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Transitional care programs improve outcomes for heart failure patients: an integrative review
Kelly D Stamp1, Monique A Machado, Nancy A Allen
1Kelly D. Stamp, PhD, APRN, ANP-C Assistant Professor, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts. Monique A. Machado, RN, MSN, ANP-BC Adult Nurse Practitioner, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts. Nancy A. Allen, PhD, ANP-BC Assistant Professor, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.
The Journal of Cardiovascular Nursing
|January 26, 2013
Summary
Transitional care programs improve heart failure patient quality of life and reduce hospital readmissions and costs. Home visits and telephone support are effective interventions for heart failure self-care and reducing readmissions.
Area of Science:
- Cardiovascular Medicine
- Nursing Research
- Health Services Research
Background:
- Heart failure patients frequently face rehospitalization due to inadequate self-care knowledge and delayed symptom reporting.
- High hospital readmission rates for heart failure necessitate improved patient education and post-discharge support.
Purpose of the Study:
- To review interventions, quality of life, and readmission rates in heart failure patients within transitional care programs.
- To evaluate the cost-effectiveness of nurse-led transitional care programs for heart failure management.
Main Methods:
- An integrative review of 20 studies was conducted.
- Analysis focused on interventions, quality of life, readmission rates, and cost-effectiveness.
Main Results:
- Transitional care programs significantly enhance patient quality of life and decrease heart failure readmissions and healthcare costs.
- Interventions combining home visits with telephone calls proved most effective in reducing readmissions.
- Current research indicates a need for larger randomized clinical trials to further validate these findings.
Conclusions:
- Transitional care programs are effective in improving outcomes for heart failure patients.
- Home-based and telephonic interventions are key components of successful transitional care.
- Further research with robust methodologies is required to optimize transitional care strategies and address existing gaps.
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