Loreena Hill, Nicolas Girerd, Teresa Castiello, Tiny Jaarsma, Marco Metra, Guiseppe Rosano, Patrick Savage, Mark J. Schuuring, Maggie Simpson, Izabella Uchmanowicz, Maurizio Volterrani, Rhys Williams, Ekaterini Lambrinou, Camilla Hage
{"title":"研究欧洲心力衰竭护士的临床角色和教育准备。欧洲心脏病学会(ESC)心力衰竭协会(HFA)和ESC心血管护理及相关专业协会(ACNAP)的调查报告","authors":"Loreena Hill, Nicolas Girerd, Teresa Castiello, Tiny Jaarsma, Marco Metra, Guiseppe Rosano, Patrick Savage, Mark J. Schuuring, Maggie Simpson, Izabella Uchmanowicz, Maurizio Volterrani, Rhys Williams, Ekaterini Lambrinou, Camilla Hage","doi":"10.1002/ejhf.3519","DOIUrl":null,"url":null,"abstract":"AimsTo describe the clinical practice and educational preparation of heart failure (HF) nurses across Europe and determine the key differences between countries.Methods and resultsA survey tool was developed, in English, by the Heart Failure Association Patient Care committee of the European Society of Cardiology (ESC). It was translated into eight languages, before electronically disseminated by nurse ambassadors, presidents of HF national societies and through social media. A total of 837 nurses involved in the daily care of patients with HF from 15 countries completed the survey. Most nurses, 78% (<jats:italic>n</jats:italic> = 395) worked within a hospital outpatient setting, and 51% (<jats:italic>n</jats:italic> = 431) had access to a specialized HF multidisciplinary team. Nurses performed a range of activities including patient education to promote self‐care, virtual and in‐person symptom monitoring. A third had more than 5‐year experience in cardiac care and 22% (<jats:italic>n</jats:italic> = 182) prescribed HF medications. There was a significant correlation between HF nurses that prescribed HF medications and access to a specialist multidisciplinary team (<jats:italic>p</jats:italic> = 0.04). A small number of nurses, mainly from Belgium, supported invasive monitoring (<jats:italic>n</jats:italic> = 68, 8%) with 14% (<jats:italic>n</jats:italic> = 120) of mostly Danish nurses supporting exercise programmes. The majority of nurses surveyed were committed to further academic professional development, with 41% (<jats:italic>n</jats:italic> = 343) having completed a HF course.ConclusionThe role of the HF nurse varies across Europe, however involvement in patient education, symptom monitoring and follow‐up remain core to their practice. In specific activities including the prescribing of HF medications and involvement in invasive monitoring, practice has advanced with collaboration in the multidisciplinary team. Consequently, harmonization of education, training and career pathways are required to standardize HF care aligned with expert guidelines across Europe.","PeriodicalId":164,"journal":{"name":"European Journal of Heart Failure","volume":null,"pages":null},"PeriodicalIF":16.9000,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Examining the clinical role and educational preparation of heart failure nurses across Europe. A survey of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) and the Association of Cardiovascular Nursing and Allied Professions (ACNAP) of the ESC\",\"authors\":\"Loreena Hill, Nicolas Girerd, Teresa Castiello, Tiny Jaarsma, Marco Metra, Guiseppe Rosano, Patrick Savage, Mark J. Schuuring, Maggie Simpson, Izabella Uchmanowicz, Maurizio Volterrani, Rhys Williams, Ekaterini Lambrinou, Camilla Hage\",\"doi\":\"10.1002/ejhf.3519\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AimsTo describe the clinical practice and educational preparation of heart failure (HF) nurses across Europe and determine the key differences between countries.Methods and resultsA survey tool was developed, in English, by the Heart Failure Association Patient Care committee of the European Society of Cardiology (ESC). It was translated into eight languages, before electronically disseminated by nurse ambassadors, presidents of HF national societies and through social media. A total of 837 nurses involved in the daily care of patients with HF from 15 countries completed the survey. Most nurses, 78% (<jats:italic>n</jats:italic> = 395) worked within a hospital outpatient setting, and 51% (<jats:italic>n</jats:italic> = 431) had access to a specialized HF multidisciplinary team. Nurses performed a range of activities including patient education to promote self‐care, virtual and in‐person symptom monitoring. A third had more than 5‐year experience in cardiac care and 22% (<jats:italic>n</jats:italic> = 182) prescribed HF medications. There was a significant correlation between HF nurses that prescribed HF medications and access to a specialist multidisciplinary team (<jats:italic>p</jats:italic> = 0.04). A small number of nurses, mainly from Belgium, supported invasive monitoring (<jats:italic>n</jats:italic> = 68, 8%) with 14% (<jats:italic>n</jats:italic> = 120) of mostly Danish nurses supporting exercise programmes. The majority of nurses surveyed were committed to further academic professional development, with 41% (<jats:italic>n</jats:italic> = 343) having completed a HF course.ConclusionThe role of the HF nurse varies across Europe, however involvement in patient education, symptom monitoring and follow‐up remain core to their practice. In specific activities including the prescribing of HF medications and involvement in invasive monitoring, practice has advanced with collaboration in the multidisciplinary team. Consequently, harmonization of education, training and career pathways are required to standardize HF care aligned with expert guidelines across Europe.\",\"PeriodicalId\":164,\"journal\":{\"name\":\"European Journal of Heart Failure\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.9000,\"publicationDate\":\"2024-11-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Heart Failure\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/ejhf.3519\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Heart Failure","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ejhf.3519","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Examining the clinical role and educational preparation of heart failure nurses across Europe. A survey of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) and the Association of Cardiovascular Nursing and Allied Professions (ACNAP) of the ESC
AimsTo describe the clinical practice and educational preparation of heart failure (HF) nurses across Europe and determine the key differences between countries.Methods and resultsA survey tool was developed, in English, by the Heart Failure Association Patient Care committee of the European Society of Cardiology (ESC). It was translated into eight languages, before electronically disseminated by nurse ambassadors, presidents of HF national societies and through social media. A total of 837 nurses involved in the daily care of patients with HF from 15 countries completed the survey. Most nurses, 78% (n = 395) worked within a hospital outpatient setting, and 51% (n = 431) had access to a specialized HF multidisciplinary team. Nurses performed a range of activities including patient education to promote self‐care, virtual and in‐person symptom monitoring. A third had more than 5‐year experience in cardiac care and 22% (n = 182) prescribed HF medications. There was a significant correlation between HF nurses that prescribed HF medications and access to a specialist multidisciplinary team (p = 0.04). A small number of nurses, mainly from Belgium, supported invasive monitoring (n = 68, 8%) with 14% (n = 120) of mostly Danish nurses supporting exercise programmes. The majority of nurses surveyed were committed to further academic professional development, with 41% (n = 343) having completed a HF course.ConclusionThe role of the HF nurse varies across Europe, however involvement in patient education, symptom monitoring and follow‐up remain core to their practice. In specific activities including the prescribing of HF medications and involvement in invasive monitoring, practice has advanced with collaboration in the multidisciplinary team. Consequently, harmonization of education, training and career pathways are required to standardize HF care aligned with expert guidelines across Europe.
期刊介绍:
European Journal of Heart Failure is an international journal dedicated to advancing knowledge in the field of heart failure management. The journal publishes reviews and editorials aimed at improving understanding, prevention, investigation, and treatment of heart failure. It covers various disciplines such as molecular and cellular biology, pathology, physiology, electrophysiology, pharmacology, clinical sciences, social sciences, and population sciences. The journal welcomes submissions of manuscripts on basic, clinical, and population sciences, as well as original contributions on nursing, care of the elderly, primary care, health economics, and other related specialist fields. It is published monthly and has a readership that includes cardiologists, emergency room physicians, intensivists, internists, general physicians, cardiac nurses, diabetologists, epidemiologists, basic scientists focusing on cardiovascular research, and those working in rehabilitation. The journal is abstracted and indexed in various databases such as Academic Search, Embase, MEDLINE/PubMed, and Science Citation Index.