Highlights
- •Patients reported high satisfaction with the care provided in a nurse-practitioner-led multidisciplinary heart failure clinic for optimization of guideline-directed medical therapy for patients with heart failure with reduced ejection (HFrEF).
- •Patient satisfaction was not related to 6-minute walk test distance, quality of life, or symptoms.
- •Patient satisfaction with care delivery is an important and often overlooked indicator of quality of care.
Abstract
This project assessed patient satisfaction with a nurse practitioner–led multidisciplinary
heart failure clinic for optimization of guideline directed medical therapy for patients
with heart failure. A cohort design (N = 51) assessed patient satisfaction, 6-Minute
Walk Test, quality of life (EQ-VAS) and symptoms (PROMIS-29). Satisfaction scores
ranged from 7 to 10 with a mean score of 9.38 ± 0.92. No statistically significant
correlations were found between patient satisfaction and the 6-Minute Walk Test, EQ-VAS,
and PROMIS-29. Patients were highly satisfied with the care provided in the nurse
practitioner–led clinic.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal for Nurse PractitionersAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
US Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality chasm a new health system for the 21st century. Washington, DC: National Academies Press.
- Six domains of health care quality.(Updated)
- What does the patient have to say? valuing the patient experience to improve the patient journey.BMC Health Serv Res. 2021; 21https://doi.org/10.1186/s12913-021-06341-3
- A national survey of nurse practitioners’ patient satisfaction outcomes.Nurs Outlook. 2019; 67: 707-712https://doi.org/10.1016/j.outlook.2019.04.010
- The quality and effectiveness of care provided by nurse practitioners.J Nurse Pract. 2013; 9: 492-500.e13https://doi.org/10.1016/j.nurpra.2013.07.004
- Clinical and economic outcomes of nurse-led services in the ambulatory care setting: a systematic review.Int J Nurs Studies. 2018; 81: 61-80https://doi.org/10.1016/j.ijnurstu.2018.02.002
- Patient satisfaction with nurse practitioner service in a rural setting.J Am Acad Nurse Pract. 2000; 12: 405-412https://doi.org/10.1111/j.1745-7599.2000.tb00146.x
- The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting.BMC Health Serv Res. 2019; 19https://doi.org/10.1186/s12913-018-3818-y
- Patient satisfaction with innovative nurse practitioner cardiology services.J Nurse Pract. 2019; 15: 311-315.e1https://doi.org/10.1016/j.nurpra.2018.12.013
- Patients’ experience with heart failure treatment and self-care—a qualitative study exploring the burden of treatment.J Clin Nurs. 2019; 28: 1782-1793https://doi.org/10.1111/jocn.14799
- 2022 AHA/ACC/HFSA guideline for the management of heart failure: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.Circulation. 2022; : 145https://doi.org/10.1161/cir.0000000000001063
- Evaluation of a guideline directed medical therapy titration program in patients with heart failure with reduced ejection fraction.Int J Cardiol. 2019; 22: 1-5https://doi.org/10.1016/j.ijcha.2018.10.003
- Remote optimization of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction.JAMA Cardiol. 2020; 5: 1430https://doi.org/10.1001/jamacardio.2020.3757
- A nurse-led up-titration clinic improves chronic heart failure optimization of beta-adrenergic receptor blocking therapy—a randomized controlled trial.BMC Res Notes. 2014; 7https://doi.org/10.1186/1756-0500-7-668
- Nurse-led titration of angiotensin-converting enzyme inhibitors, β-adrenergic blocking agents, and angiotensin receptor blockers in patients with heart failure with reduced ejection fraction.JAMA Cardiol. 2016; 1: 842https://doi.org/10.1001/jamacardio.2016.2332
- Nurse-led titration of angiotensin converting enzyme inhibitors, beta-adrenergic blocking agents, and angiotensin receptor blockers for people with heart failure with reduced ejection fraction.Cochrane Database System Rev. 2016; 2016https://doi.org/10.1002/14651858.cd009889.pub2
Diederich T, Burdorf A, Pozehl B, et al. The role of a multidisciplinary heart failure clinic in optimization of guideline-directed medical therapy: Hf-optimize. Heart Lung. 2023;57:95–101. https://doi.org/10.1016/j.hrtlng.2022.08.010
- The six-minute walk test predicts peak oxygen uptake and survival in patients with advanced heart failure.Chest. 1996; 110: 325-332https://doi.org/10.1378/chest.110.2.325
- ATS statement. Guidelines for the Six-Minute Walk Test.Am J Respir Crit Care Med. 2002; 166: 111-117https://doi.org/10.1164/ajrccm.166.1.at1102
- The patient-reported outcomes measurement information system (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008.J Clin Epidemiol. 2010; 63: 1179-1194https://doi.org/10.1016/j.jclinepi.2010.04.011
- Development of a conceptual framework and calibrated item banks to measure patient-reported dyspnea severity and related functional limitations.Value Health. 2011; 14: 291-306https://doi.org/10.1016/j.jval.2010.06.001
- Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study.Qual Life Res. 2013; 22: 1717-1727https://doi.org/10.1007/s11136-012-0322-4
- The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis.BMC Family Pract. 2016; 17https://doi.org/10.1186/s12875-016-0537-5
- Patient experiences of primary care provided by nurse practitioners in New Brunswick, Canada.J Nurse Pract. 2020; 16: 299-304https://doi.org/10.1016/j.nurpra.2019.12.027
- Interprofessional teams: lessons learned from a nurse-led clinic.J Nurse Pract. 2019; 15: 351-355https://doi.org/10.1016/j.nurpra.2019.02.016
- Identification of racial inequities in access to specialized inpatient heart failure care at an academic medical center.Circulation. 2019; 12https://doi.org/10.1161/circheartfailure.119.006214
Biography
Douglass Haas, DNP, FNP-BC, AGACNP-BC, is a clinical assistant professor at the University of Nebraska Medical Center College of Nursing, Kearney, NE, and can be contacted at [email protected]
Biography
Bunny Pozehl, PhD, NP, is a professor and the Dorothy Hodges Olson Endowed Chair in Nursing with the University of Nebraska Medical Center College of Nursing, Omaha, NE.
Biography
Windy W. Alonso, PhD, RN, is an assistant professor with the University of Nebraska Medical Center College of Nursing, Omaha NE.
Biography
Theresa Diederich, MSN, NP, is an advanced practice provider supervisor with cardiovascular medicine, heart failure, and transplant with Nebraska Medicine in Omaha, NE.
Article info
Publication history
Published online: December 07, 2022
Publication stage
In Press Corrected ProofFootnotes
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
