The role and scope of practice of nurses working in Canadian heart failure clinics
Autor: | Patti Staples, Wendy Earle |
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Rok vydání: | 2004 |
Předmět: |
Pulmonary and Respiratory Medicine
Adult Counseling Male medicine.medical_specialty Canada Scope of practice Pilot Projects Critical Care and Intensive Care Medicine Ambulatory Care Facilities Nurse's Role Nursing Patient Education as Topic Surveys and Questionnaires Nursing Interventions Classification Medicine Humans Nurse Practitioners Disease management (health) Education Nursing Secondary prevention Heart Failure business.industry Diagnostic test Middle Aged medicine.disease Nursing Faculty Practice Heart failure Family medicine Practice Guidelines as Topic Female Clinical Competence Cardiology and Cardiovascular Medicine business Topic areas Consensus guideline Follow-Up Studies |
Zdroj: | Heartlung : the journal of critical care. 33(4) |
ISSN: | 0147-9563 |
Popis: | Background Nurses play an integral role in providing care in heart failure (HF) clinics and disease management programs that lead to improved outcomes for HF patients. Objectives This pilot study explored how closely nurses in Canadian HF clinics follow consensus guideline recommendations and nursing interventions from published studies. Methods A total of 27 nurses from HF clinics across Canada completed a questionnaire about their role and scope of practice. Results The majority of nurses covered recommended topic areas for counseling and education with the exceptions of discussing advanced directives, teaching patients to titrate diuretics, and counseling on secondary prevention. Nurses with a postgraduate degree were more likely to independently titrate medications and order echocardiograms. Nurses affiliated with the Canadian Congestive HF Clinic Network were more likely to provide telephone management, titrate medications, and order echocardiograms and other diagnostic tests. Conclusion Patients may not be experiencing the benefits that are reported in the literature for being followed up in a HF clinic because the role and scope of practice of nurses varies from one clinic to another. The role and scope of practice of nurses in HF clinics needs to be standardized. |
Databáze: | OpenAIRE |
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