Why the study?
Quality heart failure management remains elusive in long-term care facilities despite extensive evidence describing best practices.
This guideline provides a systematic approach to heart failure assessment and care delivery in long-term care facilities to improve care quality and outcomes.
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Guides standardized HF assessment and QI in long-term care; extends prior guidelines with updated evidence-based protocols.
Evidence suggests the most crucial elements to successful heart failure (HF) management in long-term care (LTC) include improving staffs' HF knowledge to recognize and intervene in early symptom exacerbations, embedding an effective and integrated interprofessional communication system into daily care processes, risk stratification, and anticipatory advanced care planning. Despite a large body of evidence describing best practices, quality HF management remains elusive in LTC facilities. Studies have shown that care quality and outcomes improve when the entire team, including direct caregivers, have an active role in residents' care planning and implementation. The current article summarizes a revised evidence-based practice guideline on assessing HF, addressing a systematic approach to care delivery, and implementing evidence-based best practices for HF quality improvement initiatives in LTC, post-acute care, and short-term rehabilitation settings. [Journal of Gerontological Nursing, 45(7), 18-24.].
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C Harrington (2019) conducted a review in Heart failure. Evidence-based practice guideline for heart failure assessment was evaluated. A revised evidence-based practice guideline provides a systematic approach to assessing heart failure and implementing best practices for quality improvement in long-term care facilities.
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