2.50
Hdl Handle:
http://hdl.handle.net/10755/156566
Type:
Presentation
Title:
Heart Failure Group Visit Clinic
Abstract:
Heart Failure Group Visit Clinic
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Ofstad, Trisha J., RN, BSN
P.I. Institution Name:Naval Medical Center
Title:Division Officer - Cardiology Clinic
Co-Authors:Denise M. Boren, PhD, RN, CNS
Background: Nationwide, 5 million Americans suffer from heart failure with estimated costs of $25.8 billion spent annually for health care. Heart failure is the most frequent cause of hospitalization among older adults. Factors directly affecting hospital readmission are noncompliance with medication, poorly managed dietary regimen, failure to seek swift treatment, and failed social support systems. Group visits for chronically ill patients are shown to be effective in increasing access to care, and providing patients with education and support. The use of ACE inhibitors, beta-blockers and diuretic therapy are shown to improve outcomes. Objectives: (1) Examine the effect of group visits for heart failure patients; (2) measure outcomes of evidence-based guidelines for heart failure management; and (3) measure clinician adherence to evidence-based practices. Research Design and Methods: This project was guided by the Iowa Model of Evidence-Based Practice and the Diffusion of Innovations Model. A nurse run Heart Failure Clinic using a group visit approach was initiated. The educational focus, social support group, and treatment guidelines used in the clinic were research/evidence based. Baseline outcome measures for health partnership, quality of life, self-care management, depression and number of hospitalizations, plus measures of blood pressure, heart rate and BNP will be compared with the same measures at 6 months, 1 year and 18 months. Patient satisfaction is measured after 3 visits to the clinic. Adherence to evidenced-based practices is evaluated through record reviews. Findings: Participants are very satisfied with the Heart Failure Clinic, specifically with the multidisciplinary approach, educational focus and group visit format. Initial comparisons of outcome measures will be completed by February 2005. Conclusions: The nurse run Heart Failure Clinic using a group visit approach and evidence-based guidelines advanced nursing practice through research/evidence and is an excellent opportunity for collaboration among disciplines. Patients and families are very satisfied.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHeart Failure Group Visit Clinicen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156566-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Heart Failure Group Visit Clinic</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ofstad, Trisha J., RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Naval Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Division Officer - Cardiology Clinic</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">tjofstad@nmcsd.med.navy.mil</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Denise M. Boren, PhD, RN, CNS</td></tr><tr><td colspan="2" class="item-abstract">Background: Nationwide, 5 million Americans suffer from heart failure with estimated costs of $25.8 billion spent annually for health care. Heart failure is the most frequent cause of hospitalization among older adults. Factors directly affecting hospital readmission are noncompliance with medication, poorly managed dietary regimen, failure to seek swift treatment, and failed social support systems. Group visits for chronically ill patients are shown to be effective in increasing access to care, and providing patients with education and support. The use of ACE inhibitors, beta-blockers and diuretic therapy are shown to improve outcomes. Objectives: (1) Examine the effect of group visits for heart failure patients; (2) measure outcomes of evidence-based guidelines for heart failure management; and (3) measure clinician adherence to evidence-based practices. Research Design and Methods: This project was guided by the Iowa Model of Evidence-Based Practice and the Diffusion of Innovations Model. A nurse run Heart Failure Clinic using a group visit approach was initiated. The educational focus, social support group, and treatment guidelines used in the clinic were research/evidence based. Baseline outcome measures for health partnership, quality of life, self-care management, depression and number of hospitalizations, plus measures of blood pressure, heart rate and BNP will be compared with the same measures at 6 months, 1 year and 18 months. Patient satisfaction is measured after 3 visits to the clinic. Adherence to evidenced-based practices is evaluated through record reviews. Findings: Participants are very satisfied with the Heart Failure Clinic, specifically with the multidisciplinary approach, educational focus and group visit format. Initial comparisons of outcome measures will be completed by February 2005. Conclusions: The nurse run Heart Failure Clinic using a group visit approach and evidence-based guidelines advanced nursing practice through research/evidence and is an excellent opportunity for collaboration among disciplines. Patients and families are very satisfied.</td></tr></table>en_GB
dc.date.available2011-10-26T14:54:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:54:28Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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