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Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

559
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
559
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

361
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

377
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
377
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

819
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
819
Nursing Implementation01:15

Nursing Implementation

6.3K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Related Experiment Video

Updated: Feb 19, 2026

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Preparing direct care nurses to function as research coordinators in a heart failure study.

Nina M Trocky1

  • 1School of Nursing, University of Maryland, Baltimore MD, United States.

Nurse Researcher
|November 9, 2017
PubMed
Summary

Direct care nurses effectively partnered with researchers to study heart failure patients in rural hospitals. Their involvement improved research coordination, recruitment, and data collection for future interventions.

Keywords:
behavioural researchdirect care nursesheart failurenursesnursing researchresearch capacityrural hospitals

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Area of Science:

  • Nursing Research
  • Clinical Interventions
  • Patient-Centered Care

Background:

  • Heart failure patient perspectives were explored in two rural hospitals to inform intervention studies.
  • Direct care nurses' roles in research coordination, recruitment, and data collection were examined.

Purpose of the Study:

  • To describe lessons learned from utilizing direct care nurses as research coordinators.
  • To understand the value of direct care nurses in hospital-based research.

Main Methods:

  • Direct care nurses interviewed heart failure patients.
  • Researchers provided customized educational materials and data management tools.
  • Nurses identified enrollment barriers and solutions.

Main Results:

  • Direct care nurses demonstrated high motivation and engagement in the research process.
  • Nurses successfully identified challenges and proposed solutions for patient enrollment.
  • Tailored support facilitated protocol compliance and participant safety.

Conclusions:

  • An effective partnership between nurse researchers and direct care nurses is achievable.
  • Securing protected time, administrative support, and frequent data monitoring are key considerations.
  • Direct care nurses significantly contribute to the design and execution of hospital research.