scholarly journals Nursing taxonomies in hospital discharge planning: a quasi-experimental study

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Dayanna Machado Pires Lemos ◽  
Priscilla Ferreira Saldanha ◽  
Laura Fonseca Vieira ◽  
Karina de Oliveira Azzolin
Keyword(s):  
Heart Failure ◽  
Hospital Discharge ◽  
Diabetes Management ◽  
Discharge Planning ◽  
Disease Process ◽  
Nursing Interventions ◽  
Heart Failure Management ◽  
Nursing Outcomes ◽  
Quasi Experimental ◽  
Outcome Knowledge

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.

scholarly journals Home-based nursing interventions improve knowledge of disease and management in patients with heart failure

2015 ◽  
Vol 23 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Karina de Oliveira Azzolin ◽  
Dayanna Machado Lemos ◽  
Amália de Fátima Lucena ◽  
Eneida Rejane Rabelo-Silva
Keyword(s):  
Heart Failure ◽  
Home Visit ◽  
Nursing Interventions ◽  
Nursing Outcomes ◽  
Knowledge Questionnaire ◽  
Home Based ◽  
Patients With Heart Failure ◽  
Nursing Outcomes Classification ◽  
Outcome Knowledge ◽  
At Home

OBJECTIVE: to assess patient knowledge of heart failure by home-based measurement of two NOC Nursing Outcomes over a six-month period and correlate mean outcome indicator scores with mean scores of a heart failure Knowledge Questionnaire.METHODS: in this before-and-after study, patients with heart failure received four home visits over a six-month period after hospital discharge. At each home visit, nursing interventions were implemented, NOC outcomes were assessed, and the Knowledge Questionnaire was administered.RESULTS: overall, 23 patients received home visits. Mean indicator scores for the outcome Knowledge: Medication were 2.27±0.14 at home visit 1 and 3.55±0.16 at home visit 4 (P<0.001); and, for the outcome Knowledge: Treatment Regimen, 2.33±0.13 at home visit 1 and 3.59±0.14 at home visit 4 (P<0.001). The correlation between the Knowledge Questionnaire and the Nursing Outcomes Classification scores was strong at home visit 1 (r=0.7, P<0.01), but weak and non significant at visit 4.CONCLUSION: the results show improved patient knowledge of heart failure and a strong correlation between Nursing Outcomes Classification indicator scores and Knowledge Questionnaire scores. The NOC Nursing Outcomes proved effective as knowledge assessment measures when compared with the validated instrument.

scholarly journals 089 Heart Failure management in ambulatory care: what happens beyond hospital discharge? Results from the DEVENIR study

2010 ◽  
Vol 2 (1) ◽  
pp. 30
Author(s):  
Patrick Assyag ◽  
Pierre Clerson ◽  
Christine Contre ◽  
Maxime Guenoun ◽  
Leurs Irina ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ambulatory Care ◽  
Hospital Discharge ◽  
Heart Failure Management

Multicenter randomized trial of a comprehensive hospital discharge and outpatient heart failure management program

2004 ◽  
Vol 6 (5) ◽  
pp. 643-652 ◽  
Author(s):  
Felipe Atienza ◽  
Manuel Anguita ◽  
Nieves Martinez-Alzamora ◽  
Joaquín Osca ◽  
Soledad Ojeda ◽  
...  
Keyword(s):  
Heart Failure ◽  
Randomized Trial ◽  
Hospital Discharge ◽  
Management Program ◽  
Heart Failure Management ◽  
Multicenter Randomized Trial

scholarly journals Evaluation of expected outcomes of nursing interventions to address the nursing diagnosis of fatigue among patients with congestive heart failure

2007 ◽  
Vol 20 (3) ◽  
pp. 357-361 ◽  
Author(s):  
Cinthia Calsinski de Assis ◽  
Alba Lúcia Bottura Leite de Barros ◽  
Marcela Zanatta Ganzarolli
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Specific Data ◽  
Fatigue Design ◽  
Nursing Diagnosis ◽  
Quasi Experimental ◽  
Coronary Care ◽  
Expected Outcomes

OBJECTIVE: To evaluate expected outcomes of nursing interventions to address the nursing diagnosis of fatigue. METHODS: A cross-sectional quasi-experimental design was used. The sample consisted of 30 coronary care unit in-patient with congestive heart failure and fatigue. A specific tool designed for this study was used to collect specific data on outcomes of nursing interventions to manage the nursing diagnosis of fatigue. RESULTS: Nursing interventions to manage patients' fatigue had positive outcomes. CONCLUSION: The use of the nursing process to identify the nursing diagnosis of fatigue, design and implement specific nursing interventions, and evaluate patient outcomes leads to quality nursing care.

scholarly journals Actions to improve chronic heart failure management in Paris and its suburbs, preliminary results

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Marty ◽  
P Nicolle ◽  
S Bataille ◽  
C Roudier-Daval
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Hospital Discharge ◽  
Health Agency ◽  
Care Process ◽  
Emergency Unit ◽  
Heart Failure Management ◽  
Preliminary Results ◽  
The Impact

Abstract Background Chronic Heart Failure treatment requires close collaboration between multiple health professionals (hospitals, general practitionners, cardiologists, nurses, pharmacists,...). Guidelines for management of chronic heart failure patients after hospitalization for heart failure were published in France in 2014. In Paris and its suburbs (Ile de France) several indicators show that improvement of processes is required especially regarding linkage between hospital and ambulatory care (for example admission rate in emergency unit was 59,7% in 2014). Actions Since 2015 Regional Health Agency and Social Insurance have conducted several actions to improve patients care pathway: feed back to providers on their own results, support patients after hospital discharge, commitment of several hospitals to organize meetings with field professionals, setting up semi-urgent consultations in hospitals, bundled payment experience... Preliminary Results Indicators evolution from 2014 to 2017 is favorable for rate of admission in emergency unit (57,8% versus 59,7%), 6 months mortality (20,7% versus 23,1%), hospital readmission 6 months after index admission (24,4% versus 25,2%), but unfavorable for ambulatory clinical follow up rates (general practitionner consultation within fourteen days after hospital discharge (46,1% versus 52,5%), cardiologist consultation within sixty days after hospital discharge (47,1% versus 52,8%). Conclusions It is too early to assess the impact of each action and it will be difficult to conclude, because of interaction between actions. The evolution of outcome care indicators is satisfactory, which suggests the interest of acting on a whole care process. The worsening clinical follow up indicators leads to wonder about access to health care and requires an analysis by territory to adapt the actions. Key messages Actions to improve chronic heart failure management in Paris and its suburbs firsts outcomes are satisfactory. Acction adaptations are necessary and should be assessed in 2019/2020.

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

2021 ◽  
Author(s):  
Natany da Costa Ferreira ◽  
Camila Takao Lopes ◽  
Sue Moorhead ◽  
Rita de Cassia Gengo e Silva Butcher
Keyword(s):  
Heart Failure ◽  
Content Validation ◽  
Heart Failure Management ◽  
Outcome Knowledge

Natriuretic Peptides – Addressing the Dilemma of Heart Failure Management

2011 ◽  
Vol 7 (2) ◽  
pp. 104
Author(s):  
Kenneth McDonald ◽  
Ulf Dahlström ◽  
◽  
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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