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Manoj S, Moore Z, Patton D, O'Connor T, Nugent LE. The impact of a nurse‐led elective direct current cardioversion in atrial fibrillation on patient outcomes: A systematic review. J Clin Nurs 2019; 28:3374-3385. [DOI: 10.1111/jocn.14852] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2018] [Revised: 03/14/2019] [Accepted: 03/21/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Sunitha Manoj
- Coronary Care Unit Connolly Hospital Blanchardstown, Dublin Ireland
| | - Zena Moore
- Royal College of Surgeons in Ireland School of Nursing and Midwifery Dublin Ireland
| | - Declan Patton
- Royal College of Surgeons in Ireland School of Nursing and Midwifery Dublin Ireland
| | - Tom O'Connor
- Royal College of Surgeons in Ireland School of Nursing and Midwifery Dublin Ireland
| | - Linda E. Nugent
- Royal College of Surgeons in Ireland School of Nursing and Midwifery Dublin Ireland
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Rush KL, Burton L, Schaab K, Lukey A. The impact of nurse-led atrial fibrillation clinics on patient and healthcare outcomes: a systematic mixed studies review. Eur J Cardiovasc Nurs 2019; 18:526-533. [DOI: 10.1177/1474515119845198] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: Atrial fibrillation, the most common arrhythmia worldwide, continues to increase as the population ages. Patients with atrial fibrillation, particularly those newly diagnosed or who have multiple comorbidities, have high healthcare utilisation rates. Nurse-led atrial fibrillation clinics have developed to improve care and guidance for atrial fibrillation patients, with the potential to reduce hospital presentations and healthcare utilisation. Atrial fibrillation clinics that provide specialised and patient-centred care have improved patient symptom management, quality of life and reduced healthcare utilisation and costs. Aims: The aim of this study was to provide the first synthesis of evidence for the impact of nurse-led atrial fibrillation clinics on patient, healthcare utilisation, and quality of care outcomes. Methods: This systematic mixed studies review examined citations from three databases: Medline, CINAHL and Embase, using the search terms ‘atrial fibrillation’ and ‘clinic’, and related concepts. Seventeen moderate to high quality articles were selected. Results: Overall, atrial fibrillation clinics were more cost effective, had shorter wait times and reduced hospitalisation and emergency department visits. Symptoms and sinus rhythm restoration were comparable in the nurse-led compared to physician-led cardioversion clinics. Findings related to patient knowledge and patient satisfaction were mixed, while mortality rates were lower, and patient medication adherence was higher in nurse-led atrial fibrillation compared to usual care. Quality of life and guideline adherence was increased in patients receiving nurse-led atrial fibrillation care compared to usual care. Conclusion: Nurse-led clinics improved healthcare, patient and quality care outcomes. Future research might examine the role of technology in delivery of nurse-led clinics in rural/remote areas as well as patient experiences with nurse-led clinics.
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Affiliation(s)
- Kathy L Rush
- Faculty of Health and Social Development, University of British Columbia, Canada
| | - Lindsay Burton
- School of Nursing, University of British Columbia, Canada
| | - Kira Schaab
- University of Medicine and Health Sciences, St Kitts
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Jacob L. Nurse-led clinics for atrial fibrillation: managing risk factors. ACTA ACUST UNITED AC 2017; 26:1245-1248. [DOI: 10.12968/bjon.2017.26.22.1245] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Liril Jacob
- Senior Staff Nurse, Cardiac Intensive Care Unit, University Hospitals Bristol NHS Foundation Trust, Bristol, liril
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