Date of Award


Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Lisa VanGetson, APRN, DNP, FNP-C

Second Advisor

Brianna Darcy, DNP, APRN, CNS


Heart failure (HF) is one of the leading causes of hospitalization and readmissions among multicultural populations. Literature has shown that cultural beliefs and practices have not been adequately addressed in the management of HF for patients from multicultural populations. This scholarly project aims to examine existential cultural beliefs that affect adherence to HF treatment plans and initiate a mindful-based intervention of focused breathing meditation as an adjunct treatment to reduce signs and symptoms of HF. Leininger's Theory of Culture Care Diversity and Universality is utilized as a conceptual framework to discover the cultural beliefs and practices that impacted multicultural populations' care and health outcomes. Mindful-based interventions have been proven to help decrease the signs and symptoms of HF. This project introduced focused-based intervention to 10 HF patients from multicultural populations. The scholarly project compares a pre-and post-intervention HF symptom using Memorial Symptom Assessment Scale 􏰔 Short Form (MSAS-SF). The results show an improvement of signs and symptoms of HF post-intervention. Health care providers need to find ways to integrate cultural beliefs and practices into treatment plans to improve adherence to treatment plans for patients with HF from multicultural populations. Mindful-based interventions can be used as adjunct treatment plans to reduce signs and symptoms of HF. The project suggests that more culturally sensitive treatment plans are required to improve adherence and prevent hospital readmissions.


SC 11.DNP.2022.Mkalama.A