{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T04:25:10Z","timestamp":1792729510253,"version":"4.5.0"},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T00:00:00Z","timestamp":1681084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012400","name":"Sigma Theta Tau International","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012400","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>As the number of people with heart failure and treatment complexity increases, many hospitals are implementing Advanced Heart Failure Intensive Care Units (AHFICU). However, little evidence concerning the clinical characteristics of people admitted to AHFICUs exists. Understanding the clinical characteristics of people admitted to the AHFICU will assist nurses with implementing tailored interventions to ensure high\u2010quality care delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The purpose of this study was to describe the clinical characteristics of people who are admitted to and discharged from an AHFICU.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Baseline data from a longitudinal descriptive study were collected on adults (<jats:italic>N<\/jats:italic>\u2009=\u200943) admitted to an AHFICU. Heart failure severity, self\u2010management ability, cognition, sleep quality, and other clinical characteristics were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most study participants were New York Heart Association functional class IV (<jats:italic>n<\/jats:italic>\u2009=\u200924) or class III (<jats:italic>n<\/jats:italic>\u2009=\u200914), indicating poor functional capacity. Over half had mild cognitive impairment and poor sleep quality was prevalent (92.7%). Participants had adequate levels of heart failure knowledge, but low levels of heart failure self\u2010management decision\u2010making and ability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Interventions to address the unique clinical characteristics of AHFICU patients include sleep hygiene, integration of cognitive, sleep, and self\u2010management assessments into the electronic medical record. Addressing the unique clinical needs of people with heart failure will lead to patient\u2010centered, evidence\u2010based, and safe care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Understanding characteristics of this population addresses this evidence gap and targeted clinical interventions to address unique discharge needs of this population are proposed. Sleep quality education should be done throughout hospitalization on sleep strategies and self\u2010management coaching to facilitate adoption of new sleep routines. Healthcare providers should ensure each patient has care support upon discharge and take cognitive status into consideration during teaching. Addressing self\u2010management readiness should include providing scenarios as part of discharge preparation. Providers must include addressing comorbidities and how they may affect heart failure self\u2010management, such as teaching about sleep apnea device use and encouraging compliance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.12914","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T08:58:45Z","timestamp":1681117125000},"page":"493-500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["What are key characteristics of adults with advanced heart failure discharged from <scp>ICU<\/scp>?"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9738-9961","authenticated-orcid":false,"given":"Elizabeth A.","family":"Edmiston","sequence":"first","affiliation":[{"name":"VA Quality Scholars Program Veterans Affairs Northeast Ohio Health System  Cleveland Ohio USA"},{"name":"Frances Payne Bolton School of Nursing Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3589-2849","authenticated-orcid":false,"given":"Heather K.","family":"Hardin","sequence":"additional","affiliation":[{"name":"School of Nursing Indiana University School of Nursing  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6472-1275","authenticated-orcid":false,"given":"Mary A.","family":"Dolansky","sequence":"additional","affiliation":[{"name":"VA Quality Scholars Program Veterans Affairs Northeast Ohio Health System  Cleveland Ohio USA"},{"name":"Frances Payne Bolton School of Nursing Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvac013"},{"issue":"3","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.114.001708","article-title":"Variation in critical care unit admission rates and outcomes for patients with acute coronary syndromes or heart failure among high\u2010and low\u2010volume cardiac hospitals","volume":"4","author":"Diepen S","year":"2015","journal-title":"J Am Heart Assoc"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.12314"},{"key":"e_1_2_11_5_1","unstructured":"HorwitzL KrumholzH HuntS YeonS.Heart failure self management. 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