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Nurses' role in the acute management of patients with non-ST-segment elevation acute coronary syndromes : an integrative review.
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Tierney, Stephanie, Cook, Gary, Mamas, Mamas, Fath-Ordoubadi, Farzin, Iles-Smith, Heather and Deaton, Christi (2013) Nurses' role in the acute management of patients with non-ST-segment elevation acute coronary syndromes : an integrative review. European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 12 (3). pp. 293-301. doi:10.1177/1474515112451555
An open access version can be found in:
Official URL: http://dx.doi.org/10.1177/1474515112451555
Abstract
BACKGROUND:
People with non-ST-segment acute coronary syndrome (NSTACS) need to receive appropriate evidence-based therapies to optimise outcomes. Nurses could play an integral part in ensuring appropriate care.
AIMS:
An integrative literature review was prepared to evaluate the role nurses undertake during the acute phase in identifying, risk stratifying and managing patients with NSTACS. It also aimed to assess what role they might play in guideline adherence for this patient group.
METHODS:
Papers published between January 1990 and November 2011 were considered for inclusion. They were identified through four electronic databases. Articles were evaluated and data extracted by two reviewers.
RESULTS:
From 38 papers read in full, 10 were eligible for inclusion. One reported on a randomised controlled trial, four on qualitative projects and the rest on postal questionnaires or case-note data. Reviewed literature suggested that nurses in the acute setting perform five different roles in the care of people with NSTACS: educator, comforter, risk rater, data conduit and decision maker. Little research was found that addressed nurses' role in guideline adherence.
CONCLUSION:
Just as nurse-led or nurse-initiated thrombolysis improved care for ST-segment elevation, there is the potential for nurses to improve acute, evidence-based treatment for patients with NSTACS, especially those at higher risk. Nurses' roles in acute coronary syndrome (ACS) should include objective global risk assessment to guide early treatment decisions and incorporate the varied and rich activities identified in studies presented in the review.
| Item Type: | Journal Article | ||||||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing > Royal College of Nursing Research Institute (RCN) (- July 2017) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology | ||||||||
| Publisher: | Sage Publications Ltd. | ||||||||
| ISSN: | 1873-1953 | ||||||||
| Official Date: | June 2013 | ||||||||
| Dates: |
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| Volume: | 12 | ||||||||
| Number: | 3 | ||||||||
| Page Range: | pp. 293-301 | ||||||||
| DOI: | 10.1177/1474515112451555 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| Open Access Version: |
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