scholarly journals ‘Who is on your health-care team?’ Asking individuals with heart failure about care team membership and roles

2016 ◽  
Vol 20 (2) ◽  
pp. 198-210 ◽  
Author(s):  
Kori A. LaDonna ◽  
Joanna Bates ◽  
Glendon R. Tait ◽  
Allan McDougall ◽  
Valerie Schulz ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Health Care Team ◽  
Care Team

scholarly journals Experiences of Using a Self-management Mobile App Among Individuals With Heart Failure: Qualitative Study (Preprint)

2021 ◽  
Author(s):  
Myra Schmaderer ◽  
Jennifer N Miller ◽  
Elizabeth Mollard
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Care Delivery ◽  
Health Care Team ◽  
Mobile App ◽  
Care Team ◽  
Management Tool ◽  
Self Management ◽  
Mhealth Intervention ◽  
Phone Calls

BACKGROUND Interventions that focus on the self-management of heart failure are vital to promoting health in patients with heart failure. Mobile health (mHealth) apps are becoming more integrated into practice to promote self-management strategies for chronic diseases, optimize care delivery, and reduce health disparities. OBJECTIVE The purpose of this study was to explore the experience of using a self-management mHealth intervention in individuals with heart failure to inform a future mHealth intervention study. METHODS This study used a qualitative descriptive design. Participants were enrolled in the intervention groups of a larger parent study using a mobile app related to self-management of heart failure. The purposive, convenient, criterion-based sample for this qualitative analysis comprised 10 patients who responded to phone calls and were willing to be interviewed. Inclusion criteria for the parent study were adults who were hospitalized at Nebraska Medical Center with a primary diagnosis and an episode of acute decompensated heart failure; discharged to home without services such as home health care; had access to a mobile phone; and were able to speak, hear, and understand English. RESULTS Study participants were middle-aged (mean age 55.8, SD 12 years; range 36-73 years). They had completed a mean of 13.5 (SD 2.2) years (range 11-17 years) of education. Of the 10 participants, 6 (60%) were male. Half of them (5/10, 50%) were New York Heart Association Classification Class III patients and the other half were Class IV patients. The intervention revealed four self-management themes, including (1) I didn’t realize, and now I know; (2) It feels good to focus on my health; (3) I am the leader of my health care team; and (4) My health is improving. CONCLUSIONS Participants who used a self-management mHealth app intervention for heart failure reported an overall positive experience. Their statements were organized into four major themes. The education provided during the study increased self-awareness and promoted self-management of their heart failure. The mHealth app supported patient empowerment, resulting in better heart failure management and improved quality of life. Participants advocated for themselves by becoming the leader of their health, especially when communicating with their health care team. Finally, the mHealth app was used by the participants as a self-management tool to assist in symptom management and improve their overall health. Future research should study symptom evaluation, medication tracking, and possibly serve as a health provider communication platform to empower individuals to be leaders in their chronic disease management.

scholarly journals Treatment Considerations and the Role of the Clinical Pharmacist Throughout Transitions of Care for Patients With Acute Heart Failure

2016 ◽  
Vol 30 (4) ◽  
pp. 441-450 ◽  
Author(s):  
Elizabeth B. McNeely
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Health Care Costs ◽  
Health Care Team ◽  
Care Team ◽  
Transitions Of Care ◽  
Clinical Pharmacists ◽  
Care Plans ◽  
Increased Risk ◽  
Care Costs

Heart failure is associated with increased risk of morbidity and mortality, resulting in substantial health-care costs. Clinical pharmacists have an opportunity to reduce health-care costs and improve disease management as patients transition from inpatient to outpatient care by leading interventions to develop patient care plans, educate patients and clinicians, prevent adverse drug reactions, reconcile medications, monitor drug levels, and improve medication access and adherence. Through these methods, clinical pharmacists are able to reduce rates of hospitalization, readmission, and mortality. In addition, care by clinical pharmacists can improve dosing levels and adherence to guideline-directed therapies. A greater benefit in patient management occurs when clinical pharmacists collaborate with other members of the health-care team, emphasizing the importance of heart failure treatment by a multidisciplinary health-care team. Education is a key area in which clinical pharmacists can improve care of patients with heart failure and should not be limited to patients. Clinical pharmacists should provide education to all members of the health-care team and introduce them to new therapies that may further improve the management of heart failure. The objective of this review is to detail the numerous opportunities that clinical pharmacists have to improve the management of heart failure and reduce health-care costs as part of a multidisciplinary health-care team.

scholarly journals Experiences of Using a Self-management Mobile App Among Individuals With Heart Failure: Qualitative Study

JMIR Nursing ◽  
10.2196/28139 ◽  
2021 ◽  
Vol 4 (3) ◽  
pp. e28139
Author(s):  
Myra Schmaderer ◽  
Jennifer N Miller ◽  
Elizabeth Mollard
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Care Delivery ◽  
Health Care Team ◽  
Mobile App ◽  
Care Team ◽  
Management Tool ◽  
Self Management ◽  
Mhealth Intervention ◽  
Phone Calls

Background Interventions that focus on the self-management of heart failure are vital to promoting health in patients with heart failure. Mobile health (mHealth) apps are becoming more integrated into practice to promote self-management strategies for chronic diseases, optimize care delivery, and reduce health disparities. Objective The purpose of this study was to explore the experience of using a self-management mHealth intervention in individuals with heart failure to inform a future mHealth intervention study. Methods This study used a qualitative descriptive design. Participants were enrolled in the intervention groups of a larger parent study using a mobile app related to self-management of heart failure. The purposive, convenient, criterion-based sample for this qualitative analysis comprised 10 patients who responded to phone calls and were willing to be interviewed. Inclusion criteria for the parent study were adults who were hospitalized at Nebraska Medical Center with a primary diagnosis and an episode of acute decompensated heart failure; discharged to home without services such as home health care; had access to a mobile phone; and were able to speak, hear, and understand English. Results Study participants were middle-aged (mean age 55.8, SD 12 years; range 36-73 years). They had completed a mean of 13.5 (SD 2.2) years (range 11-17 years) of education. Of the 10 participants, 6 (60%) were male. Half of them (5/10, 50%) were New York Heart Association Classification Class III patients and the other half were Class IV patients. The intervention revealed four self-management themes, including (1) I didn’t realize, and now I know; (2) It feels good to focus on my health; (3) I am the leader of my health care team; and (4) My health is improving. Conclusions Participants who used a self-management mHealth app intervention for heart failure reported an overall positive experience. Their statements were organized into four major themes. The education provided during the study increased self-awareness and promoted self-management of their heart failure. The mHealth app supported patient empowerment, resulting in better heart failure management and improved quality of life. Participants advocated for themselves by becoming the leader of their health, especially when communicating with their health care team. Finally, the mHealth app was used by the participants as a self-management tool to assist in symptom management and improve their overall health. Future research should study symptom evaluation, medication tracking, and possibly serve as a health provider communication platform to empower individuals to be leaders in their chronic disease management.

scholarly journals SARS-CoV-2 and Hemodialysis: diffusion and mortality in patients and health care team. Reflections from the Lombardy experience

2021 ◽  
Vol 34 (2) ◽  
pp. 277-279
Author(s):  
Giuseppe Rombolà ◽  
◽  
Marco Heidempergher ◽  
Marina Cornacchiari ◽  
Ivano Baragetti ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Team ◽  
Care Team

Empowering Nurses: Communicating Potential Medication Misuse

2021 ◽  
pp. 107839032110286
Author(s):  
Kelly A. Carlson ◽  
Corey E. Potter
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Interdisciplinary Communication ◽  
Health Care Team ◽  
Nursing Leadership ◽  
Care Team ◽  
Survey Study ◽  
Prescription Medications ◽  
Medication Misuse ◽  
Education Practice

BACKGROUND In nursing education and practice, we prepare nurses on topics such as patient care, pathophysiology, pharmacology, nursing leadership, and nursing competencies. Unfortunately, we may be missing the mark when it comes to integrating these topics and applying them to situations that arise in health care such as medication misuse. Nurses work intimately with patients and can recognize potential medication misuse by reviewing medication regimens and assessing necessity of PRN patient requests. In cases where nurses suspect misuse, they may or may not feel comfortable addressing these concerns with other members of the health care team. AIMS Study aims were to assess the baseline of whether nurses are comfortable with their level of skill to recognize potential patient medication misuse and to assess nurses’ comfortability with communicating these concerns with other nurses, providers, and patients. METHODS This survey study was designed to obtain practical information about nurses understanding of misused and diverted prescription medications and level of comfort with expressing concerns about the use of central nervous system depressants to inform education, practice, and research. Three-hundred and fifty nurses at one hospital were invited to participate in an anonymous REDCap survey. RESULTS Thirty-five percent of the surveyed nurses returned the survey. Responding nurses were more comfortable sharing their own knowledge and the need for more education on the topic than they were discussing interdisciplinary communication. CONCLUSIONS Empowering nurses to communicate this knowledge with others on the health care team has major public health implications to reduce the negative outcomes of misused medications.

Diagnostic Procedures: The Patient and the Health Care Team

1984 ◽  
Vol 84 (3) ◽  
pp. 400
Author(s):  
Carol L. Witalec ◽  
Davida Michaels
Keyword(s):  
Health Care ◽  
Diagnostic Procedures ◽  
Health Care Team ◽  
Care Team
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