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

Onderzoeksoutput: ArticleAcademicpeer review

Uittreksel

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±12years; 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.

Originele taal-2English
Pagina's (van-tot)226-232
TijdschriftEuropean journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Volume9
Nummer van het tijdschrift4
DOI's
StatusPublished - dec 2010
Extern gepubliceerdJa

Keywords

  • bejaard
  • attitude van medisch personeel
  • klinisch verrpleegkundig onderzoek
  • professionele hulpverlening
  • ziekte management
  • vrouwelijk
  • hartverlamming
  • thuiszorgdiensten
  • huisbezoeken
  • mensen
  • mannelijk
  • middelbaar
  • patiëntenvoorlichting als onderwerp
  • patiëntvoorlichting
  • kwaliteit van gezondheidszorg
  • tijdschriftartikel
  • gerandomiseerde gecontroleerde trial

Citeer dit

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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 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±12years; 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.",
keywords = "clinical nursing , disease management, heart failure, home care services, patient satisfaction, quality of health care, bejaard, attitude van medisch personeel, klinisch verrpleegkundig onderzoek, professionele hulpverlening, ziekte management, vrouwelijk, hartverlamming, thuiszorgdiensten, huisbezoeken, mensen, mannelijk, middelbaar, pati{\"e}ntenvoorlichting als onderwerp, pati{\"e}ntvoorlichting, kwaliteit van gezondheidszorg, tijdschriftartikel, gerandomiseerde gecontroleerde trial",
author = "Tialda Hoekstra and Ivonne Lesman-Leegte and {van der Wal}, Martje and Luttik, {Marie Louise} and Tiny Jaarsma",
note = "Copyright {\circledC} 2010 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.",
year = "2010",
month = "12",
doi = "10.1016/j.ejcnurse.2010.01.006",
language = "English",
volume = "9",
pages = "226--232",
journal = "European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology",
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Nurse-led interventions in heart failure care : patient and nurse perspectives. / Hoekstra, Tialda; Lesman-Leegte, Ivonne; van der Wal, Martje; Luttik, Marie Louise; Jaarsma, Tiny.

In: European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, Vol. 9, Nr. 4, 12.2010, blz. 226-232.

Onderzoeksoutput: ArticleAcademicpeer review

TY - JOUR

T1 - Nurse-led interventions in heart failure care

T2 - patient and nurse perspectives

AU - Hoekstra, Tialda

AU - Lesman-Leegte, Ivonne

AU - van der Wal, Martje

AU - Luttik, Marie Louise

AU - Jaarsma, Tiny

N1 - Copyright © 2010 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.

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 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±12years; 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.

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 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±12years; 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.

KW - clinical nursing

KW - disease management

KW - heart failure

KW - home care services

KW - patient satisfaction

KW - quality of health care

KW - bejaard

KW - attitude van medisch personeel

KW - klinisch verrpleegkundig onderzoek

KW - professionele hulpverlening

KW - ziekte management

KW - vrouwelijk

KW - hartverlamming

KW - thuiszorgdiensten

KW - huisbezoeken

KW - mensen

KW - mannelijk

KW - middelbaar

KW - patiëntenvoorlichting als onderwerp

KW - patiëntvoorlichting

KW - kwaliteit van gezondheidszorg

KW - tijdschriftartikel

KW - gerandomiseerde gecontroleerde trial

U2 - 10.1016/j.ejcnurse.2010.01.006

DO - 10.1016/j.ejcnurse.2010.01.006

M3 - Article

VL - 9

SP - 226

EP - 232

JO - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology

JF - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology

SN - 1474-5151

IS - 4

ER -