A systematic review of transitional-care strategies to reduce rehospitalization in patients with heart failure

Albert, Nancy

doi:10.1016/j.hrtlng.2015.12.001

Cited by 82 publications

(75 citation statements)

References 85 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Gallacher et al () note precedents for HF management in so‐called one‐stop HF services that allow patients to go to the hospital for a comprehensive assessment involving blood tests, electrocardiogram, echocardiogram and access to a consultant cardiologist. According to Albert (), there might be a connection between the continuum of care and adherence to treatment and reduced re‐hospitalisation rates in HF patients.…”

Section: Discussionmentioning

confidence: 99%

Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment

Nordfonn

Morken

Bru

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To explore chronic heart failure patients’ perceptions of the burden related to treatment and self‐care. Background Living with chronic heart failure entails following a demanding treatment regimen, with daily self‐care, which could make patients vulnerable to experiencing treatment burden. Burden of treatment is defined as the “work” the healthcare system passes on to the patients with respect to self‐care at home, and the impact this has on well‐being and quality of life. However, the burden of treatment is an emergent framework, and further research exploring burden among heart failure patients is required. Design Qualitative study employing semi‐structured interviews and content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ). Methods A sample of 17 heart failure patients recruited from an outpatient clinic in Norway. Interview transcripts were coded in Nvivo 11 and analysed using Malterud's systematic text condensation. Results Two main themes “emotional challenge” and “troublesome self‐care” emerged from the analysis. The first theme contained the following subthemes: “a new life situation,” “monitoring body signals,” “difficult transitions” and “feelings of guilt.” The second theme consisted of the subthemes “poor care coordination,” “lack of information and education” and “troublesome medication.” Conclusion Heart failure treatment constitutes challenges related both to self‐care and to emotional burden. The latter not previously clearly articulated in the concept of burden of treatment. Many patients are struggling emotionally, and this affects their self‐care ability in addition to affecting their well‐being and quality of life. Relevance to Clinical Practice Nurses are in a strategic position to play a pivotal role in identifying and responding to the emotional burden of treatment in heart failure patients, furthermore to guide and support in discharge planning and in outpatient setting to reduce the patients’ emotional distress and fear of failing.

show abstract

Section: Discussionmentioning

confidence: 99%

Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment

Nordfonn

Morken

Bru

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…A direct correlation between the quality of discharge planning and readmission to hospital was also found [10], which is of particular importance in the HF field. Furthermore, effective communication with patients and families is critical during the transition from hospital to home as patients and families often have conflicting feelings of relief, anxiety and wariness when attention from health care professionals is suddenly removed [11]. To initiate and pursue good communication with families is presumably more difficult if one does not possess the competence to work with families and or works in an environment without a general approach to the care of families.…”

Section: Discussionmentioning

confidence: 99%

“…The guidelines for the management of HF from American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology (ESC) recommend to involve family members in education, in the provision of psychosocial support and in the planning of care at discharge [8,9]. The advantages of families' and registered nurses' (RNs) collaboration and joint care planning at discharge from hospital are well documented, both in patients with HF and in the general medical populations [10,11]. Furthermore, family members who report more involvement in discharge care planning also report better health and greater acceptance of the caregiving role [12].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ attitudes toward family importance in heart failure care

Gusdal

Josefsson

Adolfsson

et al. 2017

European Journal of Cardiovascular Nursing

View full text Add to dashboard Cite

Background: Support from the family positively affects self-management, patient outcomes and the incidence of hospitalizations among patients with heart failure (HF). To involve family members in HF care is thus valuable for the patients. Registered nurses (RNs) frequently meet family members to patients with HF and the quality of these encounters are likely to be influenced by the attitudes RNs hold toward families. Aims: To explore RNs' attitudes toward the importance of families' involvement in HF nursing care and to identify factors that predict the most supportive attitudes. Methods: Cross-sectional, multicentre websurvey study. A sample of 303 RNs from 47 hospitals and 30 primary health care centres (PHCC) completed the instrument Families' Importance in Nursing Care -Nurses' Attitudes. Results: Overall, RNs were supportive of families' involvement. Nonetheless, attitudes toward inviting families to actively take part in HF nursing care and involve families in planning of care were less supportive. Factors predicting the most supportive attitudes were to work in a PHCC, a HF clinic, a workplace with a general approach toward families, to have a postgraduate specialization, education in cardiac and or HF nursing care, and a competence to work with families. Conclusions: Experienced RNs in HF nursing care can be encouraged to mentor their younger and less experienced colleagues to strengthen their supportive attitudes toward families. RNs who have designated consultation time with patients and families, as in a nurse-led HF clinic, may have the most favourable condition for implementing a more supportive approach to families.

show abstract

“…Heart failure (HF) is a complex clinical syndrome with many signs and symptoms, and more than 800 000 new cases are diagnosed annually. The outbreak is anticipated to reach over 8 million in 2030 . Despite the proper medical treatment, HF may display serious episodes .…”

Section: Introductionmentioning

confidence: 99%

“…When effective teamwork is practiced, the members have fewer absences, less stress is experienced, and they are more productive; therefore, more care would be provided, fewer errors occur, and patients are more satisfied . Health care providers as a multidisciplinary team can play a vital role in the evaluation, management, and care for the patients with HF, because the quality of care depends on the collaboration between the professorial disciplines . Kalisch et al showed that the level of teamwork is reversed with the amount of lost care.…”

Section: Introductionmentioning

confidence: 99%

Invisible cobwebs in teamwork—Impediments to the care of patients with heart failure: A qualitative study

Khoshab

Nouhi

Tirgari

et al. 2018

Health Planning & Management

View full text Add to dashboard Cite

show abstract

A systematic review of transitional-care strategies to reduce rehospitalization in patients with heart failure

Cited by 82 publications

References 85 publications

Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment

Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment

Nurses’ attitudes toward family importance in heart failure care

Invisible cobwebs in teamwork—Impediments to the care of patients with heart failure: A qualitative study

Contact Info

Product

Resources

About