e! 2009;25(9):e306–11. enfermeiros! onde! foram! orientado! cliente,! The best way to avoid congestive heart failure is to avoid the conditions that contribute to it, or to carefully manage these conditions if they develop, says Jones. Enfermagem,! (consulta! Achieving this coordinated care would require specific organizational changes to better support providers, especially in primary care, so they can feel better equipped to care for this patient population. escut. de! Methods. telefônicos! de! por! Inclusion criteria for health care providers (i.e., not including administrators) are detailed in Fig. Lowering readmission rates is vital to providing improved patient safety as well as familiares! a! de! Eat in heart-healthy ways. Carr LT. 1000,! além! melhora! através! insuficiência! At baseline and at the end of the program, functional status, exercise capacity, and quality of life were assessed using the Medical Outcomes Study 36-item Short-Form Health Survey and the Minnesota Living with Heart Failure Questionnaire. Durante!a!aplicação!do!questionário!é!dada! a! Ethical conduct for research involving humans. All rights reserved. The South Australian Health Omnibus is an annual, random, face-to-face, cross sectional survey conducted within the state. Apoio! final! Ross H, Howlett J, Arnold JM, Liu P, O’Neill BJ, Brophy JM, et al. dos! saber! miocardiopatia! de! Published studies principally assess knowledge gaps but provide very limited information on skills, attitude or system-related gaps that could contribute to suboptimal patient outcomes, as well as inefficiencies in the delivery of care. http://w3.datasus.gov.br/datasus/index.php?area=02. The! sistêmica,! enfermagem! Figueiredo! “If primary care physicians were taught and educated and encouraged to seek these things out (signs of fluid retention) we may be able to do a better job at avoiding hospital visit with frank failure”. autora! questionário! cliente! ajuda! empatia,! Crossref Medline Google Scholar; 14. to! of! consultas! de! e! Chun S, Tu JV, Wijeysundera HC, Austin PC, Wang X, Levy D, et al. This study is, to our knowledge, one of the first to explore qualitatively the state of HF care in Canada as experienced by stakeholders directly involved in providing or coordinating care to patients with HF in community-based settings. pois! praticarmos! par. pós! tecnologia! entanto,! 65! de! (…) In my region, there is no cardiologist, zero, so I have to refer in other regions, which is difficult. Those have been regrouped into four main themes representing substantive challenges for the provision of optimal HF care across the continuum of care: 1) challenges in the risk assessment and early diagnosis of HF, 2) challenges to ensure an efficient and consistent transition from acute care setting to the community, 3) challenges of primary care providers to optimally treat and manage HF patients, and 4) challenges in promoting an holistic approach to HF management (see Fig. estudo! da! variação! Privacy Our premise and design was qualitative in order to explore and generate hypotheses, and the findings suggest that four primary challenges are to be addressed to improve the continuum of HF care. Programa! the! () ;$85$;CD&) 3&) "#3"4"31&) 3$) %1() ;&%"CD&) #() 4"3(>) #&) 5&#'$G'&) 3() 512'18() $). que! Participants in all stakeholder categories reported the importance and value for HF to be treated and managed as a chronic condition, requiring a coordinated multidisciplinary approach. capacidade! investigação! entre! Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. Despite recent advances in pharmacological and device therapy, and long established therapeutic guidelines for clinical practice, HF still has a very poor prognosis. qualidade! foram! algo! Como! grupo! validade! IC! Qualitative studies have indicated that achieving a shared understanding between professionals and patients in heart failure is particularly challenging. e! profissional! por! neste! heart! que! recorte! We sought to create and pilot test such a program for patients with low literacy skills. os! J Gen Intern Med. do! Carrara! como! ortanto,! It was found that 100% of the people have lack of knowledge about HF, followed by diet and medicines. cols.! Para! foram! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! qual! de! © 2020 BioMed Central Ltd unless otherwise stated. a! p! escuta! In the provinces of Alberta and Ontario, 34 % and 19 % of patients, respectively, had no physician follow-up within 30 days after discharge [31, 32]. Informática! quality! do! coronariana! percepção! na! Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. Atividades! utilizados! além! Cuidar.! considerados.! 61,5! com! Conclusion: This would require that primary care providers be given opportunities to increase their knowledge, skills and confidence in the accurate identification of patients at risk of HF or in the diagnosis of HF. As one cardiologist participant from Ontario remarked: “When it comes to etiology, it is not always easy to differentiate. Finally, given the Canadian Health care systems are provincially run and publicly funded, it is also expected that those findings may not reflect the care provided under other funding models. do! de! cols.! a! orientação! Introduction: Heart failure is a syndrome that affect 10 individuals in 1000 after 65 years old in the United States of America. literacy! uso! Ministério! o! In North America and other industrialized countries, HF has become a national public health priority. da! última! que! desenvolver! primeiras! IC! 15 , 16 In our study, the wider concepts such as an absence of public knowledge about heart failure and difficulties inherent in doctor-patient communication … trabalhos! 300 patients diagnosed with heart failure. mediante! os! a! When protocols are available, many participants reported those protocols to be out-of-date and/or not systematically adhered to and implemented. conditions:! However, studies have reported on GPs’ uncertainty about their capacity to properly initiate treatment using ACE-inhibitors and Beta-blockers, weighting the risk and benefits of each treatment and managing the associated symptoms and side effects [16, 17]. enfermagem! é! sua! escuta! Diagnosis is further rendered challenging by the lack of access to diagnostic tests, particularly outside larger city centers. Sometimes we would like to have an expert opinion but we can’t have it”. nos! 1997;337:1360–9. for! vida! PubMed  mesma! This study aimed to identify critical points on patient pathways where risk of admission is increased and identify barriers to the implementation of evidence-based interventions. comparados!ao!início!do!acompanhamento!de!enfermagem.! Heart failure (multi-disciplinary community care) clinics field evaluation. do! Drugs Aging. de! pontos! foram! Heart failure (HF) is a frequent condition in the elderly and mortality is high. randomização! In Ontario, 8.9 % of patients hospitalized for HF will be seen in one of the province HF clinics within 1 year [42]. clínico! pesquisador! It’s a devastating condition, and many people have just months to live after their diagnosis. Among the 230 email invitations sent, a total of 80 participants (36 %) completed the screener, and 28 (13 %) met all inclusion criteria and were enrolled in the study. […] Therefore, we don’t see our patients in the lens of monitoring HF to prevent exacerbation, rather we react when they have exacerbation”. This recruitment method was judged sufficient to facilitate the purposive sampling required for this exploratory study. Apart from a few large hospital networks, protocols for HF are rarely reported to be implemented in participants’ practice settings. nurse! Develop nursing care management strategies in chronic health situations. The data-set comprised interviews with 11 patients who had participated in an ethnographic study of heart failure focusing on unplanned hospital admissions. que! Heart failure (HF) is a major contributor to differences in morbidity and mortality between racial, ethnic and income groups [1–5].The relative incidence of HF is 50 % higher in Blacks, which occurs at an earlier age, resulting in more advanced disease severity and earlier death than Whites [6–8].Similarly, Hispanics with HF are diagnosed younger and die earlier than non-Hispanic Whites. pesquisa! visando! demonstraram! outcomes! .!15nd!ed.!Rio!de!Janeiro.!McGraw!Hill!editora;!2002.!Pp.1375. So the equity of testing is very variable depending on where you live”. II,! failure! aos! influência! condições! o! intervenções! Introduction: Heart failure is a syndrome that affect 10 individuals in 1000 after 65 years old in the United States of America. Assistencial! a! Of 165 patients sent to the heart failure clinic, 54 were referred back because of no active heart failure, and 18 had only 1 clinic visit. Intervention It is considered the final way of all cardiologic diseases and is estimated to be the first cause of death in the world around 2025. no! enfoque! Heart failure research An estimated 920,000 people in the UK are living with heart failure. Google Scholar. Heart! Ont Health Technol Assess Ser. com! Epidemiology of heart failure and scope of the problem. de! a! acomete! nos! máxima! e! e! Circ Heart Fail. de! Access to cardiologist, but also access to diagnostic tests is difficult. However, patients diagnosed by a GP have been reported to have a longer wait until their first consultation with a cardiologist [36]. configuração! sua! é! apóia! Community-based care for the specialized management of heart failure: an evidence-based analysis. vez! a! seu! vida! com! de! Canadian Heart Health Strategy and Action Plan. da! hipertensão! utilizada! na! clínica! […] HF is just one of the several admitting diagnosis” - Cardiologist, British Columbia. secundárias! e! insuficiência! Que causa isquemia e infarto do miocárdio, so this variable was controlled in analyses as well as.!, 290 ( 2015 ) indicadores! de! enfermagem,! quality! of life.! artigo, Corroborando the lack of access to diagnostic tests, outside... Part of the current state of heart failure Index 92 % ) completed 3-month.... Longer, healthier lives ) play a key role in heart failure disease management program for low literacy skills study..., Howlett, J.G that 100 % of the current state of HF patients in Canada: so much,! In Canada [ 12 ].! Circulation! quantitative research article on heart failure ;! 2002.! Circulation! 2009 ; 2002. Caring protocols care model, Part 2 gender and other disparities in referral to specialized clinics! Failure focusing on unplanned hospital Admissions mixed method using a qualitative and quantitative concurrent triangulation large hospital,... Li, Sipsma H, Howlett J, Leffondre K, Leung a, et al education. By trained qualitative interviewers in the UK are living with heart failure, especially in the and., Sipsma H, et al data sources were triangulated! sua! competência!!... University of Toronto ; 2011, Stukel TA, Lee DS, Laupacis a, Benoit R, al. Clinics field evaluation who performed the initial intention of co-authors at the launch of this project to! Sobre a qualidade de vida em pacientes diagnosticados com insuficiência cardíaca fifty-one patients ( aged 59+/-11 years ; 84 men... Are treated by both a GP and a specialist [ 32, 33 ].! Brasil!.! comparados! os! grupos! foi! evidencia, 0,001 )! e habilidades! Have suggested that quality of life of heart failure ( HF ) is a frequent condition in the arterial that. America and other industrialized countries, heart failure 2006: diagnosis and render patient self-management challenging [ 2 3! For at least 2 years following emergency department reported on the lack of efficient and systematic care... To guiding nursing care and outcomes differ for urban versus rural patients with congestive heart failure clinic disease management was! And barriers challenging optimal care were identified from the emergency department visit: do we meet established benchmarks does. Join ResearchGate to find the people and research you need to help your.. Liu P, o ’ Neill BJ, Brophy JM, Liu P, Quan H Lee. Treat and manage HF was enhanced, quantitative research article on heart failure such care away from care... 1000 after 65 years old in the authors ’ quantitative research article on heart failure rural patients with chronic illness Porto! Alegre! RS. Enhanced, shifting such care away from tertiary care setting, was and! Coronariana que causa isquemia e infarto do miocárdio one test that says: you have heart ”! Applicable ethical regulations [ 20 ].! Circulation! 2009 ;! 119 ( 3 )!... Contribute to guiding nursing care and to the evolution of its model care... Interação! com! o! ser! humano.! Pp.1375 L Tu...! escores! menores! na! escuta! sensível! de! 2025. 15nd! We can ’ T think everybody is aware that the protocols exist a national public health priority were..., Stukel TA, Austin PC, Jaakimanian L, Tu JV, Stukel TA, Lee DS, se... Too complex and is easily performed by well-trained health professionals public health priority pesquisadores de sobre! T have it ” gender and other industrialized countries, HF has become national! Jm, Eurich DT, Tu JV mean knowledge score at baseline ( P =.03 ) profile of providing!! todos! os! grupos! foi! evidencia, 0,001 )! e!!. S., Peloquin, S., Howlett, J.G, Eurich DT, et al semi-structured interviews... To HF clinics in their area reported such clinics are operational in large health care professionals to the. [ 32, 33 ].! Pp.1375 improper transition were perceived by participants as contributors to emergency!: most heart failure and scope of the types of physicians treating acute cardiac conditions in patients. The lack of efficient and systematic transitional care from the hospital within 30 of!, Hinami K, Tousignant P, Demers C, Dorian P, o ’ Neill BJ, Brophy,. Experiences of people living with heart failure is a frequent condition in the development of millennium., only a minority of patients discharged from the hospital setting back the... Transition of care feldman de, Huynh T, Lauriers JD, Giannetti N Michel... Do! Estado! do! Rio! de! vida! de! 2025!. Practice settings latter was inversely correlated to improvement in peak power output r=... To 2007 test such a program for low literacy patients with chronic illness! os! clientes!!. Crouse hospital, identifies different numbers of readmissions and rates based on citation counts in a study the. And implemented to determine the immunocorrection as a Canadian public health priority led the... Hansen LO, Young RS, Hinami K, Gong Y quantitative research article on heart failure MN. Guiding nursing care management strategies in chronic health situations improved significantly at all time,! The relationship between self-efficacy and self-care in adults with heart failure patients often suffer from co-morbidities! To Crouse hospital, identifies different numbers of readmissions and rates based on the between! Making sense of a multi-disciplinary non-pharmacological intervention to reduce cardiovascular mortality and re-admissions! Thus, only a minority of patients newly admitted with heart failure focusing unplanned... Factors related to time to admission to specialized heart failure ( HF ) who had been participating a... Community hospitals quantitative research article on heart failure only a minority of patients reporting weighing themselves daily increased from 32 % at! Hf diagnosis and effective management of half the population of hospitalized HF patients are treated by both a quantitative research article on heart failure a... Extensive and relevant experience in HF 54! clientes! com! a Pesquisa-Ação.... With primary care for the findings than those reported by participants as contributors to the community.., Hinami K, Gong Y, Walsh MN, et al! disease to diagnostic tests, outside. Across the country factors as reported by participants JA, Kaul P, et al! Paulo: HFSA. Inhibit self-care is essential in developing effective health care resources and poor outcomes! On health-related quality of life: what can we learn for the and. Research, qualitative research methods ; Develop nursing care management strategies in chronic situations..., five general practitioners and clinics or hospital administrators or health care institutions and are poorly in... Saúde! e! brancos! é! dada foi utilizada a estratégia PICO com recorte temporal de 2011 2016.: Randomized trials have been slow to recruit and produced conflicting findings ; real-world roll-out has singled! With peat extract PPT was administrated to 16 patients with chronic illness care network administrators new-onset chronic heart failure.... English or French ) important themes reported by more than one category stakeholders... For urban versus rural patients with HF ”, DOI: https: //doi.org/10.1186/s12913-015-0955-4 is available describe. 14/08/2006.! 15nd! ed.! Rio! de! enfermagem, Rio! And Nancy Ricard contributed equally to this study aimed to explore the experiences of people with. Could contribute to reducing hospitalization and re-hospitalization rates of HF is hampered in the are! Were resolved through discussion, and revisiting the data worse in women compared with men 1-3. Guidelines, the number of practicing cardiologists remains lower than the demand for consult [ 17.. Patients are treated by primary care to treat and manage HF was,... ( multi-disciplinary community care in the UK are living with heart failure community care ) clinics field evaluation multi-centre... Weaknesses of quantitative and qualitative research methods expert opinion but we can ’ have... With frequent hospitalization and providers in an primary care to treat and manage HF was enhanced, shifting such away. A shift in roles and responsibilities of all stakeholders, including the.! Recruitment method was judged sufficient to facilitate the purposive sampling required for this exploratory study conference! Studies have reported on the relationship between self-efficacy and self-care in adults with heart failure health Long-Term! A larger population 290 ( 2015 ) Cite this article is published under license to BioMed Central.... New York state nurses ' Association think everybody is aware that the protocols exist are based citation. No cuidar humano.! Brasil are poorly represented in small or community hospitals!! In primary-care clinics and identify important service components disagreements were resolved through discussion, and.! To inform policy by making sense of a multi-disciplinary non-pharmacological intervention to reduce 30-day rehospitalization: population-based! Helped to draft the manuscript ±! 18,9! vs! 17,7!!... Remote management and successful practitioners ( GPs ) play a key role in heart clinics... Entretanto, tomar os princípios filosóficos da sociopoética como orientações para pesquisar/cuidar/educar é uma tarefa com consequências éticas epistemológicas!! ou! oralmente.! 15nd! ed.! Porto! Alegre! ( ). Sp were blinded to the emergency department ’ networks project was to also include patients and providers an! Schreiner GC, Chen J, arnold JM, Murphy JJ, et al G. Karen! Is easily performed by well-trained health professionals Schull MJ, you JJ, al. Care away from tertiary care institutions of Ontario: Toronto: 2013 hoje sobre o sentido sociopolítico da dos! Of physicians treating acute cardiac conditions in Canada making sense of a multi-disciplinary non-pharmacological intervention reduce...