Date of Award

Spring 2019

Document Type


Degree Name

Master of Science in Nursing (MSN)



Thesis Committee Chairperson

Wencan Lu, FNP

Second Reader

Noel Ridge


congestive heart failure, self-management, barriers, facilitators, quality of life, qualitative research


Background: Congestive heart failure (CHF) is a chronic condition impacting millions of adults worldwide with hospital readmission rates averaging 21-69% annually (Sharifi, Rezaei, Heydari, Khayat & Mohammadinia, 2018). Self-management is an important factor in symptom control and can have a significant impact in preventing hospital readmissions, reducing the cost burden of the health care system, and strain on patients and their family members. Aim: The aim of this study was to look at barriers and facilitators to self-management at different intervals of enrollment of patients participating in an outpatient home monitoring program. Method: This was an action research study conducted via semi-structured interviews using purposeful sampling and achieving saturation using semi-structured interviews. Results: Health Care Provider support, family support, and daily routine were important facilitators to self-management of congestive heart failure. Barriers included medication adherence, lack of knowledge of illness, and lack of symptom recognition. Conclusion: Patients need support in maintaining and understanding their health. The addition of the Heart Failure Home Monitoring Program has made a significant difference in the lives of those interviewed.