Effects of Nurse Management on the Quality of Heart Failure Care in Minority Communities

Sisk, Jane E.; Hebert, Paul L.; Horowitz, Carol R.; McLaughlin, Mary Ann; Wang, Jason; Chassin, Mark R.

doi:10.7326/0003-4819-145-4-200608150-00007

Cited by 151 publications

(130 citation statements)

References 38 publications

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…[11][12][13][14] However, the barriers and facilitators of task redistribution of hypertension care from physicians to nurses in rural LMIC settings are not known. We therefore conducted a qualitative study to evaluate the specific factors influencing nurse management of hypertension in rural western Kenya.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators to Nurse Management of Hypertension: A Qualitative Analysis from Western Kenya

et al. 2016

Self Cite

View full text Add to dashboard Cite

Background: Hypertension is the leading global risk for mortality. Poor treatment and control of hypertension in low- and middle-income countries is due to several reasons, including insufficient human resources. Nurse management of hypertension is a novel approach to address the human resource challenge. However, specific barriers and facilitators to this strategy are not known. Objective: To evaluate barriers and facilitators to nurse management of hypertensive patients in rural western Kenya, using a qualitative research approach. Methods: Six key informant interviews (five men, one woman) and seven focus group discussions (24 men, 33 women) were conducted among physicians, clinical officers, nurses, support staff, patients, and community leaders. Content analysis was performed using Atlas.ti 7.0, using deductive and inductive codes that were then grouped into themes representing barriers and facilitators. Ranking of barriers and facilitators was performed using triangulation of density of participant responses from the focus group discussions and key informant interviews, as well as investigator assessments using a two-round Delphi exercise. Results: We identified a total of 23 barriers and nine facilitators to nurse management of hypertension, spanning the following categories of factors: health systems, environmental, nurse-specific, patient-specific, emotional, and community. The Delphi resultswere generally consistent with the findings from the content analysis. Conclusion: Nurse management of hypertension is a potentially feasible strategy to address the human resource challenge of hypertension control in low-resource settings. However, successful implementation will be contingent upon addressing barriers such as access to medications, quality of care, training of nurses, health education, and stigma. Ethn Dis. 2016;26(3):315-322; doi:10.18865/ed.26.3.315.

show abstract

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators to Nurse Management of Hypertension: A Qualitative Analysis from Western Kenya

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…Indeed, the difficulty HF imposes in the everyday life of the elderly, reflect on their HRQOL and it has been demonstrated that elderly with HF presented high scores in all dimensions of the LHFQ, that is worse HRQOL compared to healthy individuals (7) . Additionally, it is important to implement strategies to improve HRQOL, because poor quality of life is associated with clinical worsening, including the increase in hospital admission and mortality rate (27) . An important remark refers to the increase of LHFQ scores connected with HF severity.…”

Section: Discussionmentioning

confidence: 99%

Qualidade de vida relacionada à Saúde em Idosos com Insuficiência cardíaca: avaliação com instrumento específico

2011

View full text Add to dashboard Cite

Objective:To assess the quality of life in elderly patients with heart failure. Methods: Cross-sectional study conducted in two university hospitals. Interviews were conducted with 170 elderly patients with heart failure in an outpatient setting. To assess the quality of life, the Minnesota Living With Heart Failure Questionnaire was used. Results: The results showed a minor impact of illness on the emotional dimension of quality of life. However, indicators related to the physical dimension, including fatigue and breathlessness, showed a greater impact on quality of life for elderly patients. The internal consistency of the instrument-specific to quality of life was high, indicating satisfactory reliability (α> 0.80). Conclusion: This study enabled the assessment of quality of life of elderly patients living with heart failure, demonstrating that the physical dimension was the most compromised. It is essential to implement strategies to improve physical functioning in these patients. Keywords: Elderly; Heart failure; Quality of life RESUMOObjetivo: Avaliar a qualidade de vida relacionada à Saúde em idosos com insuficiência cardíaca. Métodos: Estudo transversal realizado em dois hospitais universitários. Foram entrevistados 170 idosos com insuficiência cardíaca em seguimento ambulatorial. Para avaliar a qualidade de vida, foi utilizado o instrumento Minnesota Living With Heart Failure Questionnaire. Resultados: Os resultados do estudo apontaram menor influência da doença sobre a dimensão emocional da qualidade de vida. Entretanto, as questões vinculadas à dimensão física, que avaliam fadiga e dispneia, apresentaram maior impacto na qualidade de vida dos idosos. A consistência interna do instrumento específico de qualidade de vida foi alta, indicando confiabilidade satisfatória (α >0,80). Conclusão: Este estudo possibilitou a avaliação da qualidade de vida dos idosos com insuficiência cardíaca e mostrou a dimensão física, como o aspecto mais comprometido. É essencial a implementação de estratégias que melhorem a função física desses pacientes. Descritores: Idoso; Insuficiência cardíaca; Qualidade de vida RESUMEN Objetivo: Evaluar la calidad de vida relacionada a la Salud en ancianos con insuficiencia cardíaca. Métodos: Estudio transversal realizado en dos hospitales universitarios. Fueron entrevistados 170 ancianos con insuficiencia cardíaca en seguimiento ambulatorio. Para evaluar la calidad de vida, fue utilizado el instrumento Minnesota Living With Heart Failure Questionnaire. Resultados: Los resultados del estudio apuntaron menor influencia de la enfermedad sobre la dimensión emocional de la calidad de vida. Mientras que, las preguntas vinculadas a la dimensión física, que evalúan fatiga y disnea, presentaron mayor impacto en la calidad de vida de los ancianos. La consistencia interna del instrumento específico de calidad de vida fue alta, indicando confiabilidad satisfactoria (α >0,80). Conclusión: Este estudio permitió la evaluación de la calidad de vida de los ancianos con insuficiencia cardíaca y...

show abstract

“…82,88 An intervention designed to improve problem-solving skills in patient and family dyads showed a positive effect on change in perceived control. 60 TPE interventions using direct 1-to-1 interactions did not reduce all-cause or cardiac mortality, 68,76,87,91 with the exception of a study by Dracup and colleagues 72 ; however, more studies showed a benefit of 1-to-1 TPE interventions Better attitude about dietary sodium intake at 6 wk (P=0.01)…”

Section: Hf Outcomesmentioning

confidence: 99%

“…88 Other TPE interventions provided approaches that included feedback on dietary intake patterns and enhancing medication adherence. 63,73,74,87,92,94,95 The activation of selfmanagement resources (eg, environmental restructuring, eliciting support from family, cognitive restructuring, and relaxation response) 82 and the use of family-focused interventions were other strategies used in other self-management trials 60,73 to enhance mutual support, communication, and problem-solving skills…”

mentioning

confidence: 99%

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Barnason¹,

White‐Williams²,

Rossi³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

View full text Add to dashboard Cite

A lthough the overall rate of death associated with cardiovascular disease (CVD) continues to decline in the United States, [1][2][3] CVD is a leading cause of mortality and disability. The burden of CVD remains high, underscoring the need to improve long-term management of CVD as a chronic illness. Effective implementation of current treatment guidelines for primary and secondary prevention of CVD relies heavily on patient knowledge and engagement in carrying out the plan of care. Healthcare reforms have increasingly shifted the responsibility for self-management to patients and families as hospital stays and ambulatory visits have become shorter and less frequent.Background-The burden of cardiovascular disease as a chronic illness increasingly requires patients to assume more responsibility for their self-management. Patient education is believed to be an essential component of cardiovascular care; however, there is limited evidence about specific therapeutic patient education approaches used and the impact on patient self-management outcomes. Methods and Results-An integrative review of the literature was conducted to critically analyze published research studies of therapeutic patient education for self-management in selected cardiovascular conditions. There was variability in methodological approaches across settings and disease conditions. The most effective interventions were tailored to individual patient needs, used multiple components to improve self-management outcomes, and often used multidisciplinary approaches. Conclusions-This synthesis of evidence expands the base of knowledge related to the development of patient selfmanagement skills and provides direction for more rigorous research. Recommendations are provided to guide the implementation of therapeutic patient education in clinical practice and the design of comprehensive self-management interventions to improve outcomes for cardiovascular patients. (Circ Cardiovasc Qual Outcomes. 2017;10:e000025.

show abstract

Effects of Nurse Management on the Quality of Heart Failure Care in Minority Communities

Abstract: Nurse management can improve functioning and modestly lower hospitalizations in ethnically diverse ambulatory care patients who have heart failure with systolic dysfunction. Sustaining improved functioning may require continuing nurse contact.

Cited by 151 publications

References 38 publications

Barriers and Facilitators to Nurse Management of Hypertension: A Qualitative Analysis from Western Kenya

Barriers and Facilitators to Nurse Management of Hypertension: A Qualitative Analysis from Western Kenya

Qualidade de vida relacionada à Saúde em Idosos com Insuficiência cardíaca: avaliação com instrumento específico

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Contact Info

Product

Resources

About