Advertisement
Journal of Cardiac Failure Home
Advanced searchSave search
Position Statement| Volume 18, ISSUE 11, P811-812, November 2012

Download started.

Ok

HFSA and AAHFN Joint Position Statement: Advocating for a Full Scope of Nursing Practice and Leadership in Heart Failure

DOI:https://doi.org/10.1016/j.cardfail.2012.09.001
HFSA and AAHFN Joint Position Statement: Advocating for a Full Scope of Nursing Practice and Leadership in Heart Failure
Next ArticleHeart Failure in Post-MI Patients With Persistent IRA Occlusion: Prevalence, Risk Factors, and the Long-Term Effect of PCI in the Occluded Artery Trial (OAT)
      The Heart Failure Society of America (HFSA) and the American Association of Heart Failure Nurses (AAHFN) share a common core mission to improve outcomes of patients with heart failure. A recent report underscored the importance of increasing advocacy efforts to enable nurses to practice to the full extent of their education and training and engage in full partnership with physicians and other health professionals in redesigning health care.

      Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. 1st ed. Washington, DC: The National Academies Press; 2011.

      Heart failure is the fastest growing cardiovascular disorder in the U.S. and the most common reason for hospitalization among older adults.
      • Heidenreich P.A.
      • Trogdon J.G.
      • Khavjou O.A.
      • Butler J.
      • Dracup K.
      • Ezekowitz M.D.
      • et al.
      Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association.
      Circulation. 2011; 123: 933-944
      , 
      • Lloyd-Jones D.
      • Adams R.J.
      • Brown T.M.
      • Carnethon M.
      • Dai S.
      • de Simone G.
      • et al.
      Heart disease and stroke statistics—2010 update: a report from the American Heart Association.
      Circulation. 2010; 121: e46-e215
      , 
      • Ross J.S.
      • Chen J.
      • Lin Z.
      • Bueno H.
      • Curtis J.P.
      • Keenan P.S.
      • et al.
      Recent national trends in readmission rates after heart failure hospitalization.
      Circ Heart Fail. 2010; 3: 97-103
      , 
      • Jencks S.F.
      • Williams M.V.
      • Coleman E.A.
      Rehospitalizations among patients in the Medicare fee-for-service program.
      N Engl J Med. 2009; 360: 1418
      Effective management of heart failure requires that experts from many disciplines practice to the full extent of their education and training.
      • McAlister F.A.
      • Stewart S.
      • Ferrua S.
      • McMurray J.J.
      Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials.
      J Am Coll Cardiol. 2004; 44: 810-819
      Moreover, leaders from multiple disciplines must act accountably in full partnership to transform health care delivery in the U.S. so that it meets the needs of heart failure patients, their families, and others involved in the health care system. For these reasons, advocating for the removal of barriers to scope of practice and for increasing engagement in health care leadership for nurses is central to the missions and values of the HFSA and AAHFN.
      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 access
      One-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 Journal of Cardiac Failure
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

      1. Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. 1st ed. Washington, DC: The National Academies Press; 2011.

        View in Article
        • Heidenreich P.A.
        • Trogdon J.G.
        • Khavjou O.A.
        • Butler J.
        • Dracup K.
        • Ezekowitz M.D.
        • et al.
        Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association.
        Circulation. 2011; 123: 933-944
        View in Article
        • Lloyd-Jones D.
        • Adams R.J.
        • Brown T.M.
        • Carnethon M.
        • Dai S.
        • de Simone G.
        • et al.
        Heart disease and stroke statistics—2010 update: a report from the American Heart Association.
        Circulation. 2010; 121: e46-e215
        View in Article
        • Ross J.S.
        • Chen J.
        • Lin Z.
        • Bueno H.
        • Curtis J.P.
        • Keenan P.S.
        • et al.
        Recent national trends in readmission rates after heart failure hospitalization.
        Circ Heart Fail. 2010; 3: 97-103
        View in Article
        • Jencks S.F.
        • Williams M.V.
        • Coleman E.A.
        Rehospitalizations among patients in the Medicare fee-for-service program.
        N Engl J Med. 2009; 360: 1418
        View in Article
        • McAlister F.A.
        • Stewart S.
        • Ferrua S.
        • McMurray J.J.
        Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials.
        J Am Coll Cardiol. 2004; 44: 810-819
        View in Article

      7. US Department of Labor Bureau of Labor Statistics. Occupational Outlook Handbook 2010–2011. Available at http://www.bls.gov/ooh/. Accessed January 1, 2011.

        View in Article
        • Jessup M.
        • Albert N.M.
        • Lanfear D.E.
        • Lindenfeld J.
        • Massie B.M.
        • Walsh M.N.
        • et al.
        ACCF/AHA/HFSA 2011 survey results: current staffing profile of heart failure programs, including programs that perform heart transplant and mechanical circulatory support device implantation.
        J Card Fail. 2011; 17: 349-358
        View in Article
        • Ansari M.
        • Shlipak M.G.
        • Heidenreich P.A.
        • van Ostaeyen D.
        • Pohl E.C.
        • Browner W.S.
        • et al.
        Improving guideline adherence: a randomized trial evaluating strategies to increase beta-blocker use in heart failure.
        Circulation. 2003; 107: 2799-2804
        View in Article
        • Stone P.W.
        Nurse-led heart failure management improved quality of life and was cost-effective.
        Evid Based Nurs. 2009; 12: 59
        View in Article
        • Hebert P.L.
        • Sisk J.E.
        • Wang J.J.
        • Tuzzio L.
        • Casabianca J.M.
        • Chassin M.R.
        • et al.
        Cost-effectiveness of nurse-led disease management for heart failure in an ethnically diverse urban community.
        Ann Intern Med. 2008; 149: 540-548
        View in Article
        • Stromberg A.
        • Martensson J.
        • Fridlund B.
        • Levin L.A.
        • Karlsson J.E.
        • Dahlstrom U.
        Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: results from a prospective, randomised trial.
        Eur Heart J. 2003; 24: 1014-1023
        View in Article
        • Naylor M.D.
        • Brooten D.
        • Campbell R.
        • Jacobsen B.S.
        • Mezey M.D.
        • Pauly M.V.
        • et al.
        Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial.
        JAMA. 1999; 281: 613-620
        View in Article
        • Naylor M.D.
        • Brooten D.A.
        • Campbell R.L.
        • Maislin G.
        • McCauley K.M.
        • Schwartz J.S.
        Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial.
        J Am Geriatr Soc. 2004; 52: 675-684
        View in Article
        • Lowery J.
        • Hopp F.
        • Subramanian U.
        • Wiitala W.
        • Welsh D.E.
        • Larkin A.
        • et al.
        Evaluation of a nurse practitioner disease management model for chronic heart failure: a multi-site implementation study.
        Congest Heart Fail. 2012; 18: 64-71
        View in Article
        • Rich M.W.
        • Beckham V.
        • Wittenberg C.
        • Leven C.L.
        • Freedland K.E.
        • Carney R.M.
        A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure.
        N Engl J Med. 1995; 333: 1190-1195
        View in Article
        • Fairman J.A.
        • Rowe J.W.
        • Hassmiller S.
        • Shalala D.E.
        Broadening the scope of nursing practice.
        N Engl J Med. 2011; 364: 193-196
        View in Article

      18. Safriet BJ. Federal options for maximizing the value of advanced practice nurses in providing quality, cost-effective health care. Paper commissioned by the Committee on the RWJF Initiative on the Future of Nursing. In: The Future of Nursing: Leading Change, Advancing Health. 1st ed. Washington, DC: The National Academies Press; 2011:443–75.

        View in Article
        • Hansen-Turton T.
        • Ritter A.
        • Begun H.
        • Berkowitz S.L.
        • Rothman N.
        • Valdez B.
        Insurers’ contracting policies on nurse practitioners as primary care providers: the current landscape and what needs to change.
        Policy Polit Nurs Pract. 2006; 7: 216-226
        View in Article

      Article info

      Publication history

      Accepted: September 4, 2012
      Received: August 30, 2012

      Footnotes

      This paper is being simultaneously copublished in Heart & Lung - The Journal of Acute and Critical Care, Volume 41, Issue 6.

      See page 812 for disclosure information.

      Identification

      DOI: https://doi.org/10.1016/j.cardfail.2012.09.001

      Copyright

      © 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX