Perceptions of changes in practice patterns and patient care among heart failure nurses during the COVID-19 pandemic

Marilyn A Prasun; John R Blakeman; Karen Vuckovic; MyoungJin Kim; Nancy Albert; Kelly D Stamp; Tiny Jaarsma; Barbara Riegel

doi:10.1016/j.hrtlng.2022.01.004

Perceptions of changes in practice patterns and patient care among heart failure nurses during the COVID-19 pandemic

Marilyn A Prasun
, John R Blakeman
, Karen Vuckovic
, MyoungJin Kim
, Nancy Albert
, Kelly D Stamp
, Tiny Jaarsma
, Barbara Riegel

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: The Coronavirus (COVID-19) had a profound impact on the delivery of care in both hospital and outpatient settings across the United States. Patients with heart failure (HF) and healthcare providers had to abruptly adapt.

OBJECTIVE: To describe how the COVID-19 pandemic affected practice patterns of HF nurses.

METHODS: Practicing HF nurses completed a cross-sectional, anonymous, web-based survey of perceptions of HF practice. Analyses involved descriptive and comparative statistics.

RESULTS: Of 171 nurses who completed surveys, outpatient HF visits decreased and 63.2% added telehealth visits. Despite spending about 29 min educating patients during visits, 27.5% of nurses perceived that the pandemic decreased patients' abilities to provide optimal self-care. Nurses reported decreased ability to collect objective data (62.4%; n = 78), although subjective assessment stayed the same (41.6%; n = 52).

CONCLUSION: Nurses' practice patterns provided insight into patient care changes made during COVID-19. Most core components of HF management were retained, but methods of delivery during the pandemic differed.

Original language	English
Pages (from-to)	152-158
Number of pages	7
Journal	Heart & lung : the journal of critical care
Volume	52
DOIs	https://doi.org/10.1016/j.hrtlng.2022.01.004
Publication status	Published - 1 Mar 2022
Externally published	Yes

Keywords

Assessment
COVID-19 pandemic
Heart Failure Nurses
Practice patterns
Self-care

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10.1016/j.hrtlng.2022.01.004

Cite this

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title = "Perceptions of changes in practice patterns and patient care among heart failure nurses during the COVID-19 pandemic",

abstract = "BACKGROUND: The Coronavirus (COVID-19) had a profound impact on the delivery of care in both hospital and outpatient settings across the United States. Patients with heart failure (HF) and healthcare providers had to abruptly adapt.OBJECTIVE: To describe how the COVID-19 pandemic affected practice patterns of HF nurses.METHODS: Practicing HF nurses completed a cross-sectional, anonymous, web-based survey of perceptions of HF practice. Analyses involved descriptive and comparative statistics.RESULTS: Of 171 nurses who completed surveys, outpatient HF visits decreased and 63.2\% added telehealth visits. Despite spending about 29 min educating patients during visits, 27.5\% of nurses perceived that the pandemic decreased patients' abilities to provide optimal self-care. Nurses reported decreased ability to collect objective data (62.4\%; n = 78), although subjective assessment stayed the same (41.6\%; n = 52).CONCLUSION: Nurses' practice patterns provided insight into patient care changes made during COVID-19. Most core components of HF management were retained, but methods of delivery during the pandemic differed.",

keywords = "Assessment, COVID-19 pandemic, Heart Failure Nurses, Practice patterns, Self-care",

author = "Prasun, \{Marilyn A\} and Blakeman, \{John R\} and Karen Vuckovic and MyoungJin Kim and Nancy Albert and Stamp, \{Kelly D\} and Tiny Jaarsma and Barbara Riegel",

note = "Funding Information: No disclosures, This study was not funded, We would like to acknowledge the American Association of Heart Failure Nurses (AAHFN) and their members who provide care to patients with heart failure for participating in this study. Publisher Copyright: {\textcopyright} 2022 Elsevier Inc.",

year = "2022",

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doi = "10.1016/j.hrtlng.2022.01.004",

language = "English",

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T1 - Perceptions of changes in practice patterns and patient care among heart failure nurses during the COVID-19 pandemic

AU - Prasun, Marilyn A

AU - Blakeman, John R

AU - Vuckovic, Karen

AU - Kim, MyoungJin

AU - Albert, Nancy

AU - Stamp, Kelly D

AU - Jaarsma, Tiny

AU - Riegel, Barbara

N1 - Funding Information: No disclosures, This study was not funded, We would like to acknowledge the American Association of Heart Failure Nurses (AAHFN) and their members who provide care to patients with heart failure for participating in this study. Publisher Copyright: © 2022 Elsevier Inc.

PY - 2022/3/1

Y1 - 2022/3/1

N2 - BACKGROUND: The Coronavirus (COVID-19) had a profound impact on the delivery of care in both hospital and outpatient settings across the United States. Patients with heart failure (HF) and healthcare providers had to abruptly adapt.OBJECTIVE: To describe how the COVID-19 pandemic affected practice patterns of HF nurses.METHODS: Practicing HF nurses completed a cross-sectional, anonymous, web-based survey of perceptions of HF practice. Analyses involved descriptive and comparative statistics.RESULTS: Of 171 nurses who completed surveys, outpatient HF visits decreased and 63.2% added telehealth visits. Despite spending about 29 min educating patients during visits, 27.5% of nurses perceived that the pandemic decreased patients' abilities to provide optimal self-care. Nurses reported decreased ability to collect objective data (62.4%; n = 78), although subjective assessment stayed the same (41.6%; n = 52).CONCLUSION: Nurses' practice patterns provided insight into patient care changes made during COVID-19. Most core components of HF management were retained, but methods of delivery during the pandemic differed.

AB - BACKGROUND: The Coronavirus (COVID-19) had a profound impact on the delivery of care in both hospital and outpatient settings across the United States. Patients with heart failure (HF) and healthcare providers had to abruptly adapt.OBJECTIVE: To describe how the COVID-19 pandemic affected practice patterns of HF nurses.METHODS: Practicing HF nurses completed a cross-sectional, anonymous, web-based survey of perceptions of HF practice. Analyses involved descriptive and comparative statistics.RESULTS: Of 171 nurses who completed surveys, outpatient HF visits decreased and 63.2% added telehealth visits. Despite spending about 29 min educating patients during visits, 27.5% of nurses perceived that the pandemic decreased patients' abilities to provide optimal self-care. Nurses reported decreased ability to collect objective data (62.4%; n = 78), although subjective assessment stayed the same (41.6%; n = 52).CONCLUSION: Nurses' practice patterns provided insight into patient care changes made during COVID-19. Most core components of HF management were retained, but methods of delivery during the pandemic differed.

KW - Assessment

KW - COVID-19 pandemic

KW - Heart Failure Nurses

KW - Practice patterns

KW - Self-care

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M3 - Article

C2 - 35091263

SN - 0147-9563

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SP - 152

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JO - Heart & lung : the journal of critical care

JF - Heart & lung : the journal of critical care

ER -

Perceptions of changes in practice patterns and patient care among heart failure nurses during the COVID-19 pandemic

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Keywords

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