Abstract
HEART FAILURE IS a prevalent problem with increasingly high rates of mortality and morbidity. Frequent exacerbation of heart failure leads to multiple rehospitalizations and interferes with patients' quality of life. In addition, it induces excessive consumption of health care resources. This leads to detrimental repercussions for these patients. Studies that have looked at causes of heart failure exacerbation determine an implicit need for more nursing influence. This nursing influence requires the expertise of Master's-prepared advanced practice nurses (APNs) who have exceptional knowledge of cardiovascular disease. APNs can enhance quality and efficiency through coordination and provision of care in the hospital and outpatient settings. Future research is needed to support the role of the APN in the delivery of health care. © Williams & Wilkins 1995. All Rights Reserved.