Content validation of the nursing outcome Knowledge Heart Failure Management: Brazilian nurses’ opinions

ABSTRACT Objective: to evaluate the effect of implementation of hospital discharge planning based on the taxonomies of NANDA-International, nursing interventions classification (NIC) and nursing outcomes classification (NOC) for patients with heart failure (HF) or diabetes mellitus (DM). Methods: quasi-experimental quantitative study conducted in a public university hospital located in the state of Rio Grande do Sul, Brazil. Convenience sampling included 28 adult patients hospitalized for HF or DM with the nursing diagnosis Ineffective Health Management (00078), who received the following nursing interventions: Teaching: Disease Process, Teaching: Prescribed Medication and Teaching: Prescribed Diet. Before and after the intervention, the following nursing outcomes were evaluated : Knowledge: Diabetes Management and Knowledge: Heart Failure Management. Results: the score of the nursing outcome Knowledge: Heart Failure Management went from 2.05±0.28 to 2.54±0.30 (P=0.002), and of the nursing outcome Knowledge: Diabetes Management went from 2.61±0.55 to 3.21±0.57 (P=0.000). Conclusion: discharge planning based on the NIC improves the NOC score and may interfere in the health outcomes.

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652 Is heart rate lowering per se beneficial in chronic heart failure management and permanent cardiac pacing?

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(07)60390-7 ◽

2007 ◽

Vol 6 (1) ◽

pp. 139-139

Author(s):

D LOGEART ◽

V CIOBOTARU ◽

J GUEFFET ◽

F POUSSET ◽

F ROUZET ◽

...

Keyword(s):

Heart Failure ◽

Heart Rate ◽

Chronic Heart Failure ◽

Cardiac Pacing ◽

Heart Failure Management ◽

Per Se

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Natriuretic Peptides – Addressing the Dilemma of Heart Failure Management

European Cardiology Review ◽

10.15420/ecr.2011.7.2.104 ◽

2011 ◽

Vol 7 (2) ◽

pp. 104

Author(s):

Kenneth McDonald ◽

Ulf Dahlström ◽

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Keyword(s):

Heart Failure ◽

Physical Examination ◽

Natriuretic Peptides ◽

Normal Values ◽

Outpatient Setting ◽

Heart Failure Management ◽

Effective Screening ◽

Specific Symptoms ◽

Objective Marker

Heart failure (HF) is characterised by non-specific symptoms and unremarkable physical examination; therefore, the need exists for an available objective marker of HF status. Natriuretic peptides (NPs) are a marker that can aid the dilemmas in present-day HF management. More effective screening for clinical deterioration would include changes in brain natriuretic peptide (BNP) levels. Normal values for BNP, <50–100 pg/ml, have excellent negative predictive value (NPV) in excluding HF as a diagnosis. BNP values that are significantly elevated, e.g. >500 pg/ml, make the diagnosis of HF more likely. There are now established and emerging uses for NPs in managing HF in the community. These include the role of NPs at the time of possible new presentation of HF, its role in prognostication and, finally, the increasing interest in using NPs to guide therapy in the outpatient setting.

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