2023年欧洲心脏病大会（演讲PPT）：护士主导的心力衰竭诊断：尽管证据确凿，但实施缓慢——经验教训和未来展望.pdf

Nurse-led heart failure clinics: Slow implementation despite strong evidence - Lessons learnt and future outlooks Anna Strömberg, RN, PhD Professor and vice provost of Research, Faculty of Medicine and Health Sciences, Linköping University Heart Failure Nurse Specialist, Department of Cardiology, Linköping University Hospital, Sweden 2 This lecture is dedicated to the Florence Nightingales of heart failure care - all HF nurses who did this journey with me over the last 30 years Special dedication to Tiny Jaarsma and Lynda Blue Nurse-led heart failure clinics – Strong evidence but slow implementation Lessons learnt - The evolution of nurse-led clinics and multidisplinary teams - The evidence - Issues with equity of care Future outlooks - Handling increasingly complex treatment - Overcoming barriers for implementation - Digitalisation and new technology 5 My passion to improve heart failure care – Where did it all start? First mission was heart failure education Self-care education Follow up of Drugtitration high risk patients These were the three components that composed the first heart failure clinic in Europe in Linköping, Sweden  9 First landmark study from Rich et al. 1995 …many more studies followed Sweden took the lead in implementing nurse-led clinics 80-100% 80-100 % 60- 80% 6