Nursing: Clinical Issue in Cardiac Care

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Table of Contents

Introduction
Discussion
Conclusion
References

Introduction

A cath lab nurse is a medical professional who works with cardiac care doctors in providing care before, during, and after the operation. As a cath lab procedure nurse, most responsibilities are observing and assisting in invasive operations such as right heart catheterization and coronary angioplasties.

Discussion

There is a demand for attention to detail, efficient communication, rationalization, and stress management. As procedures become more demanding, physically and emotionally taxing, personnel can develop stress which escalates into anxiety and burnout, causing depression and fatigue among patients. The PICOT question for this scenario is: for cath lab procedure nurses and cardiac patients (P), what is the impact of nurse-led interventions against the distress experienced before, during, and after operations (I) when aiming to reduce these adverse effects (O) as compared to not intervening (C)?

Stress management is hard for all cath lab nurses serving in an environment with an ever-increasing workload. The pressure on cardiac care settings to deliver is present due to the shortage of personnel which directly impacts patient outcomes (Gillingham et al., 2020). With burnout and distress, nurses can’t deliver quality care services (Rubin et al., 2021). It considers the possibility that cath lab procedure nurses need to learn stress-coping techniques, which could translate into better patient satisfaction rates. The evaluation of documents used follows a strategy utilizing a database search with keywords to identify relevant articles (Melnyk & Fineout-Overholt, 2018). For instance, this case utilized a systematic search on the National Library of Medicine database to identify peer-reviewed articles focused on stress in cardiac care affecting patients and nurses.

Through the National Center for Biotechnology Information (NCBI) database, a search to identify relevant literature focused on the key terms “cardiac nurses” AND “cardiac patients” AND “stress” AND “nursing interventions.” The limiters selected were peer-reviewed journal research articles published within the last five years in English. A total of 33 articles were identified. Upon title review, twenty-two were excluded related to relevance, leaving eleven articles remaining. The abstracts for the remaining articles were reviewed, and four were excluded due to relevance.

Conclusion

The remaining seven articles were examined to answer the clinical question; for cath lab procedure nurses and cardiac patients (P), what is the impact of nurse-led interventions against the distress experienced before, during, and after operations (I) when aiming to reduce these adverse effects (O) as compared to not intervening (C)?

References

Block, A., Bonaventura, K., Grahn, P., Bestgen, F., & Wippert, P. (2022). Stress management in pre- and postoperative care amongst practitioners and patients in cardiac catheterization laboratory: A study protocol.Frontiers in Cardiovascular Medicine, 9. Web.

Gillingham, I., Neubeck, L., Williams, B., & Dawkes, S. (2020). Role expansion for nurses in the cardiac catheter laboratory: Findings from a systematic scoping review.British Journal of Cardiac Nursing, 15(4), 1-14. Web.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA; Lippincott Williams & Wilkins.

Rubin, B., Goldfarb, R., Satele, D., & Graham, L. (2021). Burnout and distress among nurses in a cardiovascular centre of a Quaternary hospital network: A cross-sectional survey. CMAJ Open, 9(1), E19-E28. Web.

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Nursing: Clinical Issue in Cardiac Care

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