Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach

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...

Full description

Bibliographic Details
Main Authors: Rolley, John, Davidson, Patricia, Salamonson, Y., Fernandez, R., Dennison, C.
Format: Journal Article
Published: Blackwell Publishing 2009
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/21090
_version_ 1848750493490216960
author Rolley, John
Davidson, Patricia
Salamonson, Y.
Fernandez, R.
Dennison, C.
author_facet Rolley, John
Davidson, Patricia
Salamonson, Y.
Fernandez, R.
Dennison, C.
author_sort Rolley, John
building Curtin Institutional Repository
collection Online Access
description 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 plan 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 Post-percutaneous 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.
first_indexed 2025-11-14T07:37:43Z
format Journal Article
id curtin-20.500.11937-21090
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T07:37:43Z
publishDate 2009
publisher Blackwell Publishing
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-210902017-09-13T16:05:29Z Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach Rolley, John Davidson, Patricia Salamonson, Y. Fernandez, R. Dennison, C. patient-centred care nurses percutaneous coronary intervention coronary heart disease chronic illness nursing 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 plan 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 Post-percutaneous 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. 2009 Journal Article http://hdl.handle.net/20.500.11937/21090 10.1111/j.1365-2702.2008.02768.x Blackwell Publishing restricted
spellingShingle patient-centred care
nurses
percutaneous coronary intervention
coronary heart disease
chronic illness
nursing
Rolley, John
Davidson, Patricia
Salamonson, Y.
Fernandez, R.
Dennison, C.
Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach
title Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach
title_full Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach
title_fullStr Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach
title_full_unstemmed Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach
title_short Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach
title_sort review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach
topic patient-centred care
nurses
percutaneous coronary intervention
coronary heart disease
chronic illness
nursing
url http://hdl.handle.net/20.500.11937/21090