You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

An Introduction to the Collaborative Methodology and Its Potential Use for the Management of Heart Failure

Newton, Phillip J. RN, BN(Hons); Davidson, Patricia M. RN, BA, MEd, PhD; Halcomb, Elizabeth J. RN, BN(Hons), Grad Cert ICNurse; Denniss, A. Robert PhD, MBBS, FRACP; Westgarth, Fidye BSc, MPH, Grad Dip QI

Journal of Cardiovascular Nursing:
Articles
Abstract

Background: Heart failure (HF) is responsible for significant disease burden in developed countries internationally. Despite significant advances and a strong evidence base in therapies and treatment strategies for HF, access to these therapies continues to remain elusive to a significant proportion of the HF population. The reasons for this are multifactorial and range from the financial cost of treatments to the individual attitudes and beliefs of clinicians. The collaborative methodology, based upon a quality improvement philosophy, has been identified as a potentially useful tool to address this treatment gap.

Aim: In this manuscript, we review the published literature on the collaborative methodology and assess the evidence for achieving improvement in the management of HF.

Methods: Searches of electronic databases, the reference lists of published materials, policy documents, and the Internet were conducted using key words including "collaborative methodology," "breakthrough series," "quality improvement," "total quality improvement," and "heart failure." Because of the paucity of high-level evidence, all English-language articles were included in the review.

Results: On the basis of the identified search strategy, 43 articles were retrieved. Key themes that emerged from the literature included the following: (1) The collaborative methodology has a significant potential to reduce the treatment gap. (2) Leadership is an important characteristic of the collaborative method. (3) The collaborative methodology facilitates sustainability of the quality improvement process.

Conclusion: The collaborative methodology, when implemented and conducted according to key conceptual principles, has significant potential to improve the outcomes of patients, particularly those with HF and chronic cardiovascular disease.

Author Information

Phillip J. Newton, RN, BN(Hons) Doctoral Candidate, School of Nursing, Family and Community Health, College of Social and Health Science, University of Western Sydney and Western Sydney West Area Health Service, New South Wales, Australia.

Patricia M. Davidson, RN, BA, MEd, PhD Associate Professor of Nursing, School of Nursing, Family and Community Health, College of Social and Health Science, University of Western Sydney and Western Sydney West Area Health Service, New South Wales, Australia.

Elizabeth J. Halcomb, RN, BN(Hons), Grad Cert ICNurse Senior Research Fellow, Sydney South West Centre for Applied Nursing Research, and School of Nursing, Family and Community Health, College of Social and Health Science, University of Western Sydney and Sydney South Western Area Health Service, New South Wales, Australia.

A. Robert Denniss, PhD, MBBS, FRACP Consultant Cardiologist, Western Sydney West Area Health Service and University of Sydney, New South Wales, Australia.

Fidye Westgarth, BSc, MPH, Grad Dip QI Western Manager Quality Systems, Clinical Quality Unit, Sydney West Area Health Service, New South Wales, Australia.

Corresponding author Phillip J. Newton, RN, BN(Hons), Doctoral Candidate, School of Nursing, Family and Community Health, College of Social and Health Science, University of Western Sydney, Locked Bag 1797, Penrith DC, NSW 1797, Australia (e-mail: phil_newton@wsahs.nsw.gov.au).

© 2006 Lippincott Williams & Wilkins, Inc.