Nurse-led interventions in heart failure care Patient and nurse perspectives

Tialda Hoekstra; Ivonne Lesman-Leegte; Martje Van der Wal; Marie Louise Luttik; Tiny Jaarsma

doi:10.1016/j.ejcnurse.2010.01.006

Nurse-led interventions in heart failure care Patient and nurse perspectives

Tialda Hoekstra^*, Ivonne Lesman-Leegte, Martje Van der Wal, Marie Louise Luttik, Tiny Jaarsma

^*Corresponding author voor dit werk

Onderzoeksoutput: Article › Academic › peer review

12 Citaten (Scopus)

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Background Perspectives of nurses and patients on the intensity and content of disease management programmes (DMPs) in heart failure are seldom addressed but are important in optimizing these programmes

Aim To describe the perspectives of patients and nurses on delivered care in two DMPs

Methods In total 442 patients (62% male age 68 +/- 12 years LVEF 33% +/- 14) assigned to the intervention groups of the Coordinating Study Evaluating Outcomes of Advising and Counselling in HF (COACH) and 32 registered nurses, completed questionnaires on satisfaction with the intensity and components of the DMPs

Results In spite of large differences in intensity and components, patients were satisfied with the content of both DMPs In patients (NYHA III-IV), treatment and educational goals were more often achieved in those who received intensive support compared to patients who received basic support (85% vs 70%) Patients and nurses perceived that most home visits were adding significant value to the HF care while 12% of the home visits were perceived as unnecessary by the nurses

Conclusion Patients and nurses did not perceive the intense DMP as an emotional and physical burden for themselves Patients with severe HF might be in need of more support to achieve optimal treatment and educational goals (C) 2010 European Society of Cardiology Published by Elsevier B V All rights reserved

Originele taal-2	English
Pagina's (van-tot)	226-232
Aantal pagina's	7
Tijdschrift	European Journal of Cardiovascular Nursing
Volume	9
Nummer van het tijdschrift	4
DOI's	https://doi.org/10.1016/j.ejcnurse.2010.01.006
Status	Published - dec.-2010

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@article{acf65ee2797c45c0a7394ced9f708087,

title = "Nurse-led interventions in heart failure care Patient and nurse perspectives",

abstract = "Background Perspectives of nurses and patients on the intensity and content of disease management programmes (DMPs) in heart failure are seldom addressed but are important in optimizing these programmesAim To describe the perspectives of patients and nurses on delivered care in two DMPsMethods In total 442 patients (62% male age 68 +/- 12 years LVEF 33% +/- 14) assigned to the intervention groups of the Coordinating Study Evaluating Outcomes of Advising and Counselling in HF (COACH) and 32 registered nurses, completed questionnaires on satisfaction with the intensity and components of the DMPsResults In spite of large differences in intensity and components, patients were satisfied with the content of both DMPs In patients (NYHA III-IV), treatment and educational goals were more often achieved in those who received intensive support compared to patients who received basic support (85% vs 70%) Patients and nurses perceived that most home visits were adding significant value to the HF care while 12% of the home visits were perceived as unnecessary by the nursesConclusion Patients and nurses did not perceive the intense DMP as an emotional and physical burden for themselves Patients with severe HF might be in need of more support to achieve optimal treatment and educational goals (C) 2010 European Society of Cardiology Published by Elsevier B V All rights reserved",

keywords = "Heart failure, Disease management programmes, Nurse perspectives, Patient perspectives, Satisfaction, DISEASE MANAGEMENT PROGRAMS, TASK-FORCE, NONCOMPLIANCE, ASSOCIATION, GUIDELINES, EDUCATION, ADMISSION, BELIEFS",

author = "Tialda Hoekstra and Ivonne Lesman-Leegte and {Van der Wal}, Martje and Luttik, {Marie Louise} and Tiny Jaarsma",

year = "2010",

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doi = "10.1016/j.ejcnurse.2010.01.006",

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journal = "European Journal of Cardiovascular Nursing",

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TY - JOUR

T1 - Nurse-led interventions in heart failure care Patient and nurse perspectives

AU - Hoekstra, Tialda

AU - Lesman-Leegte, Ivonne

AU - Van der Wal, Martje

AU - Luttik, Marie Louise

AU - Jaarsma, Tiny

PY - 2010/12

Y1 - 2010/12

N2 - Background Perspectives of nurses and patients on the intensity and content of disease management programmes (DMPs) in heart failure are seldom addressed but are important in optimizing these programmesAim To describe the perspectives of patients and nurses on delivered care in two DMPsMethods In total 442 patients (62% male age 68 +/- 12 years LVEF 33% +/- 14) assigned to the intervention groups of the Coordinating Study Evaluating Outcomes of Advising and Counselling in HF (COACH) and 32 registered nurses, completed questionnaires on satisfaction with the intensity and components of the DMPsResults In spite of large differences in intensity and components, patients were satisfied with the content of both DMPs In patients (NYHA III-IV), treatment and educational goals were more often achieved in those who received intensive support compared to patients who received basic support (85% vs 70%) Patients and nurses perceived that most home visits were adding significant value to the HF care while 12% of the home visits were perceived as unnecessary by the nursesConclusion Patients and nurses did not perceive the intense DMP as an emotional and physical burden for themselves Patients with severe HF might be in need of more support to achieve optimal treatment and educational goals (C) 2010 European Society of Cardiology Published by Elsevier B V All rights reserved

AB - Background Perspectives of nurses and patients on the intensity and content of disease management programmes (DMPs) in heart failure are seldom addressed but are important in optimizing these programmesAim To describe the perspectives of patients and nurses on delivered care in two DMPsMethods In total 442 patients (62% male age 68 +/- 12 years LVEF 33% +/- 14) assigned to the intervention groups of the Coordinating Study Evaluating Outcomes of Advising and Counselling in HF (COACH) and 32 registered nurses, completed questionnaires on satisfaction with the intensity and components of the DMPsResults In spite of large differences in intensity and components, patients were satisfied with the content of both DMPs In patients (NYHA III-IV), treatment and educational goals were more often achieved in those who received intensive support compared to patients who received basic support (85% vs 70%) Patients and nurses perceived that most home visits were adding significant value to the HF care while 12% of the home visits were perceived as unnecessary by the nursesConclusion Patients and nurses did not perceive the intense DMP as an emotional and physical burden for themselves Patients with severe HF might be in need of more support to achieve optimal treatment and educational goals (C) 2010 European Society of Cardiology Published by Elsevier B V All rights reserved

KW - Heart failure

KW - Disease management programmes

KW - Nurse perspectives

KW - Patient perspectives

KW - Satisfaction

KW - DISEASE MANAGEMENT PROGRAMS

KW - TASK-FORCE

KW - NONCOMPLIANCE

KW - ASSOCIATION

KW - GUIDELINES

KW - EDUCATION

KW - ADMISSION

KW - BELIEFS

U2 - 10.1016/j.ejcnurse.2010.01.006

DO - 10.1016/j.ejcnurse.2010.01.006

M3 - Article

SN - 1474-5151

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SP - 226

EP - 232

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

IS - 4

ER -

Nurse-led interventions in heart failure care Patient and nurse perspectives

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