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Can J Aging. 2014 Sep;33(3):320-35. doi: 10.1017/S0714980814000245. Epub 2014 Aug 7.

Perspectives of Primary-Care Providers on Heart Failure in Long-Term Care Homes.

Author information

1
Research Institute for Aging and School of Public Health and Health Systems,University of Waterloo.
2
Conestoga College.
3
Population Health Research Institute,McMaster University.
4
Institute for Work & Health,Toronto.
5
University of Waterloo.
6
Faculty of Health Sciences,McMaster University.
7
School of Social Work,Lakehead University.
8
Department of Psychiatry & Behavioural Neurosciences,McMaster University.
9
School of Public Health and Health Systems,University of Waterloo.

Abstract

Heart failure (HF) is common among long-term care (LTC) residents, and may account for 40 per cent of acute-care transfers. Canadian Cardiovascular Society HF guidelines endorse standard therapies; yet LTC residents are less likely to receive treatment. This qualitative study employed focus groups to explore perceptions, from 18 physicians and nurse practitioners in three Ontario homes, on HF care practices and challenges. For example, participants reported challenges with HF diagnostic skills and procedural knowledge. They also identified the need for interprofessional collaboration and role clarification to improve HF care and outcomes. To address these challenges, multimodal interventions and bedside teaching are required. Leadership was viewed as essential to improve HF care. Several concerns arose regarding knowledge gaps and clinical deficits among primary-care providers who manage heart failure in LTC residents. Multimodal, clinically focused educational and interprofessional solutions are needed to improve HF care in long-term care.

PMID:
25102362
DOI:
10.1017/S0714980814000245
[Indexed for MEDLINE]
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