Evidence map›Paper›PMID 38746815›Full record

ArticleInternational journal of nursing studies advances2024

Heart failure in nursing homes: A scoping review of educational interventions for optimising care provision.

James McMahon, David R Thompson, Jan Cameron, Christine Brown Wilson, Loreena Hill, Paul Tierney, Doris Yu, Debra K Moser, Karen Spilsbury, Nittaya Srisuk and 3 more

Abstract readScoping Review
In one paragraph

Article in International journal of nursing studies advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  6. Article
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

13 authors.

James McMahonSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
David R ThompsonSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Jan CameronSchool of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
Christine Brown WilsonSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Loreena HillSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Paul TierneySchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Doris YuSchool of Nursing, University of Hong Kong, Hong Kong, China.
Debra K MoserCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.
Karen SpilsburySchool of Healthcare, University of Leeds, Leeds, UK.
Nittaya SrisukFaculty of Nursing, Surat Thani Rajabhat University, Surat Thani, Thailand.
Jos M G A ScholsDepartment of Health Services Research and Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Mariëlle van der VeldenDepartment of Health Services Research and Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Gary MitchellSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Heart failure has an estimated global prevalence of 64.3 million cases, with an average age of a person living with heart failure at 75.2 years. Approximately 20% of residents living in nursing homes (a long-term residential care environment for some individuals) report living with heart failure. Residents living with heart failure in nursing home environments are often frail, have reduced quality of life, higher rates of rehospitalisation and mortality, and greater complications in heart failure management. Further, nursing home staff often lack the knowledge and skills required to provide the necessary care for those living with heart failure. Interventions for improving heart failure management in nursing homes have proven effective, yet there is a lack of understanding regarding interventions for optimising care provision. The aim of this review was to synthesise the current evidence on educational interventions to optimise care provided to people with heart failure in nursing homes. Methods: A scoping review with four databases searched: Medline, CINAHL, Web of Science, and EMBASE. Relevant reference lists were searched manually for additional records. Studies of nursing home staff or resident outcomes associated with changes in care provision (i.e., resident quality of life, staff knowledge of heart failure) were included. Results from the charting data process were collated into themes: intervention outcomes, changes to practice, and implementation and process evaluation. Results: Seven papers were deemed eligible for inclusion. Most studies (n=6) were comprised of nursing home staff only, with one comprised only of residents. Study aims were to improve heart failure knowledge, interprofessional communication, heart failure assessment and management. Positive changes in staff outcomes were observed, with improvements in knowledge, self-efficacy, and confidence in providing care reported. No difference was reported concerning nursing home resident outcomes. Interprofessional communication and staff ability to conduct heart failure assessments improved post-intervention. Changes to practice were mixed, with issues around sustainability reported. Nursing home staff highlighted their appreciation towards receiving education, recommending that videos, images, and humour could improve the intervention content. Conclusions: There is a paucity of evidence around educational interventions to support residents living with heart failure in nursing homes. However, available evidence suggests that educational interventions in nursing homes may improve care through improving staff self-efficacy and confidence in providing care, heart failure knowledge and interprofessional communication. The complexity of implementing educational interventions in the nursing home setting must be considered during the development process to improve implementation, effectiveness, and sustainability.

Indexed as

EducationHeart FailureInterventionsNursing homesOlder PeopleScoping review

Identifiers

PMID38746815
PMCPMC11080315

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.