Evidence map›Paper›PMID 26371268›Full record

ArticleAnnals of family medicine2015

Managing patients with heart failure: a qualitative study of multidisciplinary teams with specialist heart failure nurses.

Margaret Glogowska, Rosemary Simmonds, Sarah McLachlan, Helen Cramer, Tom Sanders, Rachel Johnson, Umesh T Kadam, Daniel S Lasserson, Sarah Purdy

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Annals of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Margaret GlogowskaUniversity of Oxford, Oxford, United Kingdom Margaret.glogowska@phc.ox.ac.uk.
Rosemary SimmondsUniversity of Bristol, Bristol, United Kingdom.
Sarah McLachlanUniversity of Keele, Keele, United Kingdom.
Helen CramerUniversity of Bristol, Bristol, United Kingdom.
Tom SandersUniversity of Sheffield, Sheffield, United Kingdom.
Rachel JohnsonUniversity of Bristol, Bristol, United Kingdom.
Umesh T KadamUniversity of Keele, Keele, United Kingdom.
Daniel S LassersonUniversity of Oxford, Oxford, United Kingdom.
Sarah PurdyUniversity of Bristol, Bristol, United Kingdom.
University of Bristol · GBKeele University · GBUniversity of Oxford · GBUniversity of Sheffield · GB

Funding

Department of Health DRF-2013-06-034
6 · The paper itself

Abstract

purposeThe purpose of this study was to explore the perceptions and experiences of health care clinicians working in multidisciplinary teams that include specialist heart failure nurses when caring for the management of heart failure patients.

methodsWe used a qualitative in-depth interview study nested in a broader ethnographic study of unplanned admissions in heart failure patients (HoldFAST). We interviewed 24 clinicians across primary, secondary, and community care in 3 locations in the Midlands, South Central, and South West of England.

resultsWithin a framework of the role and contribution of the heart failure specialist nurse, our study identified 2 thematic areas that the clinicians agreed still represent particular challenges when working with heart failure patients. The first was communication with patients, in particular explaining the diagnosis and helping patients to understand the condition. The participants recognized that such communication was most effective when they had a long-term relationship with patients and families and that the specialist nurse played an important part in achieving this relationship. The second was communication within the team. Multidisciplinary input was especially needed because of the complexity of many patients and issues around medications, and the participants believed the specialist nurse may facilitate team communication.

conclusionsThe study highlights the role of specialist heart failure nurses in delivering education tailored to patients and facilitating better liaison among all clinicians, particularly when dealing with the management of comorbidities and drug regimens. The way in which specialist nurses were able to be caseworkers for their patients was perceived as a method of ensuring coordination and continuity of care.

Indexed as

Attitude of Health PersonnelCommunicationDisease ManagementEnglandHeart FailureHumansInterviews as TopicNurse CliniciansPatient Care TeamPhysiciansQualitative Researchcomorbiditiesdiagnosis/prognosisheart failuremedicationspatient educationunplanned hospital admissions

Identifiers

PMID26371268
PMCPMC4569455
OpenAlexW1932634651

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.