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

      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.
      • 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.
      • 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.
      • Jencks S.F.
      • Williams M.V.
      • Coleman E.A.
      Rehospitalizations among patients in the Medicare fee-for-service program.
      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.
      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.
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