Achieving consensus on the key elements of a nurse-led multidisciplinary chronic heart failure service in Thailand: An e-Delphi study.
Apinya Koontalay, Mari Botti, Anastasia Hutchinson
PMID 39014994WHAT IT FOUND
Thai clinicians agreed a nurse-led heart failure service should focus on education and monitoring, not self-adjusting diuretics.
They rejected patient medication changes due to low health literacy, prioritizing weight tracking and office-hours access instead.
Key findings
01Participants rejected self-adjusting diuretics due to low patient health literacy.
02Consensus was reached on a service model emphasizing nurse-led education, weight monitoring, and office-hours access.
03The model prioritizes continuity of care through early post-discharge contact and multidisciplinary clinics.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Physiotherapists, primary care physicians, and community support providers were excluded from the survey. Participants were predominantly from acute care backgrounds, which may bias the model toward transitional care over long-term community management. The study focused on pharmacotherapy and education, not exercise rehabilitation.
Declared interests
The authors declared no conflicts of interest. The study was funded by Deakin University.
The easy way to misread this
Do not interpret this as evidence that the proposed service improves patient outcomes. The study achieved expert consensus on what to include in a service model; it did not test the service's effectiveness or sustainability in practice.