Hospital nurses’ comfort in and frequency of delivering heart failure self-care education

Albert, Nancy M.; Cohen, Bonni; Liu, Xiaobo; Best, Carolyn; Aspinwall, L.; Pratt, Lisa

doi:10.1177/1474515114540756

Cited by 18 publications

(10 citation statements)

References 36 publications

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“…Results of the current review demonstrate that nurse-led heart failure self-care education was effective in reducing all-cause readmission and particularly heart failure specific readmission. Nurses are more suitable than other professionals as primary educators of home care for patients discharged with chronic illness because they can build trusting relationships by spending more time communicating with patients and their families [32,33]. Trust in relationships between nurses and patients can help in enhancing adherence to recommended self-care behaviors, identifying errors in the discharge plan to reduce unexpected readmission after discharge, as well as in developing a thorough knowledge of the patient's individual discharge needs [34].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Nurse-Led Heart Failure Self-Care Education on Health Outcomes of Heart Failure Patients: A Systematic Review and Meta-Analysis

Son

Choi

Lee

2020

IJERPH

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Poor self-care behaviors can lead to an increase in the risk of adverse health outcomes among patients with heart failure. Although a number of studies have investigated the effectiveness of nurse-led self-care education, the evidence regarding the effects of nurse-led intervention in heart failure remains uncertain. This study aimed to evaluate evidence on the effectiveness of nurse-led heart failure self-care education on health outcomes in patients with heart failure. To identify studies testing nurse-led education designed to improve self-care among heart failure patients, comprehensive search methods were used between January 2000 and October 2019 to systematically search six electronic databases: PubMed, CINAHL, Embase, Cochrane library, Web of Science, and SCOPUS. All the eligible study data elements were independently assessed and analyzed using random-effects meta-analysis methods. Of 612 studies, eight articles were eligible for this study. Nurse-led heart failure self-care education significantly reduced the risk of all-cause readmission (risk ratio (RR) = 0.75, 95% confidence interval (CI) = 0.66–0.85), heart failure specific readmission (RR = 0.60, 95% CI = 0.42–0.85), and all-cause mortality or readmission (RR = 0.71, 95% CI = 0.61–0.82). However, nurse-led heart failure self-care education was not associated with improvements in the quality of life and heart failure knowledge. Studies on the effectiveness of nurse-led heart failure self-care education mostly report only the positive effects on patients’ health outcomes, whereas evidence of the effectiveness of the nurse-led approach is still limited. Therefore, high quality randomized controlled trials with detailed and explicit descriptions on the components of the interventions are needed.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Nurse-Led Heart Failure Self-Care Education on Health Outcomes of Heart Failure Patients: A Systematic Review and Meta-Analysis

Son

Choi

Lee

2020

IJERPH

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“…Identifying learning needs for cardiac patients who undergo a major interventional procedure is an essential requirement to establishing successful health education programmes that ultimately motivate patients and drive them to initiate and adhere to healthy behaviors after the procedure (Albert et al. ; Mosleh et al. ).…”

Section: Literature Reviewmentioning

confidence: 99%

Percutaneous coronary intervention and heart surgery learning needs of patients in Jordan

Mosleh

Eshah

Darawad

2016

International Nursing Review

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The fact that wound care and medications are areas of highest learning needs for patients requires health policy decision makers to address these topics at the time of hospital discharge. In addition, a policy focus on considering patients' actual learning needs requires establishment and managerial support. As patients' learning needs might change later after discharge, the health services should be proactive and focus on continuous support for patients after hospital discharge. Secondary prevention programmes should incorporate health education topics based on patients' own views. This can be done by giving higher priority to understand patients' needs, put much more effort into how to meet patients' information needs and to create a more engaging learning environment for patients and their families.

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“… 30 A study revealed that the frequency of delivering self-care education with regard to a low-salt diet was low (48%) among hospital’s nurses. 31 Participation of a dietician in the HF multidisciplinary education is recommended by the HF guidelines; 16 however, in real-world clinical practice, dietician involvement is often limited to patients with nutritional problems such as obesity, diabetes, or renal disease. In our study, all patients in the intervention group received dietary education by a dietician as well as by nurses.…”

Section: Discussionmentioning

confidence: 99%

How effective is an in-hospital heart failure self-care program in a Japanese setting? Lessons from a randomized controlled pilot study

Kato¹,

Kinugawa²,

Sano³

et al. 2016

PPA

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BackgroundAlthough the effectiveness of heart failure (HF) disease management programs has been established in Western countries, to date there have been no such programs in Japan. These programs may have different effectiveness due to differences in health care organization and possible cultural differences with regard to self-care. Therefore, the purpose of this study was to evaluate the effectiveness of a pilot HF program in a Japanese setting.MethodsWe developed an HF program focused on enhancing patient self-care before hospital discharge. Patients were randomized 1:1 to receive the new HF program or usual care. The primary outcome was self-care behavior as assessed by the European Heart Failure Self-Care Behavior Scale (EHFScBS). Secondary outcomes included HF knowledge and the 2-year rate of HF hospitalization and/or cardiac death.ResultsA total of 32 patients were enrolled (mean age, 63 years; 31% female). There was no difference in the total score of the EHFScBS between the two groups. One specific behavior score regarding a low-salt diet significantly improved compared with baseline in the intervention group. HF knowledge in the intervention group tended to improve more over 6 months than in the control group (a group-by-time effect, F=2.47, P=0.098). During a 2-year follow-up, the HF program was related to better outcomes regarding HF hospitalization and/or cardiac death (14% vs 48%, log-rank test P=0.04). In Cox regression analysis after adjustment for age, sex, and logarithmic of B-type natriuretic peptide, the program was associated with a reduction in HF hospitalization and/or cardiac death (hazard ratio, 0.17; 95% confidence interval, 0.03–0.90; P=0.04).ConclusionThe HF program was likely to increase patients’ HF knowledge, change their behavior regarding a low-salt diet, and reduce HF hospitalization and/or cardiac events. Further improvement focused on the transition of knowledge to self-care behavior is necessary.

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Hospital nurses’ comfort in and frequency of delivering heart failure self-care education

Cited by 18 publications

References 36 publications

Effectiveness of Nurse-Led Heart Failure Self-Care Education on Health Outcomes of Heart Failure Patients: A Systematic Review and Meta-Analysis

Effectiveness of Nurse-Led Heart Failure Self-Care Education on Health Outcomes of Heart Failure Patients: A Systematic Review and Meta-Analysis

Percutaneous coronary intervention and heart surgery learning needs of patients in Jordan

How effective is an in-hospital heart failure self-care program in a Japanese setting? Lessons from a randomized controlled pilot study

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