None listed
Conditions
Brief summary
This research will determine if a focused educational session by a heart failure clinical nurse specialist prior to discharge has any significance on the patient’s self-adherence to medications, self-monitoring and any change to their condition. Data collected will be able to be used by clinicians working in areas of heart failure and highlight areas where heart failure patients may require more specific education during the delivery of education at discharge. This research may assist in the development or teachings required for health professionals working in areas of heart failure in order to promote heart failure patient outcomes.
Interventions
People who are admitted to a metropolitan hospital and newly diagnosed with heart failure and referred to the heart failure clinical nurse specialist clinic will be invited to participate in the study. Recruitment period will be over a three month period. Non-probability sampling will be used for this research. This research will be conducted in a metropolitan hospital in New Zealand.
The educational intervention will be a one off educational session prior to discharge from hospital. The sessio
People who are admitted to a metropolitan hospital and newly diagnosed with heart failure and referred to the heart failure clinical nurse specialist clinic will be invited to participate in the study. Recruitment period will be over a three month period. Non-probability sampling will be used for this research. This research will be conducted in a metropolitan hospital in New Zealand. The educational intervention will be a one off educational session prior to discharge from hospital. The session will take place in inpatient wards where patients with heart failure are admitted to and being assessed, diagnosed, educated, referred and discharged home. The post discharge questioning will take place over the telephone once participants have discharged home within 48 hours from the researcher’s office and at an outpatient clinic at two weeks following discharge. . Participants recruited to the educational intervention will be given additional education by the heart failure clinical nurse specialist (researcher). An appropriate time will be made with the participants, family members and researcher to go and provide a brief focused educational session on heart failure self-monitoring. Each session will take approximately between 10 to 20 minutes. The session will include focusing on the National Heart Foundation of New Zealand weight diary resource given to patients and the researcher will explain the importance of daily weighing, monitoring for changes in breathing and checking for any oedema. The participants will be advised that the heart failure clinical nurse specialists will be in phone contact with them (both groups) within 48 hours following discharge and booked into the heart failure clinic at two weeks following discharge (both groups). Participants will also able to ask any questions at that time. The collection tool intended for use for this study will be a heart failure phone questionnaire. The questionnaire includes initial referral information including if patients have already received heart failure self-management education and if they have received the heart failure resources. A set of 10 questions will be asked based on self-management principles and NYHA functional classification at a 48 hour and two week time intervals. The questionnaire is in the form of a yes/no tick box in each time interval section. This questionnaire will be used to reflect the aims of the study. Participants recruited to the control or usual care groups will be followed up and questioned at time intervals by other heart failure clinical nurse specialist other than the researcher to avoid any bias Reference for weight diary. National Heart Foundation of New Zealand (2017). Heart Failure Action Plan and daily checks. [Brochure]. Retrieved from http://assets.heartfoundation.org.nz/shop/heart-healthcare/non-stock-resources/my-heart-failure-action-plan.pdf
Sponsors
Emma Reeves
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients who are admitted during the three month recruitment period to a metropolitan hospital, treated and newly diagnosed with heart failure meet the initial criteria for recruitment.. Patients need to be inpatients, referred by a cardiology team as an inpatient, classed as having low co-morbidity. Recruited participates needto be accessible by telephone and able to attend the heart failure clinic.
Exclusion criteria
Exclusion criteria includes, patients who have a known diagnosis of heart failure and known to the heart failure clinical nurse specialist clinic previously and patients who are recruited to other heart failure research.
Outcome results
None listed