An Outcomes Comparison between Nurse Practitioners and Primary Care Physicians in Quality of Life in Older Patients with Congestive Heart Failure
DOI:
https://doi.org/10.54536/ajmsi.v3i2.2935Keywords:
Congestive Heart Failure, Nurse Practitioner, Primary Care Physicians, Quality of Life, Patient SatisfactionAbstract
Chronic heart failure (CHF) is a prevalent cardiovascular disease affecting patients' outcomes and quality of life. Nurse Practitioners (NPs) and Primary Care Physicians (PCPs) are renowned for their positive impact on patient satisfaction and quality of life. However, the extent to which they achieve these results still needs to be explored. The study aimed to determine if the disease course of older CHF patients under NPs and PCPs remained consistent, focusing on patients' satisfaction levels in NP care compared to those in PCP care in primary care settings. A comparative observational design was used to recruit CHF patients aged 65 and above from nursing homes in Ontario, Canada. Subjects completed the 12-question questionnaire to gauge satisfaction and overall quality of life. Results were analysed using ANOVA as outcome indicators of the NPs and PCPs were to be compared.Findings showed no significant variation in quality of life score measurement between NP and PCP patients. Both (NPs and PCPs) were revealed to be equally strong in meeting the demanding CHF patients' needs. The study emphasises the crucial role of Nurse Practitioners (NPs) in multidisciplinary Team CHF care, highlighting their role in improving patient outcomes and healthcare delivery. It acknowledges the limitations of the measurement study, such as sample size, and contributes to ongoing debates on healthcare delivery.
Downloads
References
Baecker, A., Meyers, M., Koyama, S., Taitano, M., Watson, H., Machado, M., & Nguyen, H. Q. (2020). Evaluation of a transitional care program after hospitalization for heart failure in an integrated health care system. JAMA network open, 3(12), e2027410-e2027410.
Barratt, J., & Thomas, N. (2018). Nurse practitioner consultations in primary health care: a case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement. Prim Health Care Res Dev, 20, e36. https://doi.org/10.1017/s1463423618000415
Canada, H. a. S. F. o. (2022). Heart failure. https://www.heartandstroke.ca/heart-disease/conditions/heart-failure
Cui, X., Zhou, X., Ma, L.-l., Sun, T.-W., Bishop, L., Gardiner, F. W., & Wang, L. (2019). A nurse-led structured education program improves self-management skills and reduces hospital readmissions in patients with chronic heart failure: a randomized and controlled trial in China. Rural and remote health, 19(2), 1-8.
Forsyth, P., Young, S., Hughes, K., James, R., Oxley, C., Kelly, R., Jones, R., Briggs, S., Mackay-Thomas, L., Millerick, Y., Simpson, M., Taylor, C., Beggs, S., Piper, S., & Duckett, S. (2024). Multiprofessional heart failure self-development framework. Open Heart, 11, e002554. https://doi.org/10.1136/openhrt-2023-002554
Gerlier, C., Galland, T., Fels, A., Montalembert, P., Chatellier, G., & Ganansia, O. (2023). Access to Education Programs Among Patients with Diabetes, Asthma, and Heart Failure Seen by an Advanced Practice Nurse in the Emergency Department in France. The Journal for Nurse Practitioners, 19(3), 104507.
Gigli, K., & Gonzalez, J. (2022). Meeting the need for nurse practitioner clinicals: A survey of practitioners. Journal of the American Association of Nurse Practitioners, Publish Ahead of Print. https://doi.org/10.1097/JXX.0000000000000749
Hung, P., Cramer, L. D., Pollack, C. E., Gross, C. P., & Wang, S. Y. (2022). Primary care physician continuity, survival, and end‐of‐life care intensity. Health services research, 57(4), 853-862.
Jiang, W., Zhang, Y., Yan, F., Liu, H., & Gao, R. (2020). Effectiveness of a nurse-led multidisciplinary self-management program for patients with coronary heart disease in communities: A randomized controlled trial. Patient Education and Counseling, 103(4), 854-863.
King-Dailey, K., Frazier, S., Bressler, S., & King-Wilson, J. (2022). The role of nurse practitioners in the management of heart failure patients and programs. Current Cardiology Reports, 24(12), 1945-1956.
Kuo, Y.-F., Adhikari, D., Eke, C. G., Goodwin, J. S., & Raji, M. A. (2018). Processes and outcomes of congestive heart failure care by different types of primary care models. Journal of cardiac failure, 24(1), 9-18.
Lewis, K. (2021). P016. Evaluating the Efficacy of Focused Nurse Practitioner Visits on Heart Failure Outcomes Among Patients Enrolled in the Program for All-Inclusive Care of the Elderly (PACE): A Quality Improvement Project. Heart & Lung: The Journal of Cardiopulmonary and Acute Care, 50(4), 572-573.
Lowery, J., Hopp, F., Subramanian, U., Wiitala, W., Welsh, D., Larkin, A., Stemmer, K., Zak, C., & Vaitkevicius, P. (2012). Evaluation of a Nurse Practitioner Disease Management Model for Chronic Heart Failure: A Multi‐Site Implementation Study. Congestive heart failure (Greenwich, Conn.), 18, 64-71. https://doi.org/10.1111/j.1751-7133.2011.00228.x
Muench, U., Guo, C., Thomas, C., & Perloff, J. (2019). Medication adherence, costs, and ER visits of nurse practitioner and primary care physician patients: Evidence from three cohorts of Medicare beneficiaries. Health services research, 54(1), 187-197.
Norful, A., Swords, K., Marichal, M., Cho, H., & Poghosyan, L. (2017). Nurse practitioner–physician comanagement of primary care patients: The promise of a new delivery care model to improve quality of care. Health Care Management Review, 44, 1. https://doi.org/10.1097/HMR.0000000000000161
Norful, A. A., Swords, K., Marichal, M., Cho, H., & Poghosyan, L. (2019). Nurse practitioner-physician comanagement of primary care patients: The promise of a new delivery care model to improve quality of care. Health Care Manage Rev, 44(3), 235-245. https://doi.org/10.1097/hmr.0000000000000161
O’Toole, J., Ingram, S., Kelly, N., Quirke, M. B., Roberts, A., & O’Brien, F. (2019). Patient satisfaction with innovative nurse practitioner cardiology services. The Journal for Nurse Practitioners, 15(4), 311-315. e311.
Ortiz-Bautista, C., Morán-Fernández, L., Díaz-García, M., Delgado-Nicolás, M. Á., Ponz-de Antonio, I., Rodríguez-Chaverri, A., García-Cosio, M. D., de Juan-Bagudá, J., Lora-Pablos, D., & Sánchez-Sánchez, V. (2019). Evaluation of a nurse-led intervention program in heart failure: A randomized trial. Medicina Clínica (English Edition), 152(11), 431-437.
Ruan, T., Xu, M., Zhu, L., & Ding, Y. (2023). Nurse-coordinated home-based cardiac rehabilitation for patients with heart failure: A scoping review. International Journal of Nursing Sciences, 10(4), 435-445. https://doi.org/10.1016/j.ijnss.2023.09.022
Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 332-342. https://doi.org/10.1080/13561820.2019.1636007
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Dr. Mohammad I. D. Ibrahim, Shannon, McCrory-Churchill
This work is licensed under a Creative Commons Attribution 4.0 International License.
