What question did this study set out to answer?

To comprehensively map the landscape of value-based care models, delineate the multifaceted roles of nursing, and summarize associated clinical and economic outcomes in adults with heart failure.

August 27, 2026BMC NursingOpen Access

Value-based care in heart failure: a scoping review of patient outcomes and the evolving role of nursing

Q: What is the clinical evidence from this study?

Study design: Review. Population: Heart failure (n=20). Intervention: Value-based care models with nursing involvement vs. Traditional fee-for-service models or usual care. Primary outcome: Patient outcomes (clinical, economic, experiential) and nursing roles.

Q: What does this research mean for the field?

Value-based care models with greater nursing involvement are associated with lower readmission and mortality rates, improved quality of life, and potential economic benefits in heart failure patients. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

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Key result

Value-based care with greater nursing involvement linked to lower HF readmission and mortality.

n=20

Why the study?

Heart failure incurs high hospitalization rates and costs under fee-for-service models, but the role of nursing within value-based care models has not been comprehensively mapped.

Does value-based care with nursing involvement improve clinical, economic, and experiential outcomes in adults with heart failure?

Population

20 studies examining value-based care or payment models in adults with HF addressing nursing roles

Design

Scoping review

Authors

MMMohammad Ali MardomZahedan University of Medical Sciences MFMahtab FarahaniIran University of Medical Sciences LSLeila SayadiIranshahr University

Discussion

Member takes

Implication

Provides first map of nursing roles in HF value-based care; leaves open optimal integration strategies for practice and trials.

Key Points

To comprehensively map the landscape of value-based care models, delineate the multifaceted roles of nursing, and summarize associated clinical and economic outcomes in adults with heart failure.
Conducted a scoping review following Joanna Briggs Institute methodology and PRISMA-ScR guidelines across PubMed, Scopus, and Web of Science up to November 30, 2025.
Screened 116 records and evaluated 79 full texts, including 20 studies investigating value-based payment models and explicit nursing contributions in adult heart failure without formal quality appraisal.
Identified three primary value-based care structures (population-based, episode-based, and performance-based) along with five central nursing roles spanning care coordination, case management, patient education, digital health utilization, and access advocacy.
Greater nursing integration was linked to reduced mortality and lower readmission rates; in one included randomized trial (N=64), readmissions were 0% in the nurse-led education arm compared with 34% in the control arm.
Multiple nurse-led transitional and case management models demonstrated economic advantages, including cost-effectiveness in 83.3% of Markov cohort simulations (N=1114), though payment structures and workload presented substantial barriers.

Structured PICO

Does value-based care with nursing involvement improve clinical, economic, and experiential outcomes in adults with heart failure?

Population

A scoping review of 20 studies evaluating value-based care models and the evolving role of nursing in adults with heart failure.

Intervention

Value-based care (VBC) models (population-based, episode-based, and performance-based) with nursing involvement (care coordination, case management, patient education, self-management support, digital health use, and patient advocacy).

Comparator

Traditional fee-for-service models or usual care (where applicable across included studies).

Outcome

Reported clinical, economic, experiential, and equity-related outcomes, as well as nursing roles and interventions.

Nursing represents an important component of value-based care approaches for heart failure, contributing to favorable clinical, experiential, and economic outcomes through care coordination and patient education.

Limitations

No formal methodological quality appraisal was performed, consistent with scoping review methodology.
Substantial heterogeneity in study designs, value-based care models, nursing interventions, outcome measures, and healthcare settings.
Findings represent a map of reported associations rather than evidence of causal effectiveness or superiority of specific models.
Only English-language publications were included during screening.
No formal quality appraisal was performed
Substantial heterogeneity in study designs, VBC models, nursing interventions, outcome measures, and healthcare settings prevented meta-analysis

Cite This Study

Mardom et al. (2026) conducted a review in Heart failure (n=20). Value-based care models with nursing involvement vs. Traditional fee-for-service models or usual care was evaluated on Patient outcomes (clinical, economic, experiential) and nursing roles. Value-based care models with greater nursing involvement were associated with lower readmission and mortality rates, improved quality of life, and potential economic benefits in heart failure patients.

synapsesocial.com/papers/6a8fea1c10c91c1e926223bd https://doi.org/10.1186/s12912-026-05263-x

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Value-based care in heart failure: a scoping review of patient outcomes and the evolving role of nursing

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Value-based care in heart failure: a scoping review of patient outcomes and the evolving role of nursing

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

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