2.50
Hdl Handle:
http://hdl.handle.net/10755/244372
Category:
Full-text
Type:
DNP Capstone Project
Title:
Clarificative Evaluation of a Nurse Practitioner-Led Heart Failure Clinic
Author(s):
McCaffery, Jennifer
Additional Author Information:
Jennifer McCaffery, DNP, RN, FNP, GNP; jennifer.mccaffery@va.gov; G.V. Sonny Montgomery VA Medical Center, Jackson, MS, 39216; 601-362-4471 extension 6147.
Advisors:
Boss, Barbara; Luther, Cynthia
Degree:
DNP
Degree Year:
2012
Grantor:
University of Mississippi Medical Center
Abstract:

Nationally, heart failure (HF) is the leading cause of disability, hospitalizations, and death among veterans. Health care providers continue to struggle to maximize the quality of life and functional status of their patients.  A significant amount of research is available on the topic of HF clinics; however, the unique patient population and staffing issues at this facility have made prior attempts to implement national recommendations unsuccessful.  A nurse practitioner (NP)-led HF clinic was created in 2009 without any formal planning, treatment criteria, or outcome measures.  Intuitively, the clinic seemed to be decreasing hospitalizations and improving symptom management.  However, no data existed to prove success or to guide expansion.  This clarificative evaluation attempted to step back from the daily operation of the NP HF clinic and verify the value of the current program.  A mixed method design, retrospective chart reviews as well as semi-structured interviews with employee and veteran stakeholders, was used to broaden the understanding of clinic performance.  Significant findings included:  majority male population, lower left ventricular ejection fraction (LVEF), higher rates of systolic HF, higher rate of co-morbidities, and greater distance traveled to clinic visits of veterans enrolled in NP HF clinic as compared to national average.  Standards of care were being met in terms of medical management.  The NP HF clinic is reducing ED visits without increasing burden on non-acute resources.  Qualitative findings revealed a need to improve communication and collaboration as well as suggestions for improving basic mechanics of the clinic.

Keywords:
heart failure; Evaluation research
MeSH:
Nurse Practitioners; Nurse's Practice Patterns; Heart Failure--nursing
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2012-09-17T16:24:22Z
Date of Publication:
2012-09-17

Full metadata record

DC FieldValue Language
dc.contributor.advisorBoss, Barbara-
dc.contributor.advisorLuther, Cynthia-
dc.contributor.authorMcCaffery, Jennifer-
dc.date.accessioned2012-09-17T16:24:22Z-
dc.date.available2012-09-17T16:24:22Z-
dc.date.issued2012-09-17-
dc.identifier.urihttp://hdl.handle.net/10755/244372-
dc.description.abstract<p class="MsoNormal" style="margin: 0in 0in 10pt; text-indent: 0.5in; line-height: 200%;"><span style="font-size: 12pt; line-height: 200%; font-family: 'Times New Roman','serif'; mso-bidi-font-size: 11.0pt;">Nationally, heart failure (HF) is the leading cause of disability, hospitalizations, and death among veterans. Health care providers continue to struggle to maximize the quality of life and functional status of their patients.<span style="mso-spacerun: yes;">  </span>A significant amount of research is available on the topic of HF clinics; however, the unique patient population and staffing issues at this facility have made prior attempts to implement national recommendations unsuccessful.<span style="mso-spacerun: yes;">  </span>A nurse practitioner (NP)-led HF clinic was created in 2009 without any formal planning, treatment criteria, or outcome measures.<span style="mso-spacerun: yes;">  </span>Intuitively, the clinic seemed to be decreasing hospitalizations and improving symptom management.<span style="mso-spacerun: yes;">  </span>However, no data existed to prove success or to guide expansion.<span style="mso-spacerun: yes;">  </span>This clarificative evaluation attempted to step back from the daily operation of the NP HF clinic and verify the value of the current program.<span style="mso-spacerun: yes;">  </span>A mixed method design, retrospective chart reviews as well as semi-structured interviews with employee and veteran stakeholders, was used to broaden the understanding of clinic performance. <span style="mso-spacerun: yes;"> </span>Significant findings included:<span style="mso-spacerun: yes;">  </span>majority male population, lower left ventricular ejection fraction (LVEF), higher rates of systolic HF, higher rate of co-morbidities, and greater distance traveled to clinic visits of veterans enrolled in NP HF clinic as compared to national average.<span style="mso-spacerun: yes;">  </span>Standards of care were being met in terms of medical management.<span style="mso-spacerun: yes;">  </span>The NP HF clinic is reducing ED visits without increasing burden on non-acute resources.<span style="mso-spacerun: yes;">  </span>Qualitative findings revealed a need to improve communication and collaboration as well as suggestions for improving basic mechanics of the clinic.</span></p>en_GB
dc.language.isoen_USen
dc.subjectheart failureen_GB
dc.subjectEvaluation researchen_GB
dc.subject.meshNurse Practitionersen
dc.subject.meshNurse's Practice Patternsen
dc.subject.meshHeart Failure--nursingen
dc.titleClarificative Evaluation of a Nurse Practitioner-Led Heart Failure Clinicen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorUniversity of Mississippi Medical Centeren_GB
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsJennifer McCaffery, DNP, RN, FNP, GNP; jennifer.mccaffery@va.gov; G.V. Sonny Montgomery VA Medical Center, Jackson, MS, 39216; 601-362-4471 extension 6147.en_GB
thesis.degree.year2012en
dc.type.categoryFull-texten_GB
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