Patricia Delgado-Passler1, Ruth McCaffrey. 1. Christine E Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida, USA. rmccaffr@fau.edu
Abstract
PURPOSE: The primary purpose of this literature review is to examine advanced practice nurse (APN)-directed versus registered nurse (RN)-directed telemanagement programs for heart failure patients. DATA SOURCES: Research articles identified through CINAHL and OVID databases. CONCLUSIONS: Implementing a telemanagement program directed by an APN after hospital discharge decreases the costs and frequent rehospitalizations associated with heart failure and improves the patient's quality of life. While APNs are more costly than RNs, it is important to understand that this level of provider has a more significant impact on the outcomes of patients who use the services provided in the comprehensive discharge programs. IMPLICATIONS FOR PRACTICE: An APN-directed heart failure telemanagement program can reduce the rising healthcare costs that result from frequent readmissions. These programs can improve the quality of care given to heart failure patients while reducing the cost to the institution, the patient, and the healthcare system. When considering the number of older adults hospitalized each year with heart failure, the potential patient benefits and savings to the healthcare system resulting from APN-directed telemanagement are substantial.
PURPOSE: The primary purpose of this literature review is to examine advanced practice nurse (APN)-directed versus registered nurse (RN)-directed telemanagement programs for heart failurepatients. DATA SOURCES: Research articles identified through CINAHL and OVID databases. CONCLUSIONS: Implementing a telemanagement program directed by an APN after hospital discharge decreases the costs and frequent rehospitalizations associated with heart failure and improves the patient's quality of life. While APNs are more costly than RNs, it is important to understand that this level of provider has a more significant impact on the outcomes of patients who use the services provided in the comprehensive discharge programs. IMPLICATIONS FOR PRACTICE: An APN-directed heart failure telemanagement program can reduce the rising healthcare costs that result from frequent readmissions. These programs can improve the quality of care given to heart failurepatients while reducing the cost to the institution, the patient, and the healthcare system. When considering the number of older adults hospitalized each year with heart failure, the potential patient benefits and savings to the healthcare system resulting from APN-directed telemanagement are substantial.
Authors: Andrew Sherwood; James A Blumenthal; Gary G Koch; Benson M Hoffman; Lana L Watkins; Patrick J Smith; Christopher M O'Connor; Kirkwood F Adams; Joseph G Rogers; Carla Sueta; Patricia P Chang; Kristy S Johnson; Jeanne Schwartz; Alan L Hinderliter Journal: Circ Heart Fail Date: 2017-01 Impact factor: 8.790
Authors: Andrew Sherwood; Christopher M O'Connor; Faye S Routledge; Alan L Hinderliter; Lana L Watkins; Michael A Babyak; Gary G Koch; Kirkwood F Adams; Carla Sueta Dupree; Patricia P Chang; Benson M Hoffman; Julie Johnson; Margaret Bowers; Kristy S Johnson; James A Blumenthal Journal: J Card Fail Date: 2011-01-21 Impact factor: 5.712
Authors: Steve R Fisher; Yong-Fang Kuo; Gulshan Sharma; Mukaila A Raji; Amit Kumar; James S Goodwin; Glenn V Ostir; Kenneth J Ottenbacher Journal: J Gerontol A Biol Sci Med Sci Date: 2012-12-19 Impact factor: 6.053
Authors: Javier Ordóñez-Piedra; Jose Antonio Ponce-Blandón; Jose Miguel Robles-Romero; Juan Gómez-Salgado; Nerea Jiménez-Picón; Macarena Romero-Martín Journal: Nurs Open Date: 2021-03-10