Education as a Heart Failure Intervention: What Providers Taught Patients in One Hospital Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/603173
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Education as a Heart Failure Intervention: What Providers Taught Patients in One Hospital Setting
Other Titles:
Translating Cardiovascular Research Into Practice [Session]
Author(s):
Galakatos, Theresa D.
Lead Author STTI Affiliation:
Tau Iota
Author Details:
Theresa D. Galakatos, RN, tgalakatos@maryville.edu
Abstract:
Session presented on Tuesday, November 10, 2015: ABSTRACT  Heart failure (HF) affects approximately 5.7 million people in the United States (US) and by 2030, projections show a 25% increase in prevalence (Go et al., 2012, 2013).  For patients with HF, there are few solutions to this highly morbid, disabling, and costly disease.  To reduce the risk of complications and disease progression, patients hospitalized with HF require education prior to discharge.  There is compelling evidence for utilizing educational instruction that includes evidence-based guidelines from the American Heart Association (AHA).  This study examined what HF information was provided to patients by health care providers (HCPs), what instructional content taught went beyond the AHA Guidelines, and what HF education expert providers viewed as critical for their patients to receive.  No studies were found that compared and contrasted these AHA Guidelines with the instructional content provided to hospitalized patients.  Using naturalistic inquiry, 10 HF patients (New York Heart Association functional class of III or IV) and 161 HCPs were observed.  Results showed that not all AHA topics were consistently covered; 70% (n = 10) patients received less than one hour of instruction, compared to the AHA standard of 60 minutes; AHA Guidelines did not include instructional content on the patient’s current plan of care which nearly equaled the time spent on AHA topics; brochures and handouts were rarely used and the topics within these materials were not inclusive of AHA standards; a sequence of education provided on medications, symptom recognition, diet, and follow up care, was congruent with AHA Guidelines and reinforced by the expert panel; and physicians and nurses delivered the most instruction (AHA or non-AHA).  The findings of a study of this nature are not generalizable yet patient and organizational outcomes are compromised without effective and efficient HF instruction.  Recommendations included: to provide peer reviewed feedback to HCPs on the appropriateness in teaching to literacy level, cultural and socio-economic realities, and where the patient will be discharged to (home, another health facility, etc.); to incorporate patient instruction into curricula and clinical experiences of health professional schools; and to include instruction in each and every patient – provider interaction.  The results of this study should create an impetus for other comprehensive patient education instructional strategies.
Keywords:
heart failure teaching; Education as an intervention
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15H25
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleEducation as a Heart Failure Intervention: What Providers Taught Patients in One Hospital Settingen
dc.title.alternativeTranslating Cardiovascular Research Into Practice [Session]en
dc.contributor.authorGalakatos, Theresa D.en
dc.contributor.departmentTau Iotaen
dc.author.detailsTheresa D. Galakatos, RN, tgalakatos@maryville.eduen
dc.identifier.urihttp://hdl.handle.net/10755/603173en
dc.description.abstractSession presented on Tuesday, November 10, 2015: ABSTRACT  Heart failure (HF) affects approximately 5.7 million people in the United States (US) and by 2030, projections show a 25% increase in prevalence (Go et al., 2012, 2013).  For patients with HF, there are few solutions to this highly morbid, disabling, and costly disease.  To reduce the risk of complications and disease progression, patients hospitalized with HF require education prior to discharge.  There is compelling evidence for utilizing educational instruction that includes evidence-based guidelines from the American Heart Association (AHA).  This study examined what HF information was provided to patients by health care providers (HCPs), what instructional content taught went beyond the AHA Guidelines, and what HF education expert providers viewed as critical for their patients to receive.  No studies were found that compared and contrasted these AHA Guidelines with the instructional content provided to hospitalized patients.  Using naturalistic inquiry, 10 HF patients (New York Heart Association functional class of III or IV) and 161 HCPs were observed.  Results showed that not all AHA topics were consistently covered; 70% (n = 10) patients received less than one hour of instruction, compared to the AHA standard of 60 minutes; AHA Guidelines did not include instructional content on the patient’s current plan of care which nearly equaled the time spent on AHA topics; brochures and handouts were rarely used and the topics within these materials were not inclusive of AHA standards; a sequence of education provided on medications, symptom recognition, diet, and follow up care, was congruent with AHA Guidelines and reinforced by the expert panel; and physicians and nurses delivered the most instruction (AHA or non-AHA).  The findings of a study of this nature are not generalizable yet patient and organizational outcomes are compromised without effective and efficient HF instruction.  Recommendations included: to provide peer reviewed feedback to HCPs on the appropriateness in teaching to literacy level, cultural and socio-economic realities, and where the patient will be discharged to (home, another health facility, etc.); to incorporate patient instruction into curricula and clinical experiences of health professional schools; and to include instruction in each and every patient – provider interaction.  The results of this study should create an impetus for other comprehensive patient education instructional strategies.en
dc.subjectheart failure teachingen
dc.subjectEducation as an interventionen
dc.date.available2016-03-21T16:44:51Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:44:51Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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