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

IF 16.9 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS European Journal of Heart Failure Pub Date : 2024-11-08 DOI:10.1002/ejhf.3519
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
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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. 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引用次数: 0

摘要

目的描述欧洲各国心力衰竭(HF)护士的临床实践和教育准备情况,并确定各国之间的主要差异。方法和结果欧洲心脏病学会(ESC)心力衰竭协会患者护理委员会用英语开发了一种调查工具。该工具被翻译成八种语言,然后由护士大使、各国心力衰竭协会主席通过电子方式和社交媒体进行传播。共有来自 15 个国家的 837 名参与心房颤动患者日常护理的护士完成了调查。大多数护士(78%,n = 395)在医院门诊工作,51%(n = 431)有机会接触到专业的心房颤动多学科团队。护士们开展了一系列活动,包括促进自我护理的患者教育、虚拟和面对面症状监测。三分之一的护士拥有 5 年以上的心脏护理经验,22%(n = 182)的护士开具了心房颤动药物处方。开具心房颤动药物处方的心房颤动科护士与多学科专家团队之间存在明显的相关性(p = 0.04)。少数护士(主要来自比利时)支持有创监测(68 人,8%),14%(120 人)的护士(主要来自丹麦)支持运动计划。大多数接受调查的护士致力于进一步的学术专业发展,41%(n = 343)的护士完成了高血压课程。在包括开具心房颤动药物处方和参与有创监测在内的具体活动中,多学科团队的合作推动了实践的发展。因此,需要统一教育、培训和职业发展途径,以便根据欧洲各地的专家指南实现心房颤动护理的标准化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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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.
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来源期刊
European Journal of Heart Failure
European Journal of Heart Failure 医学-心血管系统
CiteScore
27.30
自引率
11.50%
发文量
365
审稿时长
1 months
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.
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