作者
George A Heckman, Veronique M Boscart, Robert S McKelvie, Teresa D’Elia, Osman Osman, Sharon Kaasalainen, Mary Lou Kelley, Carrie McAiney, Paul Stolee, Patricia Strachan
发表日期
2014/9
期刊
Canadian Journal on Aging/la revue canadienne du vieillissement
卷号
33
期号
3
页码范围
320-335
出版商
Cambridge University Press
简介
Heart failure (HF) is common among long-term care (LTC) residents, and may account for 40 per cent of acute-care transfers. Canadian Cardiovascular Society HF guidelines endorse standard therapies; yet LTC residents are less likely to receive treatment. This qualitative study employed focus groups to explore perceptions, from 18 physicians and nurse practitioners in three Ontario homes, on HF care practices and challenges. For example, participants reported challenges with HF diagnostic skills and procedural knowledge. They also identified the need for interprofessional collaboration and role clarification to improve HF care and outcomes. To address these challenges, multimodal interventions and bedside teaching are required. Leadership was viewed as essential to improve HF care. Several concerns arose regarding knowledge gaps and clinical deficits among primary-care providers who manage heart …
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GA Heckman, VM Boscart, RS McKelvie, T D'Elia… - Canadian Journal on Aging/la revue canadienne du …, 2014