was administered at baseline to assess self-care and reevaluated after 6-weeks. During the first week, participants received heart failure education with individual counseling, followed by weekly telephone calls for four weeks. After completing the self-care management program, self-care maintenance increased to 29%, self-care perception increased to 39%, self-care management increased to 26%, and self-care confidence increased to 22%. The homebound heart failure program effectively improved self-care behavior scores in heart failure patients.

Keywords: heart failure, self-care management, patient education, homebound