liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Introducing nurse-led heart failure clinics in Swedish primary care settings
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Uppsala Univ, Sweden.ORCID iD: 0000-0002-7957-8600
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Cardiology in Linköping. Univ Calif Irvine, CA USA.ORCID iD: 0000-0002-4259-3671
2019 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 21, no 1, p. 103-109Article in journal (Refereed) Published
Abstract [en]

AimAccording to clinical guidelines, it is recommended that patients with heart failure (HF) receive structured multidisciplinary care at nurse-led HF clinics in order to optimise treatment and avoid preventable readmissions. Today, there are HF clinics with specialist-trained nurses at almost all Swedish hospitals, but HF clinics remain scarce in primary care (PC). The aim of this study was two-fold: firstly, to evaluate the effects of systematically implementing nurse-led HF clinics in PC settings with regard to hospital healthcare utilisation and evidence-based HF treatment, and secondly to explore patients experiences of HF clinics in PC. Methods and resultsThe study had a pre-post design. Annual measurement were done between 2010-2017 regarding in-hospital healthcare consumption and medical treatment. Data from 2011-2017 after the implementation of HF clinics in PC in one county council Sweden were compared with baseline data collected before the implementation in 2010. The implementation of HF clinics in PC significantly reduced the number of HF-related hospital admissions by 27% (Pamp;lt;0.001), HF hospital days by 27.3% (Pamp;lt;0.001) and HF emergency room visits by 24% (Pamp;lt;0.001). Further, patients were to a higher extent medically treated according to guidelines and satisfied with the care they received at the PC HF clinic. ConclusionNurse-led HF clinics in PC seem to be effective in reducing the need for in-hospital care and provide high quality person-centred care.

Place, publisher, year, edition, pages
WILEY , 2019. Vol. 21, no 1, p. 103-109
Keywords [en]
Heart failure management; Primary care; Nurse-led heart failure clinics; Healthcare utilisation
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-155619DOI: 10.1002/ejhf.1329ISI: 000459741600016PubMedID: 30338881OAI: oai:DiVA.org:liu-155619DiVA, id: diva2:1297719
Note

Funding Agencies|Centre for Clinical Research Sormland and Linkoping University

Available from: 2019-03-20 Created: 2019-03-20 Last updated: 2019-05-24

Open Access in DiVA

The full text will be freely available from 2019-10-19 10:52
Available from 2019-10-19 10:52

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Liljeroos, MariaStrömberg, Anna
By organisation
Division of Nursing ScienceFaculty of Medicine and Health SciencesDepartment of Cardiology in Linköping
In the same journal
European Journal of Heart Failure
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 40 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf