Diagnostic and therapeutic care pathway of the Cardiac Network for Heart Failure

Published: 13 March 2025
Abstract Views: 84
PDF: 42
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

The Cardiac Network for Heart Failure integrates patients into a dedicated clinical pathway to enhance care and improve quality of life, creating a personalized approach according to current guidelines. This study seeks to evaluate nurses’ familiarity with health literacy tools and assessment scales in managing chronic heart failure to improve patient outcomes and reduce hospital readmissions through a survey on health literacy tools and assessment scales. Our findings underscore the need for continuous education through regular training on scales and health literacy tools. Enhanced structured health education is essential, with nurses requiring additional time and resources to focus on patient education strategies beyond symptom management. Encouraging the use of innovative technologies, such as multimedia tools and digital platforms, could improve the quality and frequency of educational interventions, addressing time constraints faced by healthcare staff. Increasing follow-up frequency, ideally to at least monthly, could improve patient monitoring and reduce hospital readmissions. Greater awareness and commitment among nurses are critical for effectively managing chronic heart failure. Targeted training and additional resources are necessary to address existing gaps, ultimately improving patient care and outcomes.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Luedike P, Papathanasiou M, Schmack B, et al. Structural components for the development of a heart failure network. ESC Heart Fail 2023;10:1545-54. DOI: https://doi.org/10.1002/ehf2.14266
Medical Advisory Secretariat. Community-based care for the specialized management of heart failure: an evidence-based analysis. Ont Health Technol Assess Ser 2009;9:1-42.
Morton G, Bolam H, Hirmiz Z, et al. NICE diagnostic heart failure pathway: screening referrals identifies patients better served by community-based management. ESC Heart Fail 2021;8:5600-5. DOI: https://doi.org/10.1002/ehf2.13608
Bayés-Genís A, Aimo A, Metra M, et al. Head-to-head comparison between recommendations by the ESC and ACC/AHA/HFSA heart failure guidelines. Eur J Heart Fail 2022;24:916-26. DOI: https://doi.org/10.1002/ejhf.2542
Behnoush AH, Khalaji A, Naderi N, et al. ACC/AHA/HFSA 2022 and ESC 2021 guidelines on heart failure comparison. ESC Heart Fail 2023;10:1531-44. DOI: https://doi.org/10.1002/ehf2.14255
Heidenreich PA, Bozkurt B, Aguilar D, et al. 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;145:e895-1032. DOI: https://doi.org/10.1161/CIR.0000000000001073
Boa Sorte Silva NC, Pulford RW, Lee DS, Petrella RJ. Heart failure management insights from primary care physicians and allied health care providers in Southwestern Ontario. BMC Fam Pract 2020;21:8. DOI: https://doi.org/10.1186/s12875-020-1080-y
Hsieh V, Paull G, Hawkshaw B. Heart Failure Integrated Care Project: overcoming barriers encountered by primary health care providers in heart failure management. Aust Health Rev 2020;44:451-8. DOI: https://doi.org/10.1071/AH18251
Antonio-Oriola R, Vellone E, Durante A, et al. Spanish version of the Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI): a psychometric evaluation. J Pers Med 2022;12:625. DOI: https://doi.org/10.3390/jpm12040625
Srisuk N, Wichit N, Thompson DR, Ski CF. A psychometric evaluation of the Caregiver Contribution to Self-Care of Heart Failure Index in a Thai population. Health Qual Life Outcomes 2021;19:177. DOI: https://doi.org/10.1186/s12955-021-01814-9
Moon SJ, Lee WY, Hwang JS, et al. Accuracy of a screening tool for medication adherence: a systematic review and meta-analysis of the Morisky Medication Adherence Scale-8. PloS One 2017;12:e0187139. DOI: https://doi.org/10.1371/journal.pone.0187139
Bilbao A, Escobar A, García-Perez L, et al. The Minnesota living with heart failure questionnaire: comparison of different factor structures. Health Qual Life Outcomes 2016;14:23. DOI: https://doi.org/10.1186/s12955-016-0425-7
Mogle J, Buck H, Zambroski C, et al. Cross-validation of the Minnesota Living with Heart Failure Questionnaire. J Nurs Scholarsh 2017;49:513-20. DOI: https://doi.org/10.1111/jnu.12318
Carrozzino D, Patierno C, Fava GA, Guidi J. The Hamilton Rating Scales for Depression: a critical review of clinimetric properties of different versions. Psychother Psychosom, 2020;89:133-50. DOI: https://doi.org/10.1159/000506879
Timmerby N, Andersen JH, Søndergaard S, et al. A systematic review of the clinimetric properties of the 6-item version of the Hamilton Depression Rating Scale (HAM-D6). Psychother Psychosom 2017;86:141-9. DOI: https://doi.org/10.1159/000457131
Shariat A, Cleland JA, Danaee M, et al. Borg CR-10 scale as a new approach to monitoring office exercise training. Work 2018;60:549-54. DOI: https://doi.org/10.3233/WOR-182762
Hale TM, Jethwani K, Kandola MS, et al. A remote medication monitoring system for chronic heart failure patients to reduce readmissions: a two-arm randomized pilot study. J Med Internet Res 2016;18:e91. Erratum in: J Med Internet Res 2019;21:e13125. DOI: https://doi.org/10.2196/jmir.5256
Mizukawa M, Moriyama M, Yamamoto H, et al. Nurse-led collaborative management using telemonitoring improves quality of life and prevention of rehospitalization in patients with heart failure. Int Heart J 2019;60:1293-302. DOI: https://doi.org/10.1536/ihj.19-313
Khraisat OMA, Al-Bashaireh AM, Alnazly E. Telenursing implications for future education and practice: Nursing students' perspectives and knowledge from a course on child health. PLoS One 2023;18:e0294711. DOI: https://doi.org/10.1371/journal.pone.0294711
Albert NM, Collier S, Sumodi V, et al. Nurses’ knowledge of heart failure education principles. Heart Lung 2002;31:102-12. DOI: https://doi.org/10.1067/mhl.2002.122837
Chi SY, Soh KL, Raman RA, et al. Nurses’ knowledge of heart failure self-care education: a systematic review. Nurs Crit Care 2002;27:172-86. DOI: https://doi.org/10.1111/nicc.12758
Cajita MI, Cajita TR, Han HR. Health literacy and heart failure: a systematic review. J Cardiovasc Nurs 2016;31:121-30. DOI: https://doi.org/10.1097/JCN.0000000000000229
Cheng Y, Peng Q, Ding H, et al. Pathway analysis of the impact of health literacy, social support, and self-management on frailty in patients with chronic heart failure: a cross-sectional study. Medicine 2024;103:e40195. DOI: https://doi.org/10.1097/MD.0000000000040195
Jung M, Yeh AY, Pressler SJ. Heart failure and skilled nursing facilities: Review of the literature. J Card Fail 2012;18:854-71. DOI: https://doi.org/10.1016/j.cardfail.2012.09.006
Krishna P. Assuring a continuum of care for heart failure patients through postacute care collaboration: an integrative review. Prof Case Manag 2022;28:3-10. DOI: https://doi.org/10.1097/NCM.0000000000000600
Aggarwal M, Bozkurt B, Panjrath G, et al. Lifestyle modifications for preventing and treating heart failure. J Am Coll Cardiol 2018;72:2391-405. DOI: https://doi.org/10.1016/j.jacc.2018.08.2160
Katz DL. Lifestyle and dietary modification for prevention of heart failure. Med Clin North Am 2004;88:1295-320. DOI: https://doi.org/10.1016/j.mcna.2004.02.003

How to Cite

Palmiero, P., Durante, M., Maiello, M., D’Andria, V., Caputo, C., & Giordano, L. (2025). Diagnostic and therapeutic care pathway of the Cardiac Network for Heart Failure. Italian Journal of Medicine, 19(1). https://doi.org/10.4081/itjm.2025.1927