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November 24, 2025Nursing OutlookOpen Access

Impact of certified nurses specialized in heart failure on in-hospital mortality: A nationwide retrospective cohort study in Japan

Kojiro MORITA Gojiro Nakagami Taisuke Yasaka Ryohei Kida Aya Kitamura Tamaki Isobe Yoshie Takahashi Hideaki Watanabe Mari Ikeda Hiroki Matsui Kiyohide Fushimi Hideo Yasunaga

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Key Points

In-hospital mortality improved with the presence of certified nurses in heart failure, indicating their vital role.
Key evidence shows a reduction in mortality rates associated with specialized nursing roles.
Retrospective cohort analysis across Japan assessed the impact of certified nurses on heart failure patients.
This finding may enable better allocation of nursing resources in acute-care settings for heart failure.

Implication

Retrospective cohort study finds reduced in-hospital mortality with certified nurses in heart failure, suggesting improved outcomes in acute care.

Abstract

CNs may help improve HF outcomes in acute-care settings, informing policies to better utilize specialized nursing roles.

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Cite This Study

MORITA et al. (2025) studied this question.

synapsesocial.com/papers/6928f11ba65b730b9ea7a255 https://doi.org/10.1016/j.outlook.2025.102605

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Keep reading

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Impact of certified nurses specialized in heart failure on in-hospital mortality: A nationwide retrospective cohort study in Japan2025
2Clinical Implications of a Nurse-Led Heart Failure Clinic at a Rural Japanese Hospital2025
3Clinical Implications of a Nurse-Led Heart Failure Clinic at a Rural Japanese Hospitalcohort · 2025
4Prevalence, Predictors and Prognosis of Patients With Heart Failure Requiring Nursing CareCohort Study · 2014 · 19 citations
5Impact of a heart failure nurse practitioner service on rehospitalizations, emergency presentations, and survival in patients hospitalized with acute heart failurecohort · 2022 · 11 citations

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Nurse Specialising Consultation in Heart Failure: Impact on Drug Titration and Cardiovascular Events in Patients with Heart Failure and Reduced Ejection Fraction2025
Current Medical and Social Issues for Hospitalized Heart Failure Patients in Japan and Factors for Improving Their Outcomes ― Insights From the REAL-HF Registry ―2020
What impact do specialist and advanced-level nurses have on people living with heart failure compared to physician-led care? A literature review2020

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