Nursing Care Practices Following a Percutaneous Coronary Intervention

Abstract

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.

“Dementia-friendly Hospitals

“…Organizations with frequent changes in personnel and leadership such as occur in most hospital units may not have the stable infrastructure necessary to attain and sustain change. Instead hospital-wide programs associated with protocols for care and management, national guidelines, and evidence-based practice may be the best approach to improving patient outcomes 34–36. Our study supports that maintenance of knowledge and practice changes may not be long-lasting without continued in-service training and hospital-wide systematic change.…”

“…Hospital staff come from a variety of disciplines and have a diverse range of practice patterns and educational needs 34. Interventions limited in scope to select units may not reach desired impact.…”

Developing Targeted Health Service Interventions Using the PRECEDE-PROCEED Model: Two Australian Case Studies

“…The highest ranking predisposing factors for the APRIC 2 population were identified as being a pervading sense of being “cured” following PCI [32], inadequate understanding of the need for secondary prevention following PCI, wide diversity in PCI nursing care practices across institutions; inadequate communication between acute and primary care providers, low referral rates to secondary prevention programs, and poor uptake and completion of secondary CVD prevention programs by patients undergoing PCIs.…”

“…Integrating relevant data into the Model enabled a comprehensive picture of the cardiovascular health needs of an urban population to be identified and guided identification of the action required, including: development national PCI evidence-based nursing guidelines integrating secondary prevention [32, 33]; increasing uptake of cardiac rehabilitation post PCIs; informing patients and carers of available social support(s), reinforcing the importance of secondary prevention and details on accessing local CVD secondary prevention information and programs. As risk modification is dependent upon the individual's perception of risk, identifying and ranking these factors was critical to shaping the APRICA Project intervention, in Phase 4 [33].…”

“…The study has completed the development of a set of evidence-based guidelines for the care of people undergoing PCIs [32]. The implementation of these guidelines is pending.…”