- Title
- Activities of home-based heart failure nurse specialists: A modified narrative analysis
- Creator
- Davidson, P.; Paull, G.; Rees, D.; Daly, J.; Cockburn, Jill
- Relation
- American Journal of Critical Care Vol. 14, no. 5, p. 426-433
- Publisher
- American Association of Critical-Care Nurses
- Resource Type
- journal article
- Date
- 2005
- Description
- BACKGROUND Heart,failure nurse specialists strive to optimize patients' outcomes in home-based settings. OBJECTIVE To document the activities of home-based heartfailure nurse specialists. METHOD A modified narrative analysis of clinical notes of home-based heartfailure nurse specialists during a 12-month period was used. RESULTS Data analysis revealed 7 key activities of home-based heart failure nurse specialists: (1) monitoring signs and symptoms and reinforcing patients' self-management: identifying trends and appropriate action; (2) organization, liaison, and consultation with other health professionals to deal with changes in clinical status; (3) clarifying and reinforcing patients' sek-care strategies; (4) assisting patients in their desire to avoid institutionalized care; (5) identifying patients' psychosocial issues: dealing with social isolation; (6) providing support: journeying with patients and patients' families; and (7) helping patients and patients' families deal with death and dying. CONCLUSIONS A major proportion of the activities of home-based heart ail re nurse specialists are related to facilitating communication between health professionals and providing information and support to patients and patients' families.
- Subject
- elderly-patients; self-care; management; program; multidisciplinary; readmission; intervention; community; education; admission
- Identifier
- http://hdl.handle.net/1959.13/25193
- Identifier
- uon:125
- Identifier
- ISSN:1062-3264
- Language
- eng
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