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Journal of Cardiovascular Nursing:
doi: 10.1097/JCN.0b013e3181bb419d
ARTICLES: International Nursing Practice

Nursing Care Practices Following a Percutaneous Coronary Intervention: Results of a Survey of Australian and New Zealand Cardiovascular Nurses

Rolley, John X. RN, BN(Hons); Salamonson, Yenna PhD, RN; Dennison, Cheryl R. ANP, PhD, FAHA; Davidson, Patricia M. PhD, RN

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Abstract

Background: 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.

© 2010 Lippincott Williams & Wilkins, Inc.

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