Clinical decision-making in cardiac nursing: a review of the literature

Background: Stress is one of the most important factors that may be accompanied with increased possible prevalence of cardiovascular diseases including myocardial infarction. Objectives: The purpose of this study was to investigate the correlation between perceived stress intensity and some cardiovascular risk factors in myocardial infarctions' patients. Methods: The design of the study was cross sectional. Overall, 2400 patients with myocardial infarction were chosen through multistage random sampling. A three-part questionnaire including demographic characteristics, perceived stress, and a checklist to record laboratorial test and electrocardiography changes were used for data collection. Results:The results of the present study showed that 45% of the patients had moderate and 55% had severe stress. Moreover, findings of the research indicated that there were significant differences between the mean stress level in various categories of the variable including gender, education, history of hypertension, blood pressure, diabetes, cigarette smoking, exercising, job, and family history of myocardial diseases. Conclusions: Regarding the high level of perceived stress in patients with myocardial infarction, it is necessary to devise a program and determine stressor factors to modify and decrease them.

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“…Therefore, exercise through increasing a person's psychological comfort and releasing their energy can decrease stress (44).…”

Section: Discussionmentioning

confidence: 99%

An Epidemiological Study of Cardiovascular Risk Factors in Patients with Myocardial Infarction: A Prospective Study

Moghaddam¹,

Avazeh²,

Saifi³

et al. 2015

Arch Crit Care Med

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“…Other studies also point out that although cardiac nurses had a positive attitude towards evidence-based practice, their clinical performance followed their personal experience. Barriers to evidence-based practice was recognized to be inadequate training and lack of mastery over the English language and they believed that the solution was in execution of guidelines, providing ongoing training and higher accountability of clinical nurses (Bakalis, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…Bakalis writes that although cardiac nurses had a positive attitude towards evidence-based practice, their clinical performance followed their personal experience. Barriers to evidence-based practice were inferior organizational position or its trivialization (Bakalis, 2006).…”

Section: Discussionmentioning

confidence: 99%

Exploring Requirements of the ‘Would Be’ Expert Cardiac Care Nurse

Dehghani¹,

Nasiriani²,

Negahdary³

2016

GJHS

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Background: Cardiovascular interventions have experienced extraordinary progress in the past decades. But it seems that preparation of cardiovascular nurses has not been in pace with the changes. This is while these nurses have a prominent role in the care and management of life-threatening diseases in these wards which can lead to reduced mortality. The present study aimed to explore the effective factors on training a cardiac care nurse.Methods: This research is qualitative and applies inductive content analysis. Participants included 7 matrons and 50 nurses selected through purposive sampling method. Data was collected using semi-structured interviews and open questionnaires. Also, conventional approach to content analysis was used to analyze data. Results:To have a qualified CCU nurse, the findings cover four main themes including specialist nurses (having appropriate personal and professional characteristics), acquiring comprehensive educational content (acquiring specialized cardiac, basic nursing, and general educational content), integrated educational approach (group education, individual education and special education methods), and administrative and organizational requirements (the necessity of recognizing the position of CCU nurses, allocation of material and intellectual benefits, educational and managerial monitoring of supervisors). Conclusion:Since cardiac care nurses play an important role in ensuring nursing care quality in cardiovascular wards and can improve the care delivered to the patients, it is necessary for nurses to have appropriate professional and personal qualities. Therefore, nurses should have training on general, basic nursing, and specialist cardiac content through integrated educational approach. At the same time, managerial and organizational requirements should be established to maintain and improve their competencies and capabilities.

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“…간호사의 임상적 의사결정에 관한 선행연구들 (Bakalis, 2006;Bucknall & Thomas, 1997;Caputo & Mior, 1998;Choi, 1997;Yi, 2001 (Anthony, 1995;Choi, 1997;Yu, 2007) …”

Section: 가정전문간호사의 임상적 의사결정 참여도의 영향 요인unclassified

“…, 숙련성 (Yi, 2001), 전문성 (Anthony, 1995), 임상적 의사결정 능력 (Park, 2006), 의사결정자 역할 (Bakalis, 2006) 등이 있었다. 상황적 변수로는 과업의 구조화, 반복성, 명료성(dela Cruz, 1994), 과 업의 복잡성 (Choi, 1997;Yu, 2007), 과업의 심각성과 긴급성 (Yi, 2001), 스트레스 (Bucknall & Thomas, 1997) 등이 있었다.…”

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A Study on Participation in Clinical Decision Making by Home Healthcare Nurses

Kim

2010

J Korean Acad Nurs

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Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used.

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Clinical decision-making in cardiac nursing: a review of the literature

Abstract: Clinical decision-making is an integral part of the professional nurse's role. This literature review aims to determine the present evidence available on clinical decision-making in cardiac nursing and to determine implications for practice and future research in this field.

Cited by 28 publications

References 11 publications

An Epidemiological Study of Cardiovascular Risk Factors in Patients with Myocardial Infarction: A Prospective Study

An Epidemiological Study of Cardiovascular Risk Factors in Patients with Myocardial Infarction: A Prospective Study

Exploring Requirements of the ‘Would Be’ Expert Cardiac Care Nurse

A Study on Participation in Clinical Decision Making by Home Healthcare Nurses

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