Review of nursing care for patients undergoing percutaneous coronary intervention

A patient journey approach

John X. Rolley, Patricia M. Davidson, Yenna Salamonson, Ritin Fernandez, Cheryl R. Dennison

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Aim. To evaluate the existing literature to inform nursing management of people undergoing percutaneous coronary intervention. Background. Percutaneous coronary intervention is an increasingly important revascularisation strategy in coronary heart disease management and can be an emergent, planned or rescue procedure. Nurses play a critical role in delivering care in both the independent and collaborative contexts of percutaneous coronary intervention management. Design. Systematic review. Method. The method of an integrative literature review, using the conceptual framework of the patient journey, was used to describe existing evidence and to determine important areas for future research. The electronic data bases CINAHL, Medline, Cochrane and the Joanna Briggs data bases were searched using terms including: (angioplasty, transulminal, percutaneous coronary), nursing care, postprocedure complications (haemorrhage, ecchymosis, haematoma), rehabilitation, emergency medical services (transportation of patients, triage). Results. Despite the frequency of the procedure, there are limited data to inform nursing care for people undergoing percutaneous coronary intervention. Currently, there are no widely accessible nursing practice guidelines focusing on the nursing management in percutaneous coronary intervention. Findings of the review were summarised under the headings: Symptom recognition; Treatment decision; Peri-percutaneous coronary intervention care, describing the acute management and Postpercutaneous coronary intervention management identifying the discharge planning and secondary prevention phase. Conclusions. Cardiovascular nurses need to engage in developing evidence to support guideline development. Developing consensus on nurse sensitive patient outcome indicators may enable benchmarking strategies and inform clinical trial design. Relevance to clinical practice. To improve the care given to individuals undergoing percutaneous coronary intervention, it is important to base practice on high-level evidence. Where this is lacking, clinicians need to arrive at a consensus as to appropriate standards of practice while also engaging in developing evidence. This must be considered, however, from the central perspective of the patient and their family.

Original languageEnglish
Pages (from-to)2394-2405
Number of pages12
JournalJournal of Clinical Nursing
Volume18
Issue number17
DOIs
Publication statusPublished - Sep 2009
Externally publishedYes

Fingerprint

Percutaneous Coronary Intervention
Nursing Care
Nursing
Nurses
Consensus
Cardiovascular Nursing
Transportation of Patients
Databases
Ecchymosis
Benchmarking
Patient Discharge
Triage
Emergency Medical Services
Disease Management
Secondary Prevention
Angioplasty
Practice Guidelines
Hematoma
Coronary Disease
Rehabilitation

Cite this

Rolley, John X. ; Davidson, Patricia M. ; Salamonson, Yenna ; Fernandez, Ritin ; Dennison, Cheryl R. / Review of nursing care for patients undergoing percutaneous coronary intervention : A patient journey approach. In: Journal of Clinical Nursing. 2009 ; Vol. 18, No. 17. pp. 2394-2405.
@article{6262b4214a394484810c2a04cb933f44,
title = "Review of nursing care for patients undergoing percutaneous coronary intervention: A patient journey approach",
abstract = "Aim. To evaluate the existing literature to inform nursing management of people undergoing percutaneous coronary intervention. Background. Percutaneous coronary intervention is an increasingly important revascularisation strategy in coronary heart disease management and can be an emergent, planned or rescue procedure. Nurses play a critical role in delivering care in both the independent and collaborative contexts of percutaneous coronary intervention management. Design. Systematic review. Method. The method of an integrative literature review, using the conceptual framework of the patient journey, was used to describe existing evidence and to determine important areas for future research. The electronic data bases CINAHL, Medline, Cochrane and the Joanna Briggs data bases were searched using terms including: (angioplasty, transulminal, percutaneous coronary), nursing care, postprocedure complications (haemorrhage, ecchymosis, haematoma), rehabilitation, emergency medical services (transportation of patients, triage). Results. Despite the frequency of the procedure, there are limited data to inform nursing care for people undergoing percutaneous coronary intervention. Currently, there are no widely accessible nursing practice guidelines focusing on the nursing management in percutaneous coronary intervention. Findings of the review were summarised under the headings: Symptom recognition; Treatment decision; Peri-percutaneous coronary intervention care, describing the acute management and Postpercutaneous coronary intervention management identifying the discharge planning and secondary prevention phase. Conclusions. Cardiovascular nurses need to engage in developing evidence to support guideline development. Developing consensus on nurse sensitive patient outcome indicators may enable benchmarking strategies and inform clinical trial design. Relevance to clinical practice. To improve the care given to individuals undergoing percutaneous coronary intervention, it is important to base practice on high-level evidence. Where this is lacking, clinicians need to arrive at a consensus as to appropriate standards of practice while also engaging in developing evidence. This must be considered, however, from the central perspective of the patient and their family.",
keywords = "Chronic illness, Coronary heart disease, Nurses, Nursing, Patient-centred care, Percutaneous coronary intervention",
author = "Rolley, {John X.} and Davidson, {Patricia M.} and Yenna Salamonson and Ritin Fernandez and Dennison, {Cheryl R.}",
year = "2009",
month = "9",
doi = "10.1111/j.1365-2702.2008.02768.x",
language = "English",
volume = "18",
pages = "2394--2405",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",
number = "17",

}

Review of nursing care for patients undergoing percutaneous coronary intervention : A patient journey approach. / Rolley, John X.; Davidson, Patricia M.; Salamonson, Yenna; Fernandez, Ritin; Dennison, Cheryl R.

In: Journal of Clinical Nursing, Vol. 18, No. 17, 09.2009, p. 2394-2405.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Review of nursing care for patients undergoing percutaneous coronary intervention

T2 - A patient journey approach

AU - Rolley, John X.

AU - Davidson, Patricia M.

AU - Salamonson, Yenna

AU - Fernandez, Ritin

AU - Dennison, Cheryl R.

PY - 2009/9

Y1 - 2009/9

N2 - Aim. To evaluate the existing literature to inform nursing management of people undergoing percutaneous coronary intervention. Background. Percutaneous coronary intervention is an increasingly important revascularisation strategy in coronary heart disease management and can be an emergent, planned or rescue procedure. Nurses play a critical role in delivering care in both the independent and collaborative contexts of percutaneous coronary intervention management. Design. Systematic review. Method. The method of an integrative literature review, using the conceptual framework of the patient journey, was used to describe existing evidence and to determine important areas for future research. The electronic data bases CINAHL, Medline, Cochrane and the Joanna Briggs data bases were searched using terms including: (angioplasty, transulminal, percutaneous coronary), nursing care, postprocedure complications (haemorrhage, ecchymosis, haematoma), rehabilitation, emergency medical services (transportation of patients, triage). Results. Despite the frequency of the procedure, there are limited data to inform nursing care for people undergoing percutaneous coronary intervention. Currently, there are no widely accessible nursing practice guidelines focusing on the nursing management in percutaneous coronary intervention. Findings of the review were summarised under the headings: Symptom recognition; Treatment decision; Peri-percutaneous coronary intervention care, describing the acute management and Postpercutaneous coronary intervention management identifying the discharge planning and secondary prevention phase. Conclusions. Cardiovascular nurses need to engage in developing evidence to support guideline development. Developing consensus on nurse sensitive patient outcome indicators may enable benchmarking strategies and inform clinical trial design. Relevance to clinical practice. To improve the care given to individuals undergoing percutaneous coronary intervention, it is important to base practice on high-level evidence. Where this is lacking, clinicians need to arrive at a consensus as to appropriate standards of practice while also engaging in developing evidence. This must be considered, however, from the central perspective of the patient and their family.

AB - Aim. To evaluate the existing literature to inform nursing management of people undergoing percutaneous coronary intervention. Background. Percutaneous coronary intervention is an increasingly important revascularisation strategy in coronary heart disease management and can be an emergent, planned or rescue procedure. Nurses play a critical role in delivering care in both the independent and collaborative contexts of percutaneous coronary intervention management. Design. Systematic review. Method. The method of an integrative literature review, using the conceptual framework of the patient journey, was used to describe existing evidence and to determine important areas for future research. The electronic data bases CINAHL, Medline, Cochrane and the Joanna Briggs data bases were searched using terms including: (angioplasty, transulminal, percutaneous coronary), nursing care, postprocedure complications (haemorrhage, ecchymosis, haematoma), rehabilitation, emergency medical services (transportation of patients, triage). Results. Despite the frequency of the procedure, there are limited data to inform nursing care for people undergoing percutaneous coronary intervention. Currently, there are no widely accessible nursing practice guidelines focusing on the nursing management in percutaneous coronary intervention. Findings of the review were summarised under the headings: Symptom recognition; Treatment decision; Peri-percutaneous coronary intervention care, describing the acute management and Postpercutaneous coronary intervention management identifying the discharge planning and secondary prevention phase. Conclusions. Cardiovascular nurses need to engage in developing evidence to support guideline development. Developing consensus on nurse sensitive patient outcome indicators may enable benchmarking strategies and inform clinical trial design. Relevance to clinical practice. To improve the care given to individuals undergoing percutaneous coronary intervention, it is important to base practice on high-level evidence. Where this is lacking, clinicians need to arrive at a consensus as to appropriate standards of practice while also engaging in developing evidence. This must be considered, however, from the central perspective of the patient and their family.

KW - Chronic illness

KW - Coronary heart disease

KW - Nurses

KW - Nursing

KW - Patient-centred care

KW - Percutaneous coronary intervention

UR - http://www.scopus.com/inward/record.url?scp=68749083521&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2702.2008.02768.x

DO - 10.1111/j.1365-2702.2008.02768.x

M3 - Article

VL - 18

SP - 2394

EP - 2405

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 17

ER -