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How much responsibility should heart failure nurses take?
Author(s) -
Blue Lynda,
McMurray J.
Publication year - 2005
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1016/j.ejheart.2005.01.005
Subject(s) - medicine , scope (computer science) , heart failure , context (archaeology) , nursing , nurse practitioners , scope of practice , health care , intensive care medicine , medical emergency , cardiology , paleontology , computer science , economics , biology , programming language , economic growth
This article examines the emerging role of the heart failure nurse and the responsibilities and educational and training requirements surrounding such a role. There may be variations in the role and its responsibilities in different health care settings. However the principles are similar and include: history taking, carrying out clinical assessment and making appropriate decisions about patient management within the context of practice. An example of this is nurse supervision of adjusting and titration of medication in a clinic setting or in the patient's own home. A major challenge to this role is defining the limitations and scope of practice. Patients with chronic heart failure (CHF) are generally a frail, elderly population, and often have significant other co‐morbidities. They can be on multiple medications and are frequently prescribed sub‐optimal doses of evidence‐based medication [1] [McMurray JJV, Failure to practise evidence‐based medicine: why do physicians not treat patients with heart failure with angiotensin‐converting enzyme inhibitors? Eur. Heart J. 19 (1998) L15–L21]. Many patients are not managed by specialists [2] [McMurray J, McDonagh T, Morrison CE, Dargie HJ. Eur. Heart J. 14 (1993) 1158–1162], thus creating a huge potential for improved management.