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Related Experiment Videos

Nurse-managed heart failure programmes in the Netherlands.

Sanne de Loor1, Tiny Jaarsma

  • 1Netherlands Heart Foundation, PO Box 300, 2501 CH The Hague, The Netherlands.

European Journal of Cardiovascular Nursing
|November 19, 2003
PubMed
Summary

Heart failure (HF) management programs are expanding in the Netherlands, with most hospitals and some home care organizations offering or developing them. Optimal program content and organization require further investigation.

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Area of Science:

  • Cardiology
  • Healthcare Management
  • Nursing

Background:

  • Heart failure (HF) care is evolving in Europe.
  • Nurses play a crucial role in managing chronically ill HF patients in the Netherlands.
  • Initiatives to organize HF nursing and overview HF management programs are emerging.

Purpose of the Study:

  • To assess the availability and characteristics of HF management programs in the Netherlands.
  • To understand the organizational aspects and components of existing HF programs.

Main Methods:

  • A descriptive study involving screening 109 hospitals and 105 home care organizations via telephone.
  • A subsequent questionnaire phase to detail program content and organization.

Main Results:

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  • 75% of hospitals have or are developing HF management programs; 18% of home care organizations offer programs.
  • Follow-up after discharge is the most common component; patient education and medication adjustment are also frequent.
  • Exercise programs are rarely available; significant variation exists in program organization, financing, and staffing.

Conclusions:

  • There is a substantial increase in HF management programs in the Netherlands, both hospital and home-based.
  • Key questions remain regarding the optimal content and organization of these HF management programs.