Scholars@Duke
Bradi Bartrug Granger

Bradi Bartrug Granger

Research Professor in the School of Nursing
School of Nursing
grang004@mc.duke.edu
Box 3322 Med Ctr, Durham, NC 27710
307 Trent Drive, DUMC Box 3322, Durham, NC 27710

Selected Publications

Improving Nurse Manager Decision-Making and Healthy Work Environment Through Use of a Standardized Process for Charge Nurse Selection

Journal Article Nurse Leader · December 1, 2024 The role of the charge nurse is critical to daily operations, patient flow, and appropriate staffing. Despite this, there is a paucity of evidence to support the process by which individuals are identified, selected, and promoted to the charge nurse role. ... Full text Cite

Psychometric Scales of the Strong Black Woman Construct Evaluating Stress-Related Health Disparities among African American Women: A Scoping Review.

Journal Article The Nursing clinics of North America · December 2024 This scoping review delves into psychometric measures assessing the strong Black woman and superwoman constructs among African American women. It evaluates various scales, emphasizing their clinical relevance and implications for women's health. By recogni ... Full text Cite

Remote Follow-up in a Heart Failure Pragmatic Trial: Insights From the CONNECT-HF.

Journal Article J Card Fail · November 2024 BACKGROUND: Randomized controlled trials typically require study-specific visits, which can burden participants and sites. Remote follow-up, such as centralized call centers for participant-reported or site-reported, holds promise for reducing costs and en ... Full text Link to item Cite

Impact and Sustainability of a Palliative Care Education Module in Patients With Heart Failure.

Journal Article The American journal of hospice & palliative care · October 2024 BackgroundApproximately 6.7 million American adults are living with heart failure (HF). Current therapies are geared toward preventing progression and managing symptoms, as there is no cure. Multiple studies have shown the benefit of including pal ... Full text Cite

Nurse Manager Competencies Associated with Business Skills and Principles Are Compromising Stability of the Workforce

Journal Article Nurse Leader · October 1, 2024 Nurse managers’ academic training and post-employment resources for developing skills required to manage local staffing needs are under-reported. Using a qualitative descriptive design, we conducted surveys to assess nurse manager perceptions of existing s ... Full text Cite

Virtual Reality Strategies for Promoting Mobility in the Intensive Care Unit: A Case Report.

Journal Article AACN advanced critical care · September 2024 Prolonged bed rest is a known contributor to muscle atrophy, weakness, and deconditioning. Early active mobilization protocols aim to combat acquired weakness and loss of function in patients in the intensive care unit. Despite these benefits, mobilization ... Full text Cite

Improving Hypertension Control in the Black Patient Population: A Quality Improvement Study of Workflow Redesign Using the Electronic Health Record to Integrate Self-Monitoring, Education, and Reporting.

Journal Article J Nurs Care Qual · April 2024 BACKGROUND: Nearly half of American adults have hypertension (HTN), and non-Hispanic Black patients are diagnosed at a higher rate than others. LOCAL PROBLEM: Our local clinic population reflected disproportionate rates of uncontrolled HTN among Black pati ... Full text Link to item Cite

Implementation of NCCARE360, a Digital Statewide Closed-Loop Referral Platform to Improve Health and Social Care Coordination: Evidence from the North Carolina COVID-19 Support Services Program.

Journal Article N C Med J · March 2024 INTRODUCTION: Efforts to improve population health by being responsive to patients' social and economic conditions will benefit from care models and technologies that assess and address unmet social needs. In 2019, NCCARE360 launched in North Carolina as t ... Full text Link to item Cite

Applying the RE-AIM framework to evaluate an educational model to "close the gap" and improve health equity in uncontrolled hypertension.

Journal Article Patient Educ Couns · February 2024 OBJECTIVES: To use the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to evaluate an educational model addressing self-management of uncontrolled hypertension. METHODS: We used a pre-post single cohort design to identify min ... Full text Link to item Cite

Implementation of a Gameboard Approach for Team-Based Manuscript Development.

Journal Article AACN advanced critical care · December 2023 Full text Cite

A randomized controlled trial evaluating a theory driven, complex intervention centered on task sharing and mobile health to improve selfcare and outcomes in heart failure - The PANACEA-HF RCT: Design and rationale.

Journal Article American heart journal plus : cardiology research and practice · October 2023 BackgroundWe developed a three-pronged complex intervention to improve selfcare and deliver whole person care for patients with heart failure, underpinned by the 'extant cycle' theory - a theory based on our formative work.MethodsThis is ... Full text Cite

Person-Centered Models for Cardiovascular Care: A Review of the Evidence: A Scientific Statement From the American Heart Association.

Journal Article Circulation · August 2023 Cardiovascular disease remains the leading cause of death and disability in the United States and globally. Disease burden continues to escalate despite technological advances associated with improved life expectancy and quality of life. As a result, longe ... Full text Cite

A Quality Improvement Project to Decrease CLABSIs in Non-ICU Settings.

Journal Article Quality management in health care · July 2023 Background and objectivesCentral line-associated bloodstream infections (CLABSIs) are a common, preventable healthcare-associated infection. In our 3-hospital health system, CLABSI rates in non-intensive care unit (ICU) settings were above the int ... Full text Open Access Cite

Evidence-Based Clinical Decision Support to Improve Care for Patients Hospitalized With Acute Myocardial Infarction.

Journal Article Computers, informatics, nursing : CIN · May 2023 Clinical decision support in the EHR is an innovation that can support guideline adherence in acute myocardial infarction. Cardiac rehabilitation referral and left ventricular systolic function assessment are part of evidence-based clinical practice guidel ... Full text Cite

Timing of sedation and patient-reported pain outcomes during cardiac catheterization: Results from the UNTAP-intervention study.

Journal Article Catheter Cardiovasc Interv · January 14, 2023 BACKGROUND: Invasive cardiac catheterization (CC) temporarily increases pain, discomfort, and anxiety. Procedural sedation is deployed to mitigate these symptoms, though practice varies. Research evaluating peri-procedural patient-reported outcomes is lack ... Full text Link to item Cite

Implementation Science Toolkit for Clinicians: Improving Adoption of Evidence in Practice.

Journal Article Dimensions of critical care nursing : DCCN · January 2023 BackgroundClinicians are often familiar with quality improvement (QI) and evidence-based practice (EBP) processes, which provides guidance into what evidence should be implemented; however, these processes do not address how to successfully implem ... Full text Open Access Cite

Evaluation of lay health workers on quality of care in the inpatient setting.

Journal Article PloS one · January 2023 AimsTo evaluate the impact of a lay health worker support role in the inpatient setting.BackgroundHealthcare systems are facing critical nursing and nurse assistant staffing shortages. These disciplines can be challenging to recruit and r ... Full text Open Access Cite

Implementation science in nursing education research: An exemplar.

Journal Article Nurse education today · December 2022 IntroductionUsing evidence-based teaching approaches can improve nursing students' learning. However, variation in how - or if - these approaches are implemented by faculty and nursing educators is prevalent. A thorough, applied understanding of h ... Full text Open Access Cite

Factors associated with racial differences in all-cause 30-day readmission in adults with cardiovascular disease: an observational study of a large healthcare system.

Journal Article BMJ Open · November 24, 2022 OBJECTIVE: To examine factors contributing to racial differences in 30-day readmission in patients with cardiovascular disease (CVD). DESIGN: Patients were enrolled from 1 January 2015 to 31 August 2017 and data were collected from electronic health record ... Full text Link to item Cite

Care Coordination Processes in Transitional Care for Patients With Heart Failure: An Integrative Review Through a Social Network Lens.

Journal Article The Journal of cardiovascular nursing · November 2022 BackgroundTransitional care components are well studied, but their coordination has not been systematically reviewed. Viewing transitional care through a social network framework can focus attention on processes leading to information and relation ... Full text Cite

A Randomized Controlled Trial of Mobile Health Intervention in Patients With Heart Failure and Diabetes.

Journal Article J Card Fail · November 2022 BACKGROUND: Mobile health (mHealth) platforms can affect health behaviors but have not been rigorously tested in randomized trials. OBJECTIVES: We sought to evaluate the effectiveness of a pragmatic mHealth intervention in patients with heart failure (HF) ... Full text Link to item Cite

The Association of Digital Health Application Use With Heart Failure Care and Outcomes: Insights From CONNECT-HF.

Journal Article J Card Fail · October 2022 BACKGROUND: It is unknown whether digital applications can improve guideline-directed medical therapy (GDMT) and outcomes in heart failure with reduced ejection fraction (HFrEF). METHODS AND RESULTS: Care Optimization Through Patient and Hospital Engagemen ... Full text Link to item Cite

Implementation of an Advanced Practice Registered Nurse-Led Clinic to Improve Follow-up Care for Post-Ischemic Stroke Patients.

Journal Article The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses · October 2022 AbstractBACKGROUND: Ischemic stroke continues to be a leading cause of serious disability within the United States, affecting 795 000 people annually. Approximately 12% to 21% of post-ischemic stroke patients will be readmitted to the hospital wit ... Full text Open Access Cite

Feasibility of Electronic Health Record Integration of a SMART Application to Facilitate Patient-Provider Communication for Medication Management.

Journal Article Comput Inform Nurs · August 1, 2022 Increased treatment complexity in patients with diabetes contributes to medication nonadherence. Patient portals that are accessible through electronic health records may offer improved patient-provider communication and better medication management in pat ... Full text Link to item Cite

Health System-Level Performance in Prescribing Guideline-Directed Medical Therapy for Patients With Heart Failure With Reduced Ejection Fraction: Results From the CONNECT-HF Trial.

Journal Article J Card Fail · August 2022 BACKGROUND: Health system-level interventions to improve use of guideline-directed medical therapy (GDMT) often fail in the acute care setting. We sought to identify factors associated with high performance in adoption of GDMT among health systems in CONNE ... Full text Link to item Cite

Program Evaluation of Implementation Science Outcomes From an Intervention to Improve Compliance With Chlorhexidine Gluconate Bathing: A Qualitative Study.

Journal Article Dimensions of critical care nursing : DCCN · July 2022 Background and objectivesEvaluation of implementation science research is warranted to better understand and determine the success of translating evidence-based infection prevention practices at the bedside. The purpose of this program evaluation ... Full text Open Access Cite

A Qualitative Descriptive Study of Nurse Manager Decision-Making Associated With RN Hiring.

Journal Article The Journal of nursing administration · July 2022 ObjectiveTo explore the practices and self-confidence of nurse manager (NM) decision-making related to evaluating RN hiring needs.BackgroundEvidence-based hiring strategies to sustain workforce stability were identified as a gap in the li ... Full text Cite

Improving implementation of evidence-based therapies for heart failure.

Journal Article Clin Cardiol · June 2022 Treatment options for patients with heart failure have improved rapidly over the last few decades. Data from large scale clinical trials demonstrate that medical and device therapies can improve quality of life, reduce hospitalizations for acute heart fail ... Full text Open Access Link to item Cite

Effectiveness of Telemedicine Visits in Reducing 30-Day Readmissions Among Patients With Heart Failure During the COVID-19 Pandemic.

Journal Article J Am Heart Assoc · April 5, 2022 Background The COVID-19 pandemic resulted in a rapid implementation of telemedicine into clinical practice. This study examined whether early outpatient follow-up via telemedicine is as effective as in-person visits for reducing 30-day readmissions in pati ... Full text Link to item Cite

The impact of nurse staffing on falls performance within a health care system: A descriptive study.

Journal Article Journal of nursing management · April 2022 AimThe purpose of this study was to examine the impact of nurse staffing on inpatient falls performance across a multi-hospital system.BackgroundEvidence to support which staffing variables influence fall performance so that health care o ... Full text Open Access Cite

Spirituality in Patients With Heart Failure.

Journal Article JACC Heart Fail · April 2022 With advances in heart failure (HF) treatment, patients are living longer, putting further emphasis on quality of life (QOL) and the role of palliative care principles in their care. Spirituality is a core domain of palliative care, best defined as a dynam ... Full text Link to item Cite

Using an implementation science framework to advance the science of nursing education.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · March 2022 BackgroundThe process of adopting evidence-based educational practices and teaching methods has not been examined in nursing education.PurposeThis article provides a framework for adopting educational evidence and designing studies in nur ... Full text Open Access Cite

A scoping review of outcomes of operational success for nurse scientists in clinical practice settings.

Journal Article Nursing outlook · March 2022 BackgroundThe nurse scientist in the clinical setting is a role that has evolved over recent decades to encompass the concomitant development of personal research programs and the facilitation of staff and advanced practice nurse research in healt ... Full text Cite

Engaging Rehabilitation Technicians Through a Career Ladder During a Pandemic.

Journal Article Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses · March 2022 PurposeNursing assistant turnover is a growing healthcare concern that negatively impacts healthcare organization work environments and has significant financial implications. The purpose of this study was to implement a career ladder program for ... Full text Cite

Impact of an Implementation Science Study on Nursing Leader's Competencies: A Qualitative Study

Journal Article Nurse Leader · February 1, 2022 Nursing leaders must engage with evidence-based practice (EBP) to advance quality patient care. The purpose of this study was to understand the impact of an implementation science study on nurse manager competencies. Qualitative focus group interviews were ... Full text Open Access Cite

Polypharmacy in Palliative Care for Advanced Heart Failure: The PAL-HF Experience.

Journal Article J Card Fail · February 2022 BACKGROUND: Palliative care (PC) in advanced heart failure (HF) aims to improve symptoms and quality of life (QOL), in part through medication management. The impact of PC on polypharmacy (>5 medications) remains unknown. METHODS AND RESULTS: We explored p ... Full text Link to item Cite

Race Differences in Quality of Life following a Palliative Care Intervention in Patients with Advanced Heart Failure: Insights from the Palliative Care in Heart Failure Trial.

Journal Article J Palliat Med · February 2022 Introduction: Black patients have a higher incidence of heart failure (HF) and worse outcomes than white patients. Guidelines recommend palliative care for patients with advanced HF, but no studies have examined outcomes in a black patient cohort. Methods: ... Full text Link to item Cite

Patient expectations and preferences for community-based hypertension classes with implications for action.

Journal Article Worldviews Evid Based Nurs · February 2022 BACKGROUND: Uncontrolled hypertension disproportionately affects Black men. Patient engagement with health promotion and health behavior programs for hypertension control is low. We held evidence-based hypertension classes at a Federally Qualified Health C ... Full text Link to item Cite

Evaluating the efficacy of telephone-based outreach in addressing hypertension control among black men with severe hypertension: An observational study.

Journal Article Worldviews Evid Based Nurs · February 2022 BACKGROUND: The high prevalence of uncontrolled hypertension (systolic blood pressure [SBP] ≥140 mmHg or diastolic blood pressure [DBP] ≥90 mmHg) in Black patients represents a significant racial health disparity in the United States. AIMS: This study eval ... Full text Link to item Cite

Evaluation of a proactive hiring model to achieve workforce stability in the intensive care unit.

Journal Article Journal of nursing management · January 2022 AimThe purpose was to evaluate an innovative Prospective Hiring Equation to determine registered nurse hiring needs.BackgroundThe American Organization for Nursing Leadership identifies human resource management as a competency for nurse ... Full text Cite

Improving Advanced Practice Provider Knowledge and Assessment of Medication Adherence in Patients with Cardiovascular Disease

Journal Article Journal for Nurse Practitioners · January 1, 2022 Medication nonadherence is a widespread problem among cardiovascular patients. Advanced practice providers (APPs) play a critical role in assessing for medication adherence upon hospital admission. A pre–post intervention design was used to determine the e ... Full text Cite

Moving nursing innovation to prime time through the use of creative partnerships.

Journal Article Nurs Outlook · 2022 Nurses are well-positioned to solve many problems in healthcare through engagement in innovation. Support from healthcare organizations to facilitate creative partnerships may accelerate nurses' ability to innovate and improve job satisfaction. The value o ... Full text Link to item Cite

Self-Reported versus observed audit: Measuring CHG bathing compliance.

Journal Article American journal of infection control · December 2021 Measuring compliance with the appropriate chlorhexidine gluconate (CHG) bathing process through direct observation audits can be helpful in sustaining this important practice; however, capturing this data may be difficult. This study reports the difference ... Full text Open Access Cite

Implementing AACN's Healthy Work Environment Framework in an Intensive Care Unit.

Journal Article American journal of critical care : an official publication, American Association of Critical-Care Nurses · November 2021 BackgroundBedside nurse turnover in the United States is 15.9%, representing a national challenge that has been attributed to poor work environments. Healthy work environments are associated with improved nurse satisfaction and retention as well a ... Full text Cite

Who Advances Nursing Science in Practice Settings and How?

Journal Article The Journal of nursing administration · October 2021 Nurse scientist (NS) roles in clinical practice settings are key components of The Future of Nursing and ANCC Magnet® recognition. Despite increased opportunities for NS roles, leveraging these roles to advance nursing science remains at an early stage. We ... Full text Cite

Promoting Early Mobility in Patients After Transcatheter Aortic Valve Replacement: An Evidence-Based Protocol.

Journal Article Critical care nurse · October 2021 BackgroundAortic stenosis is prevalent among older adults and is commonly treated with transcatheter aortic valve replacement. Both high- and low-risk patients benefit from early mobility and discharge after this procedure; however, hospital proto ... Full text Cite

Relational processes in heart failure care transitions: A data-driven case report.

Journal Article Heart & lung : the journal of critical care · September 2021 BackgroundEffective patient care transitions require consideration of social and clinical context, yet how these factors and relational processes in care coordination relate remains poorly described. This case report aims to describe provider netw ... Full text Cite

Effect of a Hospital and Postdischarge Quality Improvement Intervention on Clinical Outcomes and Quality of Care for Patients With Heart Failure With Reduced Ejection Fraction: The CONNECT-HF Randomized Clinical Trial.

Journal Article JAMA · July 27, 2021 IMPORTANCE: Adoption of guideline-directed medical therapy for patients with heart failure is variable. Interventions to improve guideline-directed medical therapy have failed to consistently achieve target metrics, and limited data exist to inform efforts ... Full text Link to item Cite

Lessons from implementing community-based group classes for severe hypertension.

Journal Article Public Health Nurs · July 2021 Due to the impact of persistent structural racism, Black men have low rates of hypertension treatment and control despite having high rates of hypertension-related mortality. Peer-based education can improve blood pressure monitoring and lower blood pressu ... Full text Link to item Cite

Efficacy of Hypertension Self-Management Classes Among Patients at a Federally Qualified Health Center.

Journal Article Preventing chronic disease · July 2021 Structural racism has contributed to persistent racial disparities in hypertension control, with Black men suffering the highest prevalence of uncontrolled hypertension. Lincoln Community Health Center, our urban Federally Qualified Health Center (FQHC), a ... Full text Open Access Cite

The Cost-Effectiveness of Palliative Care: Insights from the PAL-HF Trial.

Journal Article J Card Fail · June 2021 BACKGROUND: In a randomized control trial, Palliative Care in Heart Failure (PAL-HF) improved heart failure-related quality of life, though cost-effectiveness remains unknown. The aim of this study was to evaluate the cost-effectiveness of the PAL-HF trial ... Full text Link to item Cite

Reducing Intubation Time in Adult Cardiothoracic Surgery Patients With a Fast-track Extubation Protocol.

Journal Article Crit Care Nurse · June 1, 2021 BACKGROUND: Prolonged intubation after cardiac surgery increases the risk of morbidity and mortality and lengthens hospital stays. Factors that influence the ability to extubate patients with speed and efficiency include the operation, the patient's baseli ... Full text Open Access Link to item Cite

Testing cost containment of future healthcare with maintained or improved quality—The COSTCARES project

Journal Article Health Science Reports · June 1, 2021 Background: Increasing healthcare costs need to be contained in order to maintain equality of access to care for all EU citizens. A cross-disciplinary consortium of experts was supported by the EU FP7 research programme, to produce a roadmap on cost contai ... Full text Cite

Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial.

Journal Article Implementation science : IS · April 2021 BackgroundCentral line-associated bloodstream infections (CLABSIs) result in approximately 28,000 deaths and approximately $2.3 billion in added costs to the U.S. healthcare system each year, and yet, many of these infections are preventable. At t ... Full text Open Access Cite

An innovative DNP post-doctorate program to improve quality improvement and implementation science skills.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · January 2021 BackgroundDoctor of Nursing Practice programs prepare nurse leaders for unique roles to address healthcare needs across the quality spectrum. However, additional mentoring and training in implementation science and analytical skills is needed to e ... Full text Open Access Cite

Perceived Versus Actual Risks of 30-Day Readmission in Patients With Cardiovascular Disease.

Journal Article Circ Cardiovasc Qual Outcomes · January 2021 BACKGROUND: Cardiovascular disease (CVD) is the leading cause of hospitalization in the United States, and patients with CVD are at a high risk of readmission after discharge. We examined whether patients' perceived risk of readmission at discharge was ass ... Full text Link to item Cite

A qualitative, grounded theory exploration of the determinants of self-care behavior among Indian patients with a lived experience of chronic heart failure.

Journal Article PloS one · January 2021 BackgroundPrior reports have documented extremely poor adherence to evidence-based medications among South Asian patients with established chronic cardiovascular diseases. Treatment adherence is now considered a part of the 'self-care' process, th ... Full text Cite

Dumping adherence: a person-centred response for primary care.

Journal Article Family practice · November 2020 Full text Cite

Reaching the Hard-to-Reach: Outcomes of the Severe Hypertension Outreach Intervention.

Journal Article Am J Prev Med · November 2020 INTRODUCTION: Severe hypertension (≥180 mmHg systolic or ≥110 mmHg diastolic) is associated with a twofold increase in the relative risk of death. At the authors' Federally Qualified Health Center in the Southeast, 39% of adults (n=8,695) had hypertension, ... Full text Link to item Cite

COVID-19: Mobilizing Quickly for a Rapid Response.

Journal Article AACN advanced critical care · September 2020 Full text Cite

Benefits of Optimizing Heart Failure Medication Dosage

Journal Article Journal for Nurse Practitioners · July 1, 2020 Heart failure is the leading cause of hospitalizations and readmissions. Guideline-directed medical therapy is the cornerstone to improving outcomes, but less than 20% of patients with heart failure marked by reduced ejection fraction receive target doses. ... Full text Cite

Frontiers of Upstream Stroke Prevention and Reduced Stroke Inequity Through Predicting, Preventing, and Managing Hypertension and Atrial Fibrillation: A Call to Action From the Value in Healthcare Initiative's Predict & Prevent Learning Collaborative.

Journal Article Circ Cardiovasc Qual Outcomes · July 2020 Stroke is one of the leading causes of morbidity and mortality in the United States. While age-adjusted stroke mortality was falling, it has leveled off in recent years due in part to advances in medical technology, health care options, and population heal ... Full text Link to item Cite

Understanding the patient experience of pain and discomfort during cardiac catheterization.

Journal Article Catheter Cardiovasc Interv · June 1, 2020 OBJECTIVES: Patient centeredness is an essential component of high-quality care, yet little is known regarding the patient experience during procedures performed in the cardiac catheterization lab. BACKGROUND: Available literature focuses on the safe deliv ... Full text Link to item Cite

Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association.

Journal Article Circulation · June 2020 Heart failure is a clinical syndrome that affects >6.5 million Americans, with an estimated 550 000 new cases diagnosed each year. The complexity of heart failure management is compounded by the number of patients who experience adverse downstream effects ... Full text Cite

Nurse Graduates' Perceived Educational Needs After the Death of a Patient: A Descriptive Qualitative Research Study.

Journal Article Journal of continuing education in nursing · June 2020 BackgroundNurse graduates (NGs) are ill prepared when faced with patient death and dying, despite receiving educational preparation on end-of-life (EOL) care in their prelicensure nursing programs.MethodThis qualitative descriptive study ... Full text Cite

Sex Differences in Quality of Life and Clinical Outcomes in Patients With Advanced Heart Failure: Insights From the PAL-HF Trial.

Journal Article Circ Heart Fail · April 2020 BACKGROUND: Palliative care improves quality of life in patients with heart failure. Whether men and women with heart failure derive similar benefit from palliative care interventions remains unknown. METHODS: In a secondary analysis of the PAL-HF trial (P ... Full text Link to item Cite

Medication rebates and health disparities: Mind the gap.

Journal Article Res Social Adm Pharm · March 2020 Compared to white patients in the United States, people of racial and ethnic minority groups face higher rates of chronic disease including diabetes, obesity, stroke, cardiovascular disease and cancer. Minority groups are also less likely to receive medica ... Full text Open Access Link to item Cite

Development and evaluation of a prospective staffing model to improve retention.

Journal Article Journal of nursing management · March 2020 AimsTo improve predictability and accuracy of hiring using historical staffing data, quality improvement and workforce engagement.BackgroundTwenty-three per cent of newly licensed nurses leave their first job within one year, costing empl ... Full text Cite

Adherence-adjustment in placebo-controlled randomized trials: An application to the candesartan in heart failure randomized trial.

Journal Article Contemporary clinical trials · March 2020 BackgroundThe per-protocol effect provides important information in randomized trials with incomplete adherence. Yet, because valid estimation typically requires adjustment for prognostic factors that predict adherence, per-protocol effect estimat ... Full text Cite

Life After PICOT: Taking the Next Step in a Clinical Inquiry Project.

Journal Article AACN advanced critical care · March 2020 Full text Cite

Care Optimization Through Patient and Hospital Engagement Clinical Trial for Heart Failure: Rationale and design of CONNECT-HF.

Journal Article Am Heart J · February 2020 Many therapies have been shown to improve outcomes for patients with heart failure (HF) in controlled settings, but there are limited data available to inform best practices for hospital and post-discharge quality improvement initiatives. The CONNECT-HF st ... Full text Link to item Cite

Patient and caregiver reported facilitators of self-care among patients with chronic heart failure: report from a formative qualitative study.

Journal Article Wellcome Open Res · 2020 Background: Adherence to a complex, yet effective medication regimen improves clinical outcomes in patients with chronic heart failure (CHF). However, patient adherence to an agreed upon plan for medication-taking is sub-optimal and continues to hover at 5 ... Full text Link to item Cite

Improving Patient Experience and Treatment Adherence in the Adult, Outpatient Hemodialysis Population.

Journal Article Journal of nursing care quality · October 2019 BackgroundThe commonly employed medication reconciliation process leaves room for mismanagement of medications in the complex end-stage renal disease patient population.PurposeThe purpose of this quality improvement project was to impleme ... Full text Cite

Utilizing mobile technologies to improve physical activity and medication adherence in patients with heart failure and diabetes mellitus: Rationale and design of the TARGET-HF-DM Trial.

Journal Article Am Heart J · May 2019 Heart failure (HF) and diabetes mellitus (DM) are major public health issues that place significant burden on patients and health care systems. Patients with both HF and DM are at higher risk of adverse cardiovascular and HF outcomes than those with either ... Full text Link to item Cite

Potential impact of pharmaceutical industry rebates on medication adherence.

Journal Article Am J Manag Care · May 1, 2019 Many patients struggle to take their prescription medications as prescribed. Multiple interacting factors influence medication nonadherence. The cost of medications, particularly a patient's out-of-pocket cost, spans several of these domains. One proposed ... Open Access Link to item Cite

Exploring patient-provider decision-making for use of anticoagulation for stroke prevention in atrial fibrillation: Results of the INFORM-AF study.

Journal Article Eur J Cardiovasc Nurs · April 2019 BACKGROUND: Atrial fibrillation is associated with stroke, yet approximately 50% of patients are not treated with guideline-directed oral anticoagulants (OACs). AIMS: Given that the etiology of this gap in care is not well understood, we explored decision- ... Full text Link to item Cite

Implementation Strategies to Improve Evidence-Based Bathing Practices in a Neuro ICU.

Journal Article Journal of nursing care quality · April 2019 BackgroundEvidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line-associated bloodstream infections (CLABSIs). However, implementation of this practice is inconsistent. Usin ... Full text Open Access Cite

Improving Self-Reported Preoperative Anxiety Through a Preoperative Education Program: A Quality Improvement Project.

Journal Article Journal of doctoral nursing practice · April 2019 BackgroundPreoperative education is an important component of preparing patients for surgery. Preoperative anxiety is one of the most important problems for patients, because it causes emotional and psychiatric problems as well as physical problem ... Full text Cite

Council for the Advancement of Nursing Science News.

Journal Article Nursing outlook · January 2019 Full text Cite

Using Health System Data for Improvement Science: Charting Progress.

Journal Article AACN advanced critical care · January 2019 Full text Open Access Cite

Determining Sample Size in Improvement Science Study Designs.

Journal Article AACN advanced critical care · January 2019 Full text Cite

Deimplementation in Clinical Practice: What Are We Waiting For?

Journal Article AACN advanced critical care · January 2019 Full text Cite

Using Clinical Decision Support to Improve Referral Rates in Severe Symptomatic Aortic Stenosis: A Quality Improvement Initiative.

Journal Article Computers, informatics, nursing : CIN · November 2018 Clinical decision support systems are used to ensure compliance with guidelines and can assist providers in improving quality of care. This quality improvement initiative was designed to evaluate the use of a clinical decision support system to improve spe ... Full text Cite

Making Sense of Hypertension Guidelines.

Journal Article The Journal of cardiovascular nursing · September 2018 Hypertension is a leading risk factor for heart disease, stroke, kidney failure, and diabetes and is a predisposing risk factor for most cardiovascular chronic illnesses. The risk for major cardiovascular events drops significantly when guideline-based blo ... Full text Cite

Medicare utilization, screening, and costs among participants in the Southeastern Diabetes Initiative: A population-based evaluation.

Journal Article Prim Care Diabetes · April 2018 AIMS: Type 2 diabetes mellitus imposes significant burdens on patients and health care systems. Population-level interventions are being implemented to reach large numbers of patients at risk of or diagnosed with diabetes. We describe a population-based ev ... Full text Link to item Cite

Changing CHANGE: adaptations of an evidence-based telehealth cardiovascular disease risk reduction intervention.

Journal Article Transl Behav Med · March 1, 2018 Relatively few successful medication adherence interventions are translated into real-world clinical settings. The Prevention of Cardiovascular Outcomes in African Americans with Diabetes (CHANGE) intervention was originally conceived as a randomized contr ... Full text Open Access Link to item Cite

The Language of Data Program: Use of Gaming to Promote Critical Appraisal Skills.

Journal Article Worldviews on evidence-based nursing · February 2018 This column shares the best evidence-based strategies and innovative ideas on how to facilitate the learning and implementation of EBP principles and processes by clinicians as well as nursing and interprofessional students. Guidelines for submission are a ... Full text Cite

Access to routine care and risks for 30-day readmission in patients with cardiovascular disease.

Journal Article Am Heart J · February 2018 BACKGROUND: Studies have shown that access to routine medical care is associated with the prevention, diagnosis, and treatment of chronic diseases. However, studies have not examined whether patient-reported difficulties in access to care are associated wi ... Full text Link to item Cite

Using Health System Data for Improvement Science: Getting Started.

Journal Article AACN advanced critical care · January 2018 Full text Cite

Socioeconomic, Psychosocial and Behavioral Characteristics of Patients Hospitalized With Cardiovascular Disease.

Journal Article Am J Med Sci · December 2017 BACKGROUND: Recent studies have drawn attention to nonclinical factors to better understand disparities in the development, treatment and prognosis of patients with cardiovascular disease. However, there has been limited research describing the nonclinical ... Full text Link to item Cite

Improving Nurse Competencies for Using Evidence in Practice: A Pilot Study of the Language of Data Program.

Journal Article Journal for nurses in professional development · November 2017 Nursing professional development practitioners are in a key position to use tools that foster nurses' interpretation of research findings for increased use of evidence in practice. An online course was developed to teach statistics as language. The feasibi ... Full text Cite

Unmet expectations of medications and care providers among patients with heart failure assessed to be poorly adherent: results from the Chronic Heart Failure Intervention to Improve MEdication Adherence (CHIME) study.

Journal Article Eur J Cardiovasc Nurs · October 2017 BACKGROUND: Ineffective medication management contributes to repeated hospitalisation and death among patients with heart failure. The meaning ascribed to medications and the influence of meaning on how patients manage medications is unknown. The purpose o ... Full text Open Access Link to item Cite

Increasing Health Portal Utilization in Cardiac Ambulatory Patients: A Pilot Project.

Journal Article Computers, informatics, nursing : CIN · October 2017 Increasing health portal participation actively engages patients in their care and improves outcomes. The primary aim for this project was to increase patient health portal utilization. Nurses used a tablet-based demo to teach patients how to navigate the ... Full text Cite

Leveraging Behavioral Economics to Improve Heart Failure Care and Outcomes.

Journal Article Circulation · August 22, 2017 Behavioral challenges are often present in human illness, so behavioral economics is increasingly being applied in healthcare settings to better understand why patients choose healthy or unhealthy behaviors. The application of behavioral economics to healt ... Full text Link to item Cite

Palliative Care in Heart Failure: The PAL-HF Randomized, Controlled Clinical Trial.

Journal Article J Am Coll Cardiol · July 18, 2017 BACKGROUND: Advanced heart failure (HF) is characterized by high morbidity and mortality. Conventional therapy may not sufficiently reduce patient suffering and maximize quality of life. OBJECTIVES: The authors investigated whether an interdisciplinary pal ... Full text Link to item Cite

Palliative Care in Heart Failure The PAL-HF Randomized, Controlled Clinical Trial

Journal Article JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY · July 18, 2017 Link to item Cite

Identifying Nonclinical Factors Associated With 30-Day Readmission in Patients with Cardiovascular Disease: Protocol for an Observational Study.

Journal Article JMIR Res Protoc · June 15, 2017 BACKGROUND: Cardiovascular disease (CVD) is the leading cause of hospitalization in older adults and high readmission rates have attracted considerable attention as actionable targets to promote efficiency in care and to reduce costs. Despite a plethora of ... Full text Link to item Cite

Assessing electronic health record phenotypes against gold-standard diagnostic criteria for diabetes mellitus.

Journal Article J Am Med Inform Assoc · April 1, 2017 OBJECTIVE: We assessed the sensitivity and specificity of 8 electronic health record (EHR)-based phenotypes for diabetes mellitus against gold-standard American Diabetes Association (ADA) diagnostic criteria via chart review by clinical experts. MATERIALS ... Full text Link to item Cite

The Digital Drag and Drop Pillbox: Design and Feasibility of a Skill-based Education Model to Improve Medication Management.

Journal Article J Cardiovasc Nurs · 2017 OBJECTIVE: We present the design and feasibility testing for the "Digital Drag and Drop Pillbox" (D-3 Pillbox), a skill-based educational approach that engages patients and providers, measures performance, and generates reports of medication management ski ... Full text Open Access Link to item Cite

Coming full circle in the measurement of medication adherence: opportunities and implications for health care.

Journal Article Patient Prefer Adherence · 2017 There is little debate that medication nonadherence is a major public health issue and that measuring nonadherence is a crucial step toward improving it. Moreover, while measuring adherence is becoming both more feasible and more common in the era of elect ... Full text Open Access Link to item Cite

Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement.

Journal Article International journal of cardiology · June 2016 BackgroundMultimorbidity in heart failure (HF), defined as HF of any aetiology and multiple concurrent conditions that require active management, represents an emerging problem within the ageing HF patient population worldwide.MethodsTo i ... Full text Cite

Overcoming Barriers to Using Patient-Reported Outcomes for Clinical Inquiry.

Journal Article AACN advanced critical care · April 2016 Full text Cite

Health Information Technology: Meaningful Use and Next Steps to Improving Electronic Facilitation of Medication Adherence.

Journal Article JMIR Med Inform · March 15, 2016 BACKGROUND: The use of health information technology (HIT) may improve medication adherence, but challenges for implementation remain. OBJECTIVE: The aim of this paper is to review the current state of HIT as it relates to medication adherence programs, ac ... Full text Open Access Link to item Cite

Implementing Electronic Tablet-Based Education of Acute Care Patients.

Journal Article Crit Care Nurse · February 2016 Poor education-related discharge preparedness for patients with heart failure is believed to be a major cause of avoidable rehospitalizations. Technology-based applications offer innovative educational approaches that may improve educational readiness for ... Full text Link to item Cite

The agreement of patient-reported versus observed medication adherence in type 2 diabetes mellitus (T2DM).

Journal Article BMJ Open Diabetes Res Care · 2016 OBJECTIVE: Medication adherence in type 2 diabetes mellitus (T2DM) improves glycemic control and is associated with reduced adverse clinical events, and accurately assessing adherence assessment is important. We aimed to determine agreement between two com ... Full text Link to item Cite

A renewed Medication Adherence Alliance call to action: harnessing momentum to address medication nonadherence in the United States.

Journal Article Patient Prefer Adherence · 2016 THE PROBLEM: Nonadherence to prescription medications is a common and costly problem with multiple contributing factors, spanning the dimensions of individual behavior change, psychology, medicine, and health policy, among others. Addressing the problem of ... Full text Open Access Link to item Cite

Tools for Economic Analysis of Patient Management Interventions in Heart Failure Cost-Effectiveness Model: A Web-based program designed to evaluate the cost-effectiveness of disease management programs in heart failure.

Journal Article Am Heart J · November 2015 BACKGROUND: Heart failure disease management programs can influence medical resource use and quality-adjusted survival. Because projecting long-term costs and survival is challenging, a consistent and valid approach to extrapolating short-term outcomes wou ... Full text Link to item Cite

Nurse-led behavioral management of diabetes and hypertension in community practices: a randomized trial.

Journal Article J Gen Intern Med · May 2015 BACKGROUND: Several trials have demonstrated the efficacy of nurse telephone case management for diabetes (DM) and hypertension (HTN) in academic or vertically integrated systems. Little is known about the real-world potency of these interventions. OBJECTI ... Full text Open Access Link to item Cite

Results of the Chronic Heart Failure Intervention to Improve MEdication Adherence study: A randomized intervention in high-risk patients.

Journal Article Am Heart J · April 2015 BACKGROUND: Poor adherence to evidence-based medications in heart failure (HF) is a major cause of avoidable hospitalizations, disability, and death. To test the feasibility of improving medication adherence, we performed a randomized proof-of-concept stud ... Full text Open Access Link to item Cite

Tailoring your heart failure project for success in rural areas.

Journal Article Quality management in health care · April 2015 PurposeThe purpose of this project was to decrease heart failure (HF) readmissions in a rural community by redesigning the inpatient education model.MethodsAn integrated plan of care (ICP) was developed using 6 interventions, tailored to ... Full text Cite

Tools for improving the quality of data capture for clinical inquiry.

Journal Article AACN advanced critical care · April 2015 Full text Cite

Results of the chronic heart failure intervention to improve medication adherence study: A randomized intervention in high-risk patients

Journal Article American Heart Journal · April 1, 2015 Background Poor adherence to evidence-based medications in heart failure (HF) is a major cause of avoidable hospitalizations, disability, and death. To test the feasibility of improving medication adherence, we performed a randomized proof-of-concept study ... Full text Open Access Cite

Methods and initial findings from the Durham Diabetes Coalition: Integrating geospatial health technology and community interventions to reduce death and disability.

Journal Article J Clin Transl Endocrinol · March 2015 OBJECTIVE: The Durham Diabetes Coalition (DDC) was established in response to escalating rates of disability and death related to type 2 diabetes mellitus, particularly among racial/ethnic minorities and persons of low socioeconomic status in Durham County ... Full text Link to item Cite

Improving diabetes medication adherence: successful, scalable interventions.

Journal Article Patient Prefer Adherence · 2015 Effective medications are a cornerstone of prevention and disease treatment, yet only about half of patients take their medications as prescribed, resulting in a common and costly public health challenge for the US health care system. Since poor medication ... Full text Open Access Link to item Cite

Prevalence and Access of Secondary Source Medication Data: Evaluation of the Southeastern Diabetes Initiative (SEDI).

Journal Article AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · January 2015 Medication non-adherence is a major public health issue, and measuring non-adherence is a crucial step toward improving it. A paucity of retrievable data prevents researchers from effectively measuring, tracking and sharing outcomes on medication managemen ... Cite

The palliative care in heart failure trial: rationale and design.

Journal Article Am Heart J · November 2014 BACKGROUND: The progressive nature of heart failure (HF) coupled with high mortality and poor quality of life mandates greater attention to palliative care as a routine component of advanced HF management. Limited evidence exists from randomized, controlle ... Full text Link to item Cite

Racial disparities and the use of technology for self-management in blacks with heart failure: a literature review.

Journal Article Current heart failure reports · September 2014 Heart failure is a debilitating illness that requires patients to be actively engaged in self-management. Self-management practices, including maintenance and management of an evidence-based medication regimen, are associated with improved outcomes. Yet, s ... Full text Cite

Medication adherence: process for implementation.

Journal Article Patient Prefer Adherence · 2014 Improving medication adherence is a critically important, but often enigmatic objective of patients, providers, and the overall health care system. Increasing medication adherence has the potential to reduce health care costs while improving care quality, ... Full text Open Access Link to item Cite

Racial disparities and the use of technology for self-management in blacks with heart failure: A literature review

Journal Article Current Heart Failure Reports · January 1, 2014 Heart failure is a debilitating illness that requires patients to be actively engaged in self-management. Self-management practices, including maintenance and management of an evidence-based medication regimen, are associated with improved outcomes. Yet, s ... Full text Cite

The language of data: tools to translate evidence for nurses in clinical practice.

Journal Article Journal for nurses in professional development · November 2013 In clinical practice, nurses are expected to understand and implement the science that supports patient care, yet they fall short of goals to implement evidence in practice. One reason is difficulty in interpreting research results. Interpretation requires ... Full text Cite

Older patients' experiences of heart failure-an integrative literature review.

Journal Article Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · September 2013 PurposeSeveral literature reviews have been published summarizing objective knowledge about older patients with heart failure (HF). Although of vital importance to the treatment and diagnosis of HF, these reviews fail to explicate and summarize ol ... Full text Cite

Tailored Case Management for Diabetes and Hypertension (TEACH-DM) in a community population: study design and baseline sample characteristics.

Journal Article Contemp Clin Trials · September 2013 BACKGROUND: Despite recognition of the benefits associated with well-controlled diabetes and hypertension, control remains suboptimal. Effective interventions for these conditions have been studied within academic settings, but interventions targeting both ... Full text Open Access Link to item Cite

Suitability of capillary blood glucose analysis in patients receiving vasopressors.

Journal Article American journal of critical care : an official publication, American Association of Critical-Care Nurses · September 2013 BackgroundGlycemic control in critically ill patients decreases infection and mortality. Patients receiving vasopressors have altered peripheral perfusion, which may affect accuracy of capillary blood glucose values measured with point-of-care dev ... Full text Cite

Alcohol withdrawal prevention: a randomized evaluation of lorazepam and ethanol--a pilot study.

Journal Article Am J Crit Care · September 2013 BACKGROUND: Alcohol withdrawal syndrome, characterized by confusion, agitation, and hallucinations, decreases the safety of patients with acute myocardial infarction. Unexpected hospitalization and sudden cessation of alcohol consumption may increase in-ho ... Full text Link to item Cite

Microbial colonization of electrocardiographic telemetry systems before and after cleaning.

Journal Article American journal of critical care : an official publication, American Association of Critical-Care Nurses · September 2013 BackgroundNosocomial infections caused by multidrug-resistant organisms are commonly associated with longer hospital stays up to 12 to 18 days and annual estimated costs of $5.7 billion to $6.8 billion. One common mode of transmission is cross-con ... Full text Cite

The meanings associated with medicines in heart failure patients.

Journal Article Eur J Cardiovasc Nurs · June 2013 BACKGROUND: The purpose of this study was to explore the theoretical linkages between symptom experiences and meaning associated with medication adherence. The specific objectives were to evaluate the key constructs of Meaning-Response theory for understan ... Full text Open Access Link to item Cite

Framework for Curating and Applying Data Elements within Continuing Use Data: A Case Study from the Durham Diabetes Coalition.

Journal Article AMIA Jt Summits Transl Sci Proc · 2013 Data within a continuing use context (also known as secondary use) can require translation into the variables necessary for project analysis. We have developed and applied a framework in which: Project objectives inform the curation of data elements. Data ... Link to item Cite

Monitoring the quality of clinical inquiry projects.

Journal Article AACN advanced critical care · January 2013 Full text Cite

Missing signposts on the roadmap to quality: a call to improve medication adherence indicators in data collection for population research.

Journal Article Front Pharmacol · 2013 PURPOSE: Poor adherence to prescribed medicines is associated with increased rates of poor outcomes, including hospitalization, serious adverse events, and death, and is also associated with increased healthcare costs. However, current approaches to evalua ... Full text Link to item Cite

Reasons for noncompletion of advance directives in a cardiac intensive care unit.

Journal Article Am J Crit Care · September 2012 BACKGROUND: The Patient Self-Determination Act of 1990 mandates that hospitals reimbursed by Medicare and Medicaid inform each patient about the patient's right to a natural death. OBJECTIVE: To describe and explore implementation of the Patient Self-Deter ... Full text Link to item Cite

Adherence, shared decision-making and patient autonomy.

Journal Article Medicine, health care, and philosophy · May 2012 In recent years the formerly quite strong interest in patient compliance has been questioned for being too paternalistic and oriented towards overly narrow biomedical goals as the basis for treatment recommendations. In line with this there has been a shif ... Full text Cite

Research evidence and beyond.

Journal Article AACN advanced critical care · April 2012 Full text Cite

An academic-health service partnership in nursing: lessons from the field.

Journal Article J Nurs Scholarsh · March 2012 PURPOSE: To describe the development of an academic-health services partnership undertaken to improve use of evidence in clinical practice. APPROACH: Academic health science schools and health service settings share common elements of their missions: to ed ... Full text Link to item Cite

Medication adherence: a call for action.

Journal Article Am Heart J · September 2011 Poor adherence to efficacious cardiovascular-related medications has led to considerable morbidity, mortality, and avoidable health care costs. This article provides results of a recent think-tank meeting in which various stakeholder groups representing ke ... Full text Open Access Link to item Cite

Measuring shortness of breath in heart failure (SOB-HF): development and validation of a new dyspnoea assessment tool.

Journal Article European journal of heart failure · August 2011 AimTo validate a previously developed instrument for measurement of breathlessness in patients with acute heart failure (HF).Methods and resultsWe tested descriptors of breathlessness among 190 patients seeking care at the emergency depar ... Full text Cite

Medication adherence: emerging use of technology.

Journal Article Curr Opin Cardiol · July 2011 PURPOSE OF REVIEW: Adherence to proven, effective medications remains low, resulting in high rates of clinical complications, hospital readmissions, and death. The use of technology to identify patients at risk and to target interventions for poor adherenc ... Full text Open Access Link to item Cite

Differences in level of care at the end of life according to race.

Journal Article Am J Crit Care · July 2010 BACKGROUND: Tailoring care for patients and their families at the end of life is important. PURPOSE: To examine factors associated with patients' choices for level of care at the end of life. METHODS: Data on demographics and level of care (full code, do n ... Full text Link to item Cite

Adherence to medication according to sex and age in the CHARM programme.

Journal Article Eur J Heart Fail · November 2009 AIMS: Although many patients with heart failure have incomplete adherence to prescribed medications, predisposing factors remain unclear. This analysis investigates factors associated with adherence, with particular emphasis on age and sex. METHODS AND RES ... Full text Link to item Cite

Stagnant perceptions of nursing among high school students: results of a shadowing intervention study.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · July 2009 To gain insight into high school students' perceptions of the role of the nurse and to explore students' impressions of nursing following a nurse-shadowing intervention. Often nurses abandon staffing positions in the first 1-2 years, reporting a "poor fit" ... Full text Cite

A qualitative descriptive study of the work of adherence to a chronic heart failure regimen: patient and physician perspectives.

Journal Article The Journal of cardiovascular nursing · July 2009 Background and research objectiveDespite the known benefit of self-care strategies for symptom management in heart failure (HF), most patients are unable to perform self-care activities successfully. This study therefore examined how communication ... Full text Cite

Practical steps for evidence-based practice: putting one foot in front of the other.

Journal Article AACN advanced critical care · July 2008 Evidence-based practice is a goal for all institutions and often an accreditation requirement. However, moving forward to "just do it" poses a problem for nurses in most patient care units. In spite of increased focus on evidence-based practice initiatives ... Full text Cite

Breaking the vicious circle of fatigue in patients with chronic heart failure.

Journal Article Qualitative health research · October 2007 Fatigue is a common symptom in patients with chronic heart failure (CHF). Characteristics of the experience and consequences of fatigue might be unique in these patients. The authors interviewed 15 patients with CHF and analyzed focused online observations ... Full text Cite

A practical use of theory to study adherence.

Journal Article Progress in cardiovascular nursing · January 2007 Chronic heart failure (CHF) is a costly Medicare expenditure, with approximately 70% of the costs of heart failure care attributable to acute, symptom-related hospitalizations. The most common preventable cause of rehospitalization is nonadherence to the C ... Full text Cite

Caring for patients with chronic heart failure: The trajectory model.

Journal Article European journal of cardiovascular nursing · September 2006 The purpose of this paper is to examine gaps in our understanding of the heart failure experience and describe the use of Trajectory of Chronic Illness Theory to bridge these gaps. New pharmacotherapeutic strategies have improved survival in heart failure, ... Full text Cite

Adherence to candesartan and placebo and outcomes in chronic heart failure in the CHARM programme: double-blind, randomised, controlled clinical trial.

Journal Article Lancet · December 10, 2005 BACKGROUND: Chronic heart failure (CHF) is an important cause of hospital admission and death. Poor adherence to medication is common in some chronic illnesses and might reduce the population effectiveness of proven treatments. Because little is known abou ... Full text Link to item Cite

A new response to heart disease in women.

Journal Article Nursing management · July 2004 Explore current practices in the multidisciplinary management of cardiovascular disease in women and innovative educational approaches to health promotion and disease prevention. ... Full text Cite

How to make nursing research work for you.

Journal Article Nursing · November 2003 Full text Cite

Research strategies for clinicians.

Journal Article Critical care nursing clinics of North America · December 2001 If there is a story waiting to be told about nurses and research, it is this: research is part of our past, our present, and our future. Research gives "caring" a mental muscle that makes it stronger than caring would be without it. Since the Crimean War, ... Full text Cite

Acute coronary syndrome: putting the new guidelines to work.

Journal Article Nursing · November 2001 Important new protocols fundamentally alter how you assess and treat patients with cardiac chest pain. Here, we'll spell out the changes and how they affect your practice. ... Cite

Applying new guidelines for acute coronary syndromes.

Journal Article Nursing · November 2001 Cite

The benefit of implementing a heart failure disease management program.

Journal Article Arch Intern Med · October 8, 2001 BACKGROUND: To handle the increasing complexity of congestive heart failure (CHF) care, several new models for the care of patients with CHF have been developed to replace traditional strategies. We undertook this study to evaluate the potential benefit of ... Full text Link to item Cite

Depressive symptoms and outcome of coronary artery bypass grafting.

Journal Article Am J Crit Care · January 2001 BACKGROUND: Depressive symptoms are an independent risk factor for outcome in patients with cardiac disease, but their effect on outcome among patients undergoing coronary artery bypass grafting is not well understood. OBJECTIVES: To determine whether or n ... Link to item Cite

Acute Care Cardiology, Preface.

Journal Article The Nursing clinics of North America · December 2000 Cite

New strategies in the management of acute coronary syndromes.

Journal Article The Nursing clinics of North America · December 2000 Advances in the understanding of acute coronary syndromes have occurred rapidly in the last 5 years and have dramatically changed the way patients are evaluated, diagnosed, and managed. Medical advances, such as antiplatelet and antithrombin agents and gro ... Cite

Comparison of cardiac troponin T versus creatine kinase-MB for risk stratification in a chest pain evaluation unit.

Journal Article Am J Cardiol · April 1, 2000 We evaluated cardiac troponin T (cTnT) and creatine kinase-MB (CK-MB) for risk stratification of chest pain unit (CPU) patients. We studied 383 consecutive patients with chest pain assigned to our CPU by emergency department physicians. At baseline all had ... Full text Link to item Cite

Disease management of congestive heart failure.

Journal Article Am J Manag Care · April 1999 AUDIENCE: This article is designed for primary care physicians, cardiovascular specialists, medical directors, and other managed care administrators responsible for heart failure patients. GOAL: To provide the reader with a basic understanding of heart fai ... Link to item Cite

Heart Center nursing research: a team effort. Heart Center Nursing Research Work Group Members.

Journal Article Progress in cardiovascular nursing · January 1999 Our Heart Center staff identified a need to become more involved in nursing research and evidence based practice. A lack of awareness of the research process and current Heart Center nursing research studies resulted in low patient enrollment. To overcome ... Cite

Converting i.v. nitroglycerin therapy to nitroglycerin ointment therapy: a comparison of two methods.

Journal Article Am J Crit Care · March 1998 BACKGROUND: Methods of converting treatment with i.v. nitroglycerin to treatment with nitroglycerin ointment 2% vary greatly and may affect the length of time patients remain in the ICU, nursing time, and possible recurrent angina. To date, no randomized, ... Link to item Cite

Use of diagnostic tools in a chest pain evaluation unit: Value of troponin T testing

Journal Article JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY · February 1, 1997 Link to item Cite

Supporting nursing innovations in a cost-conscious environment.

Journal Article Critical care nursing clinics of North America · June 1995 Our rapidly changing health care environment requires critical care nurses to develop creative and innovative approaches to patient care. Empowering and enabling these nurses are the only ways that health care institutions will be able to meet the challeng ... Cite

Delirium tremens in acute myocardial infarction.

Journal Article Heart & lung : the journal of critical care · May 1994 Cite