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Nursing care practices following a percutaneous coronary intervention: results of a survey of Australian and New Zealand cardiovascular nurses.

AbstractBACKGROUND:
Although there is high-level evidence to guide optimal medical care for percutaneous coronary interventions, there are less explicit guidelines to support nurses in providing care.
AIM:
This study describes the practice standards and priorities of care of cardiovascular nurses in Australia and New Zealand.
METHOD:
Item generation for the survey was informed by an integrative literature review and existing clinical guidelines. A 116-item Web-based survey was administered to cardiovascular nurses, via electronic mail lists of professional cardiovascular nursing organizations, using a secure online data collection system.
RESULTS:
Data were collected from March 2008 to March 2009. A total of 148 respondents attempted the survey, with 110 (74.3%) completing all items. All respondents were registered nurses with an average of 12.3 (SD, 7.61) years of clinical experience in the cardiovascular setting. A range of practice patterns was evident in ambulation time after percutaneous coronary intervention, methods of sheath removal, pain relief, and patient positioning. Respondents consistently rated psychosocial care a lower priority than other tasks and also identified a knowledge deficit in this area.
CONCLUSION:
This survey identified diversity of practice patterns and a range of educational needs. Increasing evidence to support evidence-based practice and guideline development is necessary to promote high-quality care and improved patient outcomes.
AuthorsJohn X Rolley, Yenna Salamonson, Cheryl R Dennison, Patricia M Davidson
JournalThe Journal of cardiovascular nursing (J Cardiovasc Nurs) 2010 Jan-Feb Vol. 25 Issue 1 Pg. 75-84 ISSN: 1550-5049 [Electronic] United States
PMID20134285 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adult
  • Angioplasty, Balloon, Coronary (adverse effects, nursing, psychology)
  • Attitude of Health Personnel
  • Australia
  • Cardiovascular Diseases (diagnosis, therapy)
  • Catheterization, Peripheral (nursing)
  • Device Removal (nursing)
  • Early Ambulation (nursing)
  • Evidence-Based Nursing
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • New Zealand
  • Nurse's Role (psychology)
  • Nursing Evaluation Research
  • Nursing Staff, Hospital (education, psychology)
  • Pain, Postoperative (nursing)
  • Patient Positioning (nursing)
  • Postoperative Care (methods, nursing, psychology)
  • Practice Guidelines as Topic
  • Specialties, Nursing (education, methods)
  • Statistics, Nonparametric
  • Surveys and Questionnaires

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