Parallel Paths to Improve Heart Failure Outcomes: Evidence Matters

Albert, Nancy M.

doi:10.4037/ajcc2013212

Cited by 11 publications

(3 citation statements)

References 20 publications

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“…The intervention group had a mean increase of 1.54 ± 0.60 in their behavior scores from T2 to T3, which was significantly different to the control group.The gap between performance in accomplishing self‐care behavior by patients with heart disease might be a factor in clinical decompensation and the unplanned use of health care (Albert, ). Behavioral change is an important mechanism for improving the health of patients with heart disease (Hill et al , ).…”

Section: Discussionmentioning

confidence: 99%

Omaha System‐based discharge guidance improves knowledge and behavior in Mainland Chinese patients with angina who are not receiving interventional treatment: A randomized controlled trial

Xiao

Fan

Dai

2018

Japan Journal Nursing Sci

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Aim: To test the effectiveness of discharge guidance based on the theoretical framework of the Omaha System on Mainland Chinese patients with angina without interventional treatment. Methods: A randomized controlled trial was conducted on 150 Mainland Chinese patients with angina without interventional treatment between December, 2015 and September, 2016. The participants were randomly allocated to discharge guidance based on the Omaha System or usual care. The participants were assessed with the self-designed Problem Rating Survey Scale, including three dimensions and seven items. The Cronbach's alpha coefficient was 0.81. The 7-item-level content validity index was 0.80-1.00 and the scale-level content validity index was 0.94. Results: The scores of the outcome measures differed significantly between the two groups at all three time points (admission day; 3 days before discharge; discharge day) and increased gradually. Improvements in knowledge, behavior , and the total score of the intervention group were significantly higher than those of the control group. An improvement in status did not differ significantly. Conclusion: The Omaha System-based discharge guidance is effective at enhancing knowledge and behavior in patients from Mainland China with angina without interventional treatment.

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Section: Discussionmentioning

confidence: 99%

Omaha System‐based discharge guidance improves knowledge and behavior in Mainland Chinese patients with angina who are not receiving interventional treatment: A randomized controlled trial

Xiao

Fan

Dai

2018

Japan Journal Nursing Sci

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“…These also enhance patients' ability to carry out self-care. [44][45][46][47][48] Combination of benefits from all these components are possible explanations for the observed benefit of disease management in reducing readmission.…”

Section: Benefits Of Multicomponent Disease Managementmentioning

confidence: 99%

Peri-discharge complex interventions for reducing 30-day hospital readmissions among heart failure patients: overview of systematic reviews and network meta-analysis

Zhong

Wong

Cheung

et al. 2021

Perspect Public Health

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Aims: An overview of systematic reviews (SRs) and network meta-analysis (NMA) was conducted to synthesize evidence of comparative effectiveness of different peri-discharge complex interventions for reducing 30-day hospital readmissions among heart failure (HF) patients. Methods: We searched five databases for SRs from their inception to August 2019 and conducted additional search for randomized controlled trials (RCTs) published between 2003 and 2020. We used random-effect pairwise meta-analysis with pooled risk ratios (RRs) and 95% confidence intervals (CIs) to quantify the effect of complex interventions, and NMA to evaluate comparative effectiveness among complex interventions. Primary outcome was 30-day all-cause hospital readmissions, while secondary outcomes were 30-day HF-related hospital readmissions, 30-day mortality, and 30-day emergency department visits. Results: From 20 SRs and additional RCT search, 21 eligible RCTs ( n = 5362) assessing eight different peri-discharge complex interventions were included. Pairwise meta-analysis showed no significant difference between peri-discharge complex interventions and controls on all outcomes, except that peri-discharge complex interventions were significantly more effective than controls in reducing 30-day mortality (pooled RR = 0.68, 95% CI: 0.49–0.95, 5 RCTs). NMA indicated that for reducing 30-day all-cause hospital readmissions, supportive–educative intervention had the highest probability to be the best intervention, followed by disease management; while for reducing 30-day HF-related hospital readmissions, disease management is likely to be the best intervention. Conclusions: Our results suggest that disease management has the best potential to reduce 30-day all-cause and HF-related hospital readmissions. Benefits of the interventions may vary across health system contexts. Evidence-based complex interventions require local adaptation prior to implementation.

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“…Teaching patients better self-care behaviors can positively affect lifestyle modifications, such as diet and daily weights, and can also improve quality of life (Paul, 2008). Yet nurse led education may not be effectively delivered to the patients with HF (Albert, 2013). The purpose of this program development was to increase nurses' knowledge regarding heart failure so that the can provide effective education to HF patients prior to discharge from the acute care setting.…”

Section: Problem Statementmentioning

confidence: 99%

Nurses' Knowledge Related to Heart Failure Essentials

Garris¹

2014

Preprint

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Heart Failure is a complex syndrome which continues to be a major health issue in the United States and worldwide. Strategies and educational interventions implemented by hospitals to reduce hospital admissions and readmissions for this costly chronic disease have not been consistently successful. Patient education is an important strategy for the management of HF to improve quality of life, optimize patient outcomes, and reduce the use of healthcare resources by reducing readmissions. The purpose of this program development was to increase nurses' knowledge regarding HF education to be provided to HF patients prior to discharge from the acute care setting. A quasi-experimental program design with a pre and post-test intervention was performed on a 38 bed medical telemetry unit at RI Hospital a Level 1 trauma center in Providence, RI. Registered nurses were asked to complete a pre and post-test survey, Nurse Knowledge of Heart Failure by Albert et al (2002). Nine RNs out of thirty two (28.8%) agreed to participate and completed the pre-test, attended one of the HF education classes followed by completion of the post-test. Pre-tests scores ranged from 60-90 out of possible 100, with a mean score of 73.3%. Post-test scores ranged from 70-95 out of possible 100, with a mean score of 86.1%, an increase of almost 13%. These findings suggest that providing HF education can be successful in increasing nurses' knowledge regarding HF education provided to HF patients prior to discharge from the acute care setting. Acknowledgements

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Parallel Paths to Improve Heart Failure Outcomes: Evidence Matters

Cited by 11 publications

References 20 publications

Omaha System‐based discharge guidance improves knowledge and behavior in Mainland Chinese patients with angina who are not receiving interventional treatment: A randomized controlled trial

Omaha System‐based discharge guidance improves knowledge and behavior in Mainland Chinese patients with angina who are not receiving interventional treatment: A randomized controlled trial

Peri-discharge complex interventions for reducing 30-day hospital readmissions among heart failure patients: overview of systematic reviews and network meta-analysis

Nurses' Knowledge Related to Heart Failure Essentials

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