Marianjoy Library

Online Nursing Journal Club

November, 2013

Welcome to the online Nursing Journal Club! The articles for this month will count for 1.5 continuing education credits and will be available through November 30.

Discussion Via Google Docs/Drive

Reading Assignment:

Heart Failure Symptom Relationships: A Systematic Review

J Cardiovasc Nurs. 2013 Jul 8. [Epub ahead of print]

Herr JK, Salyer J, Lyon DE, Goodloe L, Schubert C, Clement DG.


Background:: Heart failure is a prevalent chronic health condition in the United States. Individuals who have heart failure experience as many as 2 to 9 symptoms. The examination of relationships among heart failure symptoms may benefit patients and clinicians who are charged with managing heart failure symptoms.

Objective: The purpose of this systematic review was to summarize what is known about relationships among heart failure symptoms, a precursor to the identification of heart failure symptom clusters, as well as to examine studies specifically addressing symptom clusters described in this population.

Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed in the conduct of this systematic review. PubMed, PsychINFO, Cumulative Index of Nursing and Allied Health Literature, and the Cochrane Database were searched using the search term heart failure in combination with a pair of symptoms.

Results: Of a total of 1316 studies identified from database searches, 34 were included in this systematic review. More than 1 investigator found a moderate level of correlation between depression and fatigue, depression and anxiety, depression and sleep, depression and pain, anxiety and fatigue, and dyspnea and fatigue.

Conclusions: The findings of this systematic review provide support for the presence of heart failure symptom clusters. Depression was related to several of the symptoms, providing an indication to clinicians that individuals with heart failure who experience depression may have other concurrent symptoms. Some symptom relationships such as the relationships between fatigue and anxiety or sleep or pain were dependent on the symptom characteristics studied. Symptom prevalence in the sample and restricted sampling may influence the robustness of the symptom relationships. These findings suggest that studies defining the phenotype of individual heart failure symptoms may be a beneficial step in the study of heart failure symptom clusters.

Please contact your library staff to receive a copy of the article.

The purpose of the online Nursing Journal Club is to facilitate the use of evidence-based practice in providing excellent nursing care.


  • Identify at least two heart failure symptoms related to depression
  • Identify at least two implications for nurses caring for patients with heart failure

Contact Person: Cindy Bright, E-mail   Phone: 630.909.8027                 
Provide your e-mail address

  • you may use either your personal or Marianjoy e-mail address
  • Article will be e-mailed to you
  • Google Docs/Drive will be used for discussion

For further information or any questions, please contact Cindy Bright

Sign Up: SIGN-UP by October 31 to receive article by November 1.

Available Credits: 1.5 Continuing Education Credits

Instructions for receiving the credits:

There are 3 parts to earning CE credit for these articles. All components must be completed between November 1 and November 30, 2013:

  1. After reading the article, there is a short post-test on the Learning Link (Available through the Network only). To get to the Learning Link module, open and login to Learning Link, click View course catalog, select All courses, and then enter PRCH4016 to find the September journal module. You must complete the post-test on or before November 30 and score at least 80% correct to earn CE credit.
  2. An evaluation of this learning opportunity is required to obtain the CE credit. A link to the evaluation will be found at the end of the post-test.
  3. As part of the requirements to earn the CE credit, you must participate in a discussion about the article. This discussion will take place via Google Docs/Drive. A Nursing Journal Club designee will generate the discussion. You must respond / participate in the discussion at least 1 time by November 30 to be compliant.

To add some extra excitement to our Journal Club, we will be offering a $25 gift card in a raffle drawing for members that earn CE credit over the next three months. Raffle will take place at the end of September. Be sure to participate so your name will be included in the drawing. As an additional perk, if a participant encourages another Journal Club member to join in the discussion (and the referred member states the referring member’s name in their discussion), we will add the referring member’s name an additional time in the drawing. Remember that both members must earn their CE credit for the month for the referring member to be entered an additional time in the drawing.

The winner will be notified by e-mail and the gift card will be sent to them within 2 weeks after the close of the month.

Instructions to access the Google Docs/Drive Web page for Discussion and to post comments:

  • Click on Google Docs/Drive or the following Link/URL:

  • Ignore the message to upgrade to a modern browser, such as Google Chrome and click on Dismiss (this message may appear on the top)
  • Click on the Comments button (top Right hand) to add your comment
  • Please sign your full name after each comment
  • After typing your comments, click on Comments one more time; you will be able to see your comments
  • For a reply to a specific comment, you may use the Reply button; the comment will appear next to that specific comment, or you may generate your own comment

It should take you approximately 1 hour to read the articles, take the quiz and complete the evaluation. 

As a member of the Nursing Journal Club, you will automatically receive subsequent articles on the first of each month. If you would like to cancel your membership at any time, please contact Cindy Bright via e-mail or contact her at 630.909.8027. We will send out a flyer announcing the next article approximately 2 weeks prior to sending it out.

We are excited that you are interested in this new opportunity. We welcome any comments or suggestions you may have.

Marianjoy Rehabilitation Hospital- Professional Practice Committee, (OH-387, 9/28/2013) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

As required by the American Nurses Credentialing Center’s Accreditation Program, we would like to make you aware of all potential conflicts of interest(s). This educational activity’s planners and presenters have indicated that they have no bias or conflict of interest. Marianjoy Rehabilitation Hospital has not received any commercial support for this program. There will not be any endorsement of products or discussion of off-lable use.

The Marianjoy Online Nursing Journal Club is a joint effort between the Nursing Department, the Medical Library, and the Research Department







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