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American Journal of Critical Care. 2005;14: 426-433
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Activities of Home-Based Heart Failure Nurse Specialists: A Modified Narrative Analysis

By Patricia Davidson, RN, ITC, BA, MEd, PhD, Glenn Paull, RN, CCU, Cert BN (Hons), David Rees, MBBS, FRACP, PhD, John Daly, RN, BA, BHSc, Med (Hons), PhD and Jill Cockburn, Msc, PhD. From the University of Western Sydney (PD, JD), The St. George Hospital (GP, DR), Sydney, Australia, and The University of Newcastle, Newcastle, Australia (JC).

• Background Heart failure nurse specialists strive to optimize patients’ outcomes in home-based settings.

• Objective To document the activities of home-based heart failure nurse specialists.

• Method A modified narrative analysis of clinical notes of home-based heart failure 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’ self-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 failure nurse specialists are related to facilitating communication between health professionals and providing information and support to patients and patients’ families.






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Copyright © 2005 by the American Association of Critical-Care Nurses.