Patients' and practice nurses' perceptions of secondary preventive care for established ischaemic heart disease: a qualitative study
Patients' and practice nurses' perceptions of secondary preventive care for established ischaemic heart disease: a qualitative study
A significant proportion of patients with established ischaemic heart disease remain unrecognized in general practice and those who are receiving treatment are experiencing sub-optimal care.
The provision of coronary prevention by practice nurses may be an important strategy to improve the quality of this care, and this is feasible and effective.
This study explored what occurred during patients' initial assessment for secondary prevention of ischaemic heart disease with a practice nurse and investigated patients' and practice nurses' views of nurse-led clinics in primary care.
Nurses were effective in history taking and offering reassurance and dietary advice, yet were less confident in discussing patients' understandings of heart disease and related medication.
Practice nurse-led coronary preventive care is acceptable to both nurses and patients.
Further practice nurse education is required in heart disease, cardiac medications and skills necessary for exploring and challenging patients' understandings of these issues.
practice, care, disease
180 - 188
Wright, L.
a9768737-98f0-4adf-9744-e3155e2c8d88
Wiles, R.
5bdc597b-716c-4f60-9f45-631ecca25571
Moher, M.
e7ba82d5-d56a-4c0e-b303-fe237990888f
2001
Wright, L.
a9768737-98f0-4adf-9744-e3155e2c8d88
Wiles, R.
5bdc597b-716c-4f60-9f45-631ecca25571
Moher, M.
e7ba82d5-d56a-4c0e-b303-fe237990888f
Wright, L., Wiles, R. and Moher, M.
(2001)
Patients' and practice nurses' perceptions of secondary preventive care for established ischaemic heart disease: a qualitative study.
Journal of Clinical Nursing, 10 (2), .
(doi:10.1046/j.1365-2702.2001.00469.x).
Abstract
A significant proportion of patients with established ischaemic heart disease remain unrecognized in general practice and those who are receiving treatment are experiencing sub-optimal care.
The provision of coronary prevention by practice nurses may be an important strategy to improve the quality of this care, and this is feasible and effective.
This study explored what occurred during patients' initial assessment for secondary prevention of ischaemic heart disease with a practice nurse and investigated patients' and practice nurses' views of nurse-led clinics in primary care.
Nurses were effective in history taking and offering reassurance and dietary advice, yet were less confident in discussing patients' understandings of heart disease and related medication.
Practice nurse-led coronary preventive care is acceptable to both nurses and patients.
Further practice nurse education is required in heart disease, cardiac medications and skills necessary for exploring and challenging patients' understandings of these issues.
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Published date: 2001
Keywords:
practice, care, disease
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Local EPrints ID: 18115
URI: http://eprints.soton.ac.uk/id/eprint/18115
ISSN: 0962-1067
PURE UUID: 260fe97b-83a8-4d63-a5d2-646bae5c6f6f
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Date deposited: 27 Oct 2005
Last modified: 15 Mar 2024 06:02
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Author:
L. Wright
Author:
R. Wiles
Author:
M. Moher
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