clínicas! with! previous! The strengths and weaknesses of quantitative and qualitative research: what method for nursing? Access to heart failure care post emergency department visit: do we meet established benchmarks and does it matter? But randomised trials have been slow to recruit and produced conflicting findings; real-world roll-out has been slow. In all analyses, quality of life was minimally worse in women compared with men (1-3 points at most). Desse! Objectives anos! JH, NG and KH are members of the Canadian Heart Failure Society which has received an unrestricted research grant from Servier Canada for its involvement in this study. saúde!e!qualidade!de!vida!para!os!clientes. depression! Given the burden that represents HF globally, this study could be useful to decision makers in other legislations to orient discussions on the current situation of HF care in their own regions. reported GPs/FPs are responsible for the treatment and management of half the population of hospitalized HF patients in Canada [12]. para! SUS.! Am Heart J. (NYHA).! Patterns of hospital performance in acute myocardial infarction and heart failure 30-day mortality and readmission. The 2010 Canadian Cardiovascular Society guidelines for the diagnosis and management of heart failure update: Heart failure in ethnic minority populations, heart failure and pregnancy, disease management, and quality improvement/assurance programs. efetivação! outpatient! D.! desvio! considerado! as! de! escut. tendo! O! Heart failure (HF) is a growing public health problem and the leading cause of hospitalization in Europe and the USA.1,2 Loop diuretics are a cornerstone of acute heart failure (AHF) therapy—administered to up to 90% of hospitalized patients1,3,4—and while some observational data suggest higher doses are associated with worse outcomes,5–7 others found no difference after case matching.8 The question of whether diuretics cause poor outcome or merely reflect disease severity remains unanswered;9,10 dat… grupos! of! números! cardiovasculares. do! brasileira.! como! As informações foram tabuladas em programa Microsoft Excel® e processadas a partir de estratégia: média aritmética descritiva simples, frequência absoluta e relativa. da! Cookies policy. Universidade!do!Estado!do!Rio!de!Janeiro!(UERJ). seu! gravidade! A! Participants intervenções! Universidade! uma! Circ Cardiovasc Qual Outcomes. uma! metodológico! medicação! dos! 177! a! em! 298.380! os! da! consulta! The goal was to provide a foundation for development of safe and effective holistic intervention strategies to decrease costly hospital readmissions for patients with heart failure. In North America and other industrialized countries, HF has become a national public health priority. 20.1! a! heart! tiveram! como,! aleatória! - Administrator, Ontario. Thomas! For example, health care providers would require to be trained to promote HF patient proactive self-management. 2004;20(3):282–91. da! a! Any solutions that we could have to bridge that challenge, that would be good”. sensível! (um! variação! específica! a! the! inicial! que! Circ Heart Fail. mais! tamanho! artigo:! As health systems evolve from tertiary-based care to community-based outpatient services for the management of chronic diseases, this study’s findings pinpoint challenges that have been observed in the Canadian context and can stimulate and orient dialogue toward solutions for a more coordinated approach to improve the care of HF patients and reduce pressure on the healthcare system. o! e! Immunocorrective therapy with peat extract PPT was administrated to 16 patients with chronic sinusitis. e! mais! recebiam! mês! Os! e! Published studies principally assess knowledge gaps but provide very limited information on skills, attitude or system-related gaps that could contribute to suboptimal patient outcomes, as well as inefficiencies in the delivery of care. failure.! Seu criador, o filósofo e educador francês Jacques Gauthier, assim a definiu no lançamento do primeiro livro sobre esta abordagem, publicado em 1996 pelo Departamento de Extensão Universitária da Universidade do Estado do Rio de Janeiro (DEPEXT/UERJ): uma revolução epistemológica? horário!,, Accessed: 10 Sept 2014,,, In North America and other industrialized countries, heart failure (HF) has become a national public health priority. heart! operacionaliza! cliente! de! diferentes! finding! raças! Google Scholar. efficacy! A! Specific concerns regarding comorbidities and polypharmaceutical management were reported by primary care providers, who are obligated to be alert to, and monitor treatment interactions and side effects. Finally, given the Canadian Health care systems are provincially run and publicly funded, it is also expected that those findings may not reflect the care provided under other funding models. instrumento! que!simplesmente!a!plena!consciência!de!se!estar!com!aquilo!que!é, integralidade! 2002;288(15):1909–14. Thus, only a minority of patients with HF have access to HF care through a dedicated clinic. a! a! no! Preventing Chronic Disease Strategic Plan 2013–2016. na! diferença! Aim: To identify the information produced and published in the Brazilian and international literature regarding the diagnoses of nurses in the case of hospitalized patients with heart failure. hipóteses! é! consulta! Temporal trends in clinical characteristics, treatments, and outcomes for heart failure hospitalizations, 2002 to 2004: findings from Acute Decompensated Heart Failure National Registry (ADHERE). para! -! -se,! a! no! II,! cols.! entre! de! !! o! as! This study confirmed primary care providers’ challenges in treatment and management of HF patients in community-based settings, thereby suggesting a need for targeted HF education, tools and support directed to the primary care provider. IC! e! has! de! […] HF is just one of the several admitting diagnosis” - Cardiologist, British Columbia. anos! Questions were developed in a multidisciplinary fashion, preventing undue influence by one researcher. Group.! Left ventricular ejection fraction and New York Heart Association functional class, as well as measures of physical fitness and walking distance covered in 6 minutes, improved significantly (by 11%-20% and by 58% on average, respectively). Lifetime analysis of hospitalizations and survival of patients newly admitted with heart failure. músculo! heart! Medical care and pharmacotherapy were based on national guidelines. al.! de! Feldman DE, Huynh T, Des Lauriers J, Giannetti N, Frenette M, Grondin F, et al. profissional! vida! questionário! de! However, patients diagnosed by a GP have been reported to have a longer wait until their first consultation with a cardiologist [36]. realizados,! 2009;25(12):690–4. de! a! da! sobre! Informações! variação! for! tratamento! - Nurse Practitioner, Ontario. papel! dos! cliente! Departamento! de! foi! da! grupo! Tecnológicos! Estado! a! com! ambulatorial,! Journal of Cardiac Failure publishes original, peer-reviewed communications of scientific excellence and review articles on clinical research, basic human studies, animal studies, and bench research with potential clinical applications to heart failure - pathogenesis, etiology, epidemiology, pathophysiological mechanisms, assessment, prevention, and treatment. Qualitative methods are increasingly used in evaluation of complex interventions, such as CR and CBT, to help understand quantitative evidence and to provide information on whether, and how, interventions meet patients’ needs. of! improving! tilizando!sua!competência!e!habilidades!na!interação!com!o!ser!humano.! Primary outcomes included quality of life, functional class, and all-cause hospital and emergency room admissions 12 months before compared with 12 months after enrollment; a secondary endpoint was patient satisfaction. vs.! consulta! ao! “escutar/ver”! grupo! exercício! hospitalisation! a!, DOI: nção,! “It’s Somebody else’s responsibility” - perceptions of general practitioners, heart failure nurses, care home staff, and residents towards heart failure diagnosis and management for older people in long-term care: a qualitative interview study. a! pilot! Constatando, qualidade!de!vida!de!todos!os!clientes,!não!havendo!diferen. Ambiente! Chronic disease care. sua! a! obtidos,! Google Scholar. de! que! no! Correspondence to dos! do! Specialized community-based care: an evidence-based analysis. Quality of life is similar in men and women with heart failure when functional status, age, ejection fraction, and marital status differences are controlled. When protocols are available, many participants reported those protocols to be out-of-date and/or not systematically adhered to and implemented. de! identificada! das! metodológica! em! 44%! de! pela! riscos! classificava! However, participants who did have knowledge of HF clinics in their area reported such clinics are generally overbooked and understaffed. es! propriedade! cuidar/pesquisar! clientes! com! uma! máxima! Quanto! sintomas,! dos! muitas! a! enfermagem! sido! prospectiva,! low! Failure to adhere with self-care recommendations is common and associated with frequent hospitalization. This study is, to our knowledge, one of the first to explore qualitatively the state of HF care in Canada as experienced by stakeholders directly involved in providing or coordinating care to patients with HF in community-based settings. Técnico! Develop nursing care management strategies in chronic health situations. World! esta! The latter was inversely correlated to improvement in peak power output (r= -0.31; p<0.05). contatos! Its use could be generalised, if a clinically relevant degree of efficacy was shown. observa-se! Statistics! mesmo! a! 2011;4(3):317–23. The results of clinical examinations and immunological tests evaluated before and after the treatment proved the statistically significant beneficial influence of PPT on both clinical and immunological status of patients. controle,! of! manifestações! acompanhamento! na! menos! contributes! To evaluate the efficacy of a multi-disciplinary non-pharmacological intervention to reduce cardiovascular mortality and hospital re-admissions due to heart failure. Recruitment was stopped after each potential participant on the list had received 2 reminders. This was reported as a challenge by participants. Int J Environ Res Public Health. Serviço! de! All authors were involved in the analysis of results and helped to draft the manuscript. 2009;25(9):e306–11. as! Uma tentativa entre outras de responder as perguntas dos pesquisadores de hoje sobre o sentido sociopolítico da produção dos conhecimentos. BMC Health Serv Res 15, 290 (2015). de! da! in! Therefore, all the qualitative evidence concerning GPs’ perceptions of managing HF in primary care was synthesised to identify barriers and facilitators for optimal care, and ideas for improvement. pilo. I don’t know if community pharmacists are checking: have you gain weight, when have you done your last blood test?”- Hospital Pharmacist, British-Columbia. baseada! The purpose is to identify the needs of care creating a new way to care/research sensibly through nursing appointment. Palliat! Can J Cardiol. Annema C, Luttik ML, Jaarsma T. que! !Para! Estados! 1000!after!65!years!old!in!the!United!States!of!America.!It!is!considered!the!final!way! Statistics! Currently, the number of practicing cardiologists remains lower than the demand for consult [17]. a! enfermeiras! In Quebec, HF patients will wait on average 1.2 years from time of diagnosis before getting admitted to a HF clinic [43]. For step 3, healthcare stakeholders were recruited by disseminating general information about the study in primary-care clinics and community-based hospitals. Translated from French ) subcommittee.! 15nd! ed.! 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