Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments: Methods, Materials, and Outcomes Used in the Clinical Trial

The Journal of Cardiovascular Nursing
Carol E SmithEdward F Ellerbeck

Abstract

The Self-management and Care of Heart Failure through Group Clinics Trial evaluated the effects of multidisciplinary group clinic appointments on self-care skills and rehospitalizations in high-risk heart failure (HF) patients. The purpose of this article is to (1) describe key Self-management and Care of Heart Failure through Group Clinics Trial group clinic interactive learning strategies, (2) describe resources and materials used in the group clinic appointment, and (3) present results supporting this patient-centered group intervention. This clinical trial included 198 HF patients (randomized to either group clinical appointments or to standard care). Data were collected from 72 group clinic appointments via patients' (1) group clinic session evaluations, (2) HF self-care behaviors skills, (3) HF-related discouragement and quality of life scores, and (4) HF-related reshopitalizations during the 12-month follow-up. Also, the costs of delivery of the group clinical appointments were tabulated. Overall, patients rated group appointments as 4.8 of 5 on the "helpfulness" in managing HF score. The statistical model showed a 33% decrease in the rate of rehospitalizations (incidence rate ratio, 0.67) associated with the interventio...Continue Reading

References

Mar 5, 2002·Archives of Internal Medicine·Kenneth M A MacMahon, Gregory Y H Lip
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Apr 26, 2013·Circulation. Heart Failure·Paul A HeidenreichUNKNOWN Stroke Council
Sep 23, 2014·Circulation. Heart Failure·Carol E SmithEdward F Ellerbeck

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Citations

May 4, 2017·Health Services Research and Managerial Epidemiology·Thomas T H WanSara D S Barbaro
Jun 29, 2018·British Journal of Nursing : BJN·Feras BaderMohammed Khalil
Jan 9, 2019·The Cochrane Database of Systematic Reviews·Andrea TakedaStephanie Jc Taylor
Oct 24, 2019·Journal of Advanced Nursing·Maddi Olano-LizarragaMaribel Saracíbar-Razquin
May 13, 2020·Circulation. Cardiovascular Quality and Outcomes·Karen Joynt MaddoxUNKNOWN and the American Heart Association Value-Based Models Learning Collaborative
Sep 10, 2018·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Shane J SaccoCrystal L Park
Sep 27, 2018·Current Heart Failure Reports·Nadia Bouabdallaoui, Anique Ducharme
Aug 3, 2020·Journal of the American Association of Nurse Practitioners·Elaine J Charteris, Bunny Pounds
Apr 3, 2018·Heart & Lung : the Journal of Critical Care·Ubolrat PiamjariyakulCarol E Smith

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