Contemporary Issues in Coronary Care Nursing

The significant contribution that nurses can make towards improving coronary care through prevention, detection, treatment and rehabilitation has been highlighted in national strategies to reduce CHD deaths. In the health service more broadly, focus is being placed on evidence-based practice and the development of modern nursing roles. Contemporary Issues in Coronary Care Nursingtakes a truly nurse-focused and evidence-based approach to exploring topical developments in coronary care. The book integrates the findings of recent nursing research with practical aspects of the nurse's role and aims to bridge the research-practice gap. The book explores nursing theory and its application, providing examples of how conceptual models can be used in practice to improve care. It also examines the role of the nurse in risk factor management and patient education, and describes advances in nurse-led services. Contemporary Issues in Coronary Care Nursingis essential reading forcoronary care nurses, pre- and post-registration nursing students and allied health practitioners. It allows the reader to critically examine and reflect upon theories and explore their application to coronary care practice.

Fiona Timmins is a Lecturer in Nursing at Trinity College Dublin.

Acknowledgements

ix

Foreword

xi

1 Nursing theory in coronary care

1

(20)

Introduction to nursing theory

1

(3)

What is nursing theory?

4

(4)

Using nursing knowledge to inform nursing practice

8

(1)

Selection of a conceptual model of nursing for use in the coronary care unit

9

(5)

Critical appraisal of conceptual models

14

(3)

Summary and conclusions

17

(4)

2 Planning nursing care

21

(20)

Self-care deficit nursing theory in coronary care

21

(7)

Critical pathways

28

(8)

Summary and conclusions

36

(5)

3 Care plans for specific cardiac conditions

41

(26)

Introduction

41

(1)

Planning nursing care for individuals who have sustained a myocardial infarction

42

(6)

Planning nursing care for individuals who have unstable angina

48

(11)

Planning nursing care for individuals who have chronic heart failure

59

(6)

Summary and conclusions

65

(2)

4 Role of the nurse in risk factor management

67

(18)

Risk factor management in the coronary care unit

67

(1)

What are risk factors?

68

(1)

Challenges to risk factor management in the practice setting

69

(2)

A behaviour change model: transtheoretical model

71

(2)

Stages of change

73

(1)

Assessing the stage of change

74

(3)

Support and intervention - processes of change

77

(1)

Self-efficacy

78

(2)

Developing the role of the nurse in risk factor management

80

(1)

Summary and conclusions

81

(4)

5 Patient education in coronary care Introduction

85

(24)

What is patient education?

86

(1)

How adults learn

87

(2)

Assessment of learning needs

89

(5)

Emotional needs

94

(2)

Learning needs and conceptual models

96

(1)

Readiness to learn

96

(3)

Role of the nurse in patient education in coronary care

99

(4)

Summary and conclusions

103

(6)

6 Research utilisation in coronary care

109

(18)

Introduction

109

(1)

Research-based practice

109

(4)

Barriers to research utilisation in nursing

113

(4)

Future innovations

117

(3)

Overcoming resistance

120

(1)

Summary and conclusions

121

(6)

7 Nurse-led services in coronary care

127

(14)

Introduction

127

(1)

Current initiatives

128

(3)

Setting up a nurse-led service

131

(3)

Escalation of nurse-led services

134

(3)

Summary and conclusions

137

(4)

Index

141

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Contemporary Issues in Coronary Care Nursing

Summary

Author Biography

Table of Contents

Supplemental Materials