Nurses About Signs And Symptoms Of Hf Increase Their Confidence And Skill

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Clinical Practice Question Will educating SMH ED nurses about signs and symptoms of HF increase their confidence and skill in identifying HF patients?
Critical Appraisal Components: Evidence-Based Factors
The emergency department (ED) is a unique environment that serves as a gatekeeper for patients with a variety of illnesses and is the source of a majority of admission. With so much scrutiny on patient care benchmarks and admission and readmission rates, the ED is an area of special interest to initiate any new protocols.
Recognizing that in a realistic setting, resources are limited the authors Amarasingham et al (2013) wanted to assess whether stratification of patient risks would reduce HF readmissions and better allocate limited care transition resources to target high risk patients. The authors examined adult patients with HF in a 780-bed teaching hospital in Dallas, Texas in a prospective controlled study. Care transition in this study referred to assisting patients to transform the care and attention they received while in the hospital into a continuation of care of their own after discharge from the hospital. Resources for patients included cardiologists, nurse practitioners, nutritionists, and pharmacists who provide patients with detailed inpatient clinical assessment, education, and early discharge planning, counselling and follow-up appointments in outpatient setting upon discharge, and outpatient case-management to assist with post-discharge needs like…

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