Masters-prepared nurses with general expertise in the
management of conditions common in older adults were
recruited. Their knowledge and skills in the management of
elders with heart failure were assessed. APNs participated
in a 2-month orientation and training program focused on
developing their competencies related to early recognition
and treatment of acute episodes of heart failure in elders,
with particular attention to how it complicates and is
complicated by common comorbid conditions such as
diabetes mellitus or depression. Content and clinical
experiences included review of relevant evidence-based
guidelines, case study discussions led by multidisciplinary
team members, and participation in clinical rounds.
Particular attention was paid to educating APNs regarding
optimal therapeutic management (e.g., medications, exercise).
The training program emphasized application of
educational and behavioral strategies in the home to
address patients’ and caregivers’ unique learning needs.
Finally, APNs were prepared to implement the study
protocol using the constellation of care management
strategies identified earlier. Once patient enrollment began,
APNs had access to multidisciplinary team members via email
or
Masters-prepared nurses with general expertise in the
management of conditions common in older adults were
recruited. Their knowledge and skills in the management of
elders with heart failure were assessed. APNs participated
in a 2-month orientation and training program focused on
developing their competencies related to early recognition
and treatment of acute episodes of heart failure in elders,
with particular attention to how it complicates and is
complicated by common comorbid conditions such as
diabetes mellitus or depression. Content and clinical
experiences included review of relevant evidence-based
guidelines, case study discussions led by multidisciplinary
team members, and participation in clinical rounds.
Particular attention was paid to educating APNs regarding
optimal therapeutic management (e.g., medications, exercise).
The training program emphasized application of
educational and behavioral strategies in the home to
address patients’ and caregivers’ unique learning needs.
Finally, APNs were prepared to implement the study
protocol using the constellation of care management
strategies identified earlier. Once patient enrollment began,
APNs had access to multidisciplinary team members via email
or
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