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Exploring heart failure nurse practitioner outcome measures: a scoping review
Mary Ryder1, Tara Mannion1,2, Eileen Furlong1
1School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin D04 C7X2, Ireland.
European Journal of Cardiovascular Nursing
|January 2, 2024
Summary
Nurse Practitioners (NPs) in heart failure care show positive patient outcomes, but their specific contributions are unclear. Standardized measures are needed to define NP roles and highlight their effectiveness in multidisciplinary teams.
Area of Science:
- Cardiology
- Nursing Science
- Health Services Research
Background:
- Clinical guidelines advocate multidisciplinary team management for heart failure (HF).
- Nurse Practitioners (NPs) in HF settings are increasingly linked to positive patient outcomes.
- The precise roles and contributions of NPs within HF multidisciplinary teams require clearer definition.
Purpose of the Study:
- To explore the existing literature on Nurse Practitioner (NP)-sensitive outcomes in heart failure (HF) management.
- To identify and analyze how NP roles and their associated outcomes are reported in HF care.
Main Methods:
- A scoping review was conducted following the Joanna Briggs Institute framework.
- Sixteen texts were selected for data extraction and analysis to identify NP-sensitive outcomes in HF.
- Literature search focused on identifying outcome measures related to NP interventions in heart failure.
Main Results:
- Commonly reported outcome measures included readmission rates, self-care, functional status, quality of life, and medication optimization.
- A significant inconsistency and disparity were found in the reporting of HF NP outcome indicators across studies.
- No two studies reported the same set of outcome measurements, indicating a lack of standardization.
Conclusions:
- The reporting of outcome indicators for Nurse Practitioners (NPs) in heart failure (HF) is inconsistent and varied.
- Outcome measures identified in the literature were not exclusively linked to NP interventions, complicating role definition.
- Standardized, NP-specific outcome measures are essential to effectively demonstrate the value of NPs in multidisciplinary HF teams.
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