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Exploring heart failure nurse practitioner outcome measures: a scoping review
European Journal of Cardiovascular Nursing ( IF 2.9 ) Pub Date : 2024-01-02 , DOI: 10.1093/eurjcn/zvad108
Mary Ryder 1 , Tara Mannion 1, 2 , Eileen Furlong 1 , Ethel O’Donoghue 1, 3 , Bronagh Travers 1, 4 , Michael Connolly 1, 5 , Niamh Lucey 1, 3
Affiliation  

Aims Clinical guidelines recommend people with heart failure are managed within a multidisciplinary team to receive optimal evidence-based management of the syndrome. There is increasing evidence that Nurse Practitioners (NP) in heart failure demonstrate positive patient outcomes. However, their roles as key stakeholders in a multidisciplinary heart failure team are not clearly defined. The aim of the review was to explore the literature related to NP-sensitive outcomes in heart failure. Methods and results A scoping review was conducted according to accepted guidelines using the Joanna Briggs Institute framework for conducting a scoping review, to identify the literature that related to NP-sensitive outcomes in heart failure management. Sixteen texts were selected for data extraction and analysis. The most common outcome measures reported were readmission rates, self-care measurement scales, functional status scores, quality of life measurements, and medication optimization outcomes. No two studies collected or reported on the same outcome measurements. Conclusion This review highlights that the reporting of heart failure (HF) NP outcome indicators was inconsistent and disparate across the literature. The outcome measures reported were not exclusive to NP interventions. Nurse Practitioner roles are not clearly defined, and resulting outcomes from care are difficult to characterize. Standardized NP-specific outcome measures would serve to highlight the effectiveness of the role in a multidisciplinary HF team.

中文翻译:

探索心力衰竭护士执业结果测量:范围审查

目的 临床指南建议心力衰竭患者由多学科团队进行管理,以获得对该综合征的最佳循证管理。越来越多的证据表明,心力衰竭患者的执业护士 (NP) 表现出了积极的患者治疗效果。然而,他们作为多学科心力衰竭团队中关键利益相关者的角色尚未明确界定。该综述的目的是探讨与心力衰竭 NP 敏感结局相关的文献。方法和结果 根据公认的指南,使用 Joanna Briggs Institute 框架进行范围界定审查,以确定与心力衰竭管理中 NP 敏感结果相关的文献。选择十六篇文本进行数据提取和分析。报告的最常见的结果测量是再入院率、自我护理测量量表、功能状态评分、生活质量测量和药物优化结果。没有两项研究收集或报告了相同的结果测量。结论 本综述强调,文献中对心力衰竭 (HF) NP 结果指标的报告不一致且各不相同。报告的结果测量并不排除 NP 干预措施。执业护士的角色没有明确定义,护理所产生的结果也很难描述。标准化的 NP 特定结果测量将有助于突出多学科 HF 团队中角色的有效性。
更新日期:2024-01-02
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