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Guideline-Directed Exercise Recommendations for Heart Failure Patients: Focus on Healthcare Professional Practice
Thomsen, Abby
Thomsen, Abby
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Abstract
AbstractProblem: Throughout the U.S., 6.2 million people have heart failure (HF) and care of these patients cost the nation over 30.7 billion dollars in 2012 alone (CDC, 2020). Worldwide, 26 million people are affected by HF with the incidence expected to rise 25% over the next 10 years (Rice, Say, & Betihavas, 2018). Despite the generally poor prognosis of HF, exercise has been found to delay the progression and improve quality of life for HF patients. While many health care providers are aware of the guidelines, barriers exist for translating exercise recommendations in the clinic setting.Purpose: To implement evidence-based exercise recommendations in an outpatient heart failure clinic at an academic health system based on the initial steps of the RE-AIM framework. The objectives were to 1) explore the feasibility of providing information to HF advanced practice providers (APPs) regarding exercise dose (frequency, duration, intensity) for patients with HF, 2) assess provider perspectives of utilizing a SmartPhrase to operationalize exercise for patients.Methods: A descriptive quality improvement design was used. A convenience sample of eight APPs was recruited to evaluate the SmartPhrase acceptability, appropriateness, and feasibility.Results: Post-implementation REDCap surveys were completed by six HF APPs. Providers indicated acceptability and appropriateness of this intervention. However, provider perspectives regarding the feasibility of this intervention measure were inconclusive based on survey results.Conclusion: An Exercise Dose SmartPhrase is an acceptable, appropriate tool for providers in a HF Clinic to implement evidence-based exercise recommendations and to improve APPs ability to provide individualized exercise dose recommendations in the HF clinic.Keywords: heart failure, advanced practice provider, exercise, dose, recommendation, academic health system
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2021-01-01
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University of Kansas
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859007_1.pdf
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Nursing, Health care management, Health education, academic health system, advanced practice provider, dose, exercise, heart failure, recommendation