Nurse-led clinics as an effective service for cardiac patients: Results from a systematic review

Journal article

Schadewaldt, Verena and Schultz, T.. (2011). Nurse-led clinics as an effective service for cardiac patients: Results from a systematic review. International Journal of Evidence-Based Healthcare. 9(3), pp. 199 - 214. https://doi.org/10.1111/j.1744-1609.2011.00217.x
AuthorsSchadewaldt, Verena and Schultz, T.
Abstract

AIM: The article summarises results of a systematic review on the effectiveness of nurse-led clinics for patients with coronary heart disease. The objective was to present the best available evidence related to effective interventions in nurse-led cardiac clinics including patient education, risk factor assessment and continuity of care.

METHODS: Following the principles of the Cochrane Collaboration for systematic reviews on effectiveness, this is an update to a previously published review. Thirty databases, relevant journals and hand searching of reference lists were the basis for a comprehensive literature search for the period September 2002 to March 2008. Assessment of methodological quality, data extraction and synthesis was undertaken using a systematic review management tool (JBI-SUMARI). When possible, data was pooled in a meta-analysis.

RESULTS: The systematic review is based on seven randomised controlled trials. Inconsistencies of interventions executed in nurse-led clinics and various effects on the outcomes make a comparison difficult. The major nurse-led intervention applied in the clinics consisted of health education, counselling behaviour change and promotion of a healthy lifestyle. There were no harmful effects on patients with coronary heart disease identified when exposed to a nurse-led clinic. A few risk factors were significantly reduced in the short term by attending nurse-led clinics, but long-term changes were less apparent. The success of modifying behaviour such as smoking cessation and diet adherence was limited. However, nurse-led clinics may positively influence perceived quality of life and general health status.

CONCLUSION: The results indicated that care was equivalent to non-nurse-managed clinics, and there was no greater risk of poorer outcomes in the nurse-led clinics. The effectiveness of clinics might be dependent on the intensity of the nursing support. Before establishing a nurse-led clinic appropriate qualification and responsibilities, as well as the particular structure of the healthcare system and funding possibilities have to be considered. The combination of counselling and regular assessment of risk factors and health status delivered at nurse-led clinics is supported by the available research, and given that outcomes were in general equivalent between nurse-led and other clinics, further research should investigate the cost-effectiveness of the different models of care.

Year2011
JournalInternational Journal of Evidence-Based Healthcare
Journal citation9 (3), pp. 199 - 214
ISSN1744-1595
Digital Object Identifier (DOI)https://doi.org/10.1111/j.1744-1609.2011.00217.x
Scopus EID2-s2.0-84855176772
Web address (URL)https://journals.lww.com/ijebh/Fulltext/2011/09000/Nurse_led_clinics_as_an_effective_service_for.2.aspx
Page range199 - 214
Research GroupSchool of Nursing, Midwifery and Paramedicine
Permalink -

https://acuresearchbank.acu.edu.au/item/8v001/nurse-led-clinics-as-an-effective-service-for-cardiac-patients-results-from-a-systematic-review

Log in to edit
  • 147
    total views
  • 0
    total downloads
  • 3
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Measuring organizational context in Australian emergency departments and its impact on stroke care and patient outcomes
Schadewaldt, Verena, McElduff, Benjamin, D'Este, Catherine, McInnes, Elizabeth, Dale, Simeon, Fasugba, Oyebola, Cadilhac, Dominique A., Considine, Julie, Grimshaw, Jeremy M., Cheung, N. Wah, Levi, Chris, Gerraty, Richard, Fitzgerald, Mark and Middleton, Sandy. (2021). Measuring organizational context in Australian emergency departments and its impact on stroke care and patient outcomes. Nursing Outlook. 69(1), pp. 103-115. https://doi.org/10.1016/j.outlook.2020.08.009
Process evaluation of an implementation trial to improve the triage, treatment and transfer of stroke patients in emergency departments (T3 trial) : A qualitative study
McInnes, Elizabeth, Dale, Simeon, Craig, Louise, Phillips, Rosemary, Fasugba, Oyebola, Schadewaldt, Verena, Cheung, N. Wah, Cadilhac, Dominique A., Grimshaw, Jeremy M., Levi, Chris, Considine, Julie, McElduff, Patrick, Gerraty, Richard, Fitzgerald, Mark, Ward, Jeanette, D’Este, Catherine and Middleton, Sandy. (2020). Process evaluation of an implementation trial to improve the triage, treatment and transfer of stroke patients in emergency departments (T3 trial) : A qualitative study. Implementation Science. 15(1), p. Article 99. https://doi.org/10.1186/s13012-020-01057-0
Nurse-initiated acute stroke care in emergency departments : The triage, treatment, and transfer implementation cluster randomized controlled trial
Middleton, Sandy, Dale, Simeon, Cheung, N. Wah, Cadilhac, Dominique A., Grimshaw, Jeremy M., Levi, Chris, McInnes, Elizabeth, Considine, Julie, McElduff, Patrick, Gerraty, Richard, Craig, Louise Eisten, Schadewaldt, Verena, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark, Ward, Jeanette and D'Este, Catherine. (2019). Nurse-initiated acute stroke care in emergency departments : The triage, treatment, and transfer implementation cluster randomized controlled trial. Stroke. 50(6), pp. 1346-1355. https://doi.org/10.1161/STROKEAHA.118.020701
Validating the Alberta Context Tool in a multi-site Australian emergency department nurse population
Schadewaldt, Verena, McElduff, Benjamin, D'Este, Catherine, McInnes, Elizabeth, Dale, Simeon, Gunaratne, Anoja, Squires, Janet, Cadilhac, Dominique A. and Middleton, Sandy. (2019). Validating the Alberta Context Tool in a multi-site Australian emergency department nurse population. PLoS ONE. 14(4), p. Article e0215153. https://doi.org/10.1371/journal.pone.0215153
Experiences of nurse practitioners and medical practitioners working in collaborative practice models in primary healthcare in Australia: A multiple case study using mixed methods
Schadewaldt, Verena I., McInnes, Elizabeth C., Hiller, Janet E. and Gardner, Pamela Anne. (2016). Experiences of nurse practitioners and medical practitioners working in collaborative practice models in primary healthcare in Australia: A multiple case study using mixed methods. BMC Family Practice. 17(99), pp. 1 - 16. https://doi.org/10.1186/s12875-016-0503-2
Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial) : A cluster randomised trial protocol
Middleton, Sandy, Levi, Chris, Dale, Simeon, Chung, N. Wah, McInnes, Elizabeth, Considine, Julie, D'Este, Catherine, Cadilhac, Dominique A., Grimshaw, Jeremy, Gerraty, Richard, Craig, Louise, Schadewaldt, Verena, McElduff, Patrick, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark and Ward, Jeanette. (2016). Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial) : A cluster randomised trial protocol. Implementation Science. 11, p. Article 139. https://doi.org/10.1186/s13012-016-0503-6
Characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A multiple case study using mixed methods
Schadewaldt, Verena. (2015). Characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A multiple case study using mixed methods [Thesis]. https://doi.org/10.4226/66/5a9cbcdab0b97
Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A mixed methods multiple case study protocol
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne. (2014). Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A mixed methods multiple case study protocol. Journal of Advanced Nursing. 70(5), pp. 1184 - 1193. https://doi.org/10.1111/jan.12269
The effectiveness of non-pharmacological interventions in improving psychological outcomes for heart transplant recipients : A systematic review
Conway, Aaron, Schadewaldt, Verena, Clark, Robyn, Ski, Chantal, Thompson, David, Kynoch, Kate and Doering, Lynn. (2014). The effectiveness of non-pharmacological interventions in improving psychological outcomes for heart transplant recipients : A systematic review. European Journal of Cardiovascular Nursing. 13(2), pp. 108 - 115. https://doi.org/10.1177/1474515113519519
The effectiveness of non-pharmacological interventions in improving psychological outcomes for heart transplant recipients : a systematic review protocol
Conway, Aaron, Schadewaldt, Verena, Clark, Robyn, Ski, Chantal, Thompson, David, Kynoch, Kate and Doering, Lynn. (2013). The effectiveness of non-pharmacological interventions in improving psychological outcomes for heart transplant recipients : a systematic review protocol. The JBI Database of Systematic Reviews and Implementation Reports. https://doi.org/10.11124/01938924-201311030-00007
Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne. (2013). Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review. BMC Family Practice. 14(132), pp. 1 - 11. https://doi.org/10.1186/1471-2296-14-132
The psychological experiences of adult heart transplant recipients : A systematic review and meta-summary of qualitative findings
Conway, Aaron, Schadewaldt, Verena, Clark, Robyn, Ski, Chantal, Thompson, David and Doering, Lynn. (2013). The psychological experiences of adult heart transplant recipients : A systematic review and meta-summary of qualitative findings. Heart & Lung: the journal of acute and critical care. https://doi.org/10.1016/j.hrtlng.2013.08.003
Die Vorhersage postoperativer Schmerzen - ein Nutzen für das perioperative Schmerzmanagement?
Schadewaldt, Verena and Nielsen, G. H.. (2011). Die Vorhersage postoperativer Schmerzen - ein Nutzen für das perioperative Schmerzmanagement? Pflege (print version). 24(2), pp. 125 - 136. https://doi.org/10.1024/1012-5302/a000107
A systematic review on the effectiveness of nurse-led cardiac clinics for adult patients with coronary heart disease
Schadewaldt, Verena and Schultz, Tim. (2010). A systematic review on the effectiveness of nurse-led cardiac clinics for adult patients with coronary heart disease. The JBI Database of Systematic Reviews and Implementation Reports. 8(2), pp. 53 - 89.
Mangel und Verbesserungsmoglichkeiten in der pflegerischen Versorgung : Die postoperative Schmerztherapie beginnt praoperativ. (Shortcomings and possible improvements in nursing care: postoperative pain therapy begins preoperatively)
Schadewaldt, Verena. (2010). Mangel und Verbesserungsmoglichkeiten in der pflegerischen Versorgung : Die postoperative Schmerztherapie beginnt praoperativ. (Shortcomings and possible improvements in nursing care: postoperative pain therapy begins preoperatively). Pflege Zeitschrift. 63(8), pp. 468 - 471.
Application of the verena tschudin decision model: Ethical- moral decisions [das entscheidungsfindungsmodell von verena tschudin in der anwendung: Ethisch-moralische entscheidungen.]
Schadewaldt, Verena. (2009). Application of the verena tschudin decision model: Ethical- moral decisions [das entscheidungsfindungsmodell von verena tschudin in der anwendung: Ethisch-moralische entscheidungen.]. Pflege Zeitschrift. 62(9), pp. 522 - 525.