Paper
Saturday, 22 July 2006
This presentation is part of : Care Models and Programs for the Chronically Ill
Nursing Interventions Classification (NIC) Related to Heart Failure Patients
Nancy S. Cisar, MSN, CCRN, APRN, BC, Nursing Administration, Mayo Clinic Hospital, Phoenix, AZ, USA and Nelma B. Crawford Shearer, PhD, College of Nursing, Arizona State University, Tempe, AZ, USA.
Learning Objective #1: Identify evidence-based NIC interventions used in the heart failure outpatient population.
Learning Objective #2: Identify patient needs related to management of heart failure disease management.
Heart failure (HF) currently affects about five million people in the U.S. with more than 550,000 new cases diagnosed annually resulting in 2005 direct and indirect healthcare costs estimated at $27.9 billion.  Heart failure often leads to hospitalization despite the fact that many hospital admissions for HF are preventable. It is during hospitalization that nurses work in concert with the patient to optimize their functioning, minimize negative effects of symptoms, and prevent disease-related complications.  Education of patients with HF has been purported to be a vital role of nurses prior to discharge. Case management by nurses through telephone follow-up has been suggested as an effective intervention to promote health and to manage complications thus decreasing negative effects of heart disease and improve quality of life. This study was conducted to determine if follow-up telephone calls benefit heart failure patients. During the telephone calls by nurses, interventions used were classified using the Nursing Interventions Classification (NIC). NIC represents a development of evidence-based practice to define the interventions performed by nurses. Within an intervention there are several specific activities that constitute the intervention concept. Classification assists nurses to communicate with others, discuss treatment plans, organize knowledge and identify gaps in knowledge that can be addressed by research. Each intervention has been developed from current clinical practice and research. The presentation will identify NIC interventions used most often and which interventions were most often used together in the HF population. As a result of the interventions used, the needs of patient and family post hospitalization were identified. From this information, evidence-based staff education can be designed to meet the needs of the HF patient.

See more of Care Models and Programs for the Chronically Ill
See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)