Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Curtin University of Technology, Chippendale, Australia.
J Cardiovasc Nurs. 2010 Jan-Feb;25(1):75-84. doi: 10.1097/JCN.0b013e3181bb419d.
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.
This study describes the practice standards and priorities of care of cardiovascular nurses in Australia and New Zealand.
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.
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.
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.
尽管有高水平的证据来指导经皮冠状动脉介入治疗的最佳医疗护理，但对于护士提供护理的支持却缺乏明确的指导方针。
本研究描述了澳大利亚和新西兰心血管护士的实践标准和护理重点。
该调查的项目生成是通过综合文献回顾和现有临床指南来确定的。通过心血管护理专业组织的电子邮件列表，使用安全的在线数据收集系统，向心血管护士在线发放了 116 项的调查问卷。
数据收集于 2008 年 3 月至 2009 年 3 月。共有 148 名受访者尝试了该调查，其中 110 名（74.3%）完成了所有项目。所有受访者均为注册护士，在心血管环境中平均具有 12.3 年（SD，7.61）的临床经验。在经皮冠状动脉介入术后的活动时间、鞘管拔出方法、止痛和患者体位等方面，存在各种不同的实践模式。受访者一致认为心理社会护理的优先级低于其他任务，并且在这一领域也存在知识缺陷。
本调查确定了实践模式的多样性和一系列教育需求。需要增加支持循证实践和指南制定的证据，以促进高质量的护理和改善患者的预后。
