A study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the Cardiology Outpatient Department at CN Centre, AIIMS, New Delhi
Introduction: Nurse-led clinics are a model of care indicated where there are service gaps due to high demand or workforce shortages. Objective: The objective of this study was to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction (MI) patients by inter-rater ag...
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doaj-b0ebc6ad45034716b2a48695b54070e92020-11-25T00:20:35ZengWolters Kluwer Medknow PublicationsJournal of the Practice of Cardiovascular Sciences2395-54142454-28302018-01-014319820510.4103/jpcs.jpcs_52_18A study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the Cardiology Outpatient Department at CN Centre, AIIMS, New DelhiP UshaL GopichandranPragya PathakNeeraj ParakhS RamakrishnanSandeep SinghIntroduction: Nurse-led clinics are a model of care indicated where there are service gaps due to high demand or workforce shortages. Objective: The objective of this study was to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction (MI) patients by inter-rater agreement of selected clinical variables with cardiologist clinic and to assess the satisfaction among post-MI patients related to assessment and recommendations done in a nurse-led follow-up clinic. Materials and Methods: Quasi-experimental evaluation design – only posttest using a comparison group was used. Convenience sampling was done. From three follow-up clinics, 79 participants were included, and the interventions were post-MI patients' assessment, documentation, and recommendations, which were done in both nurse-led and cardiologist follow-up clinics using post-MI clinical pro forma. Results: The overall inter-rater agreement ranges from 87.34% to 99.8%. The kappa score obtained was found to be highly significant (P = 0.0001). 86% of patients were highly satisfied and only 14% were moderately satisfied, and the total mean score was 34.47 ± 6.15. Conclusion: The nurse-led clinic was feasible among post-MI patients after proper training of nurse.http://www.j-pcs.org/article.asp?issn=2395-5414;year=2018;volume=4;issue=3;spage=198;epage=205;aulast=UshaInter-rater agreementnurse-led follow-up clinicpatient satisfactionpostmyocardial infarction follow-upselected clinical variables |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
P Usha L Gopichandran Pragya Pathak Neeraj Parakh S Ramakrishnan Sandeep Singh |
spellingShingle |
P Usha L Gopichandran Pragya Pathak Neeraj Parakh S Ramakrishnan Sandeep Singh A study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the Cardiology Outpatient Department at CN Centre, AIIMS, New Delhi Journal of the Practice of Cardiovascular Sciences Inter-rater agreement nurse-led follow-up clinic patient satisfaction postmyocardial infarction follow-up selected clinical variables |
author_facet |
P Usha L Gopichandran Pragya Pathak Neeraj Parakh S Ramakrishnan Sandeep Singh |
author_sort |
P Usha |
title |
A study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the Cardiology Outpatient Department at CN Centre, AIIMS, New Delhi |
title_short |
A study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the Cardiology Outpatient Department at CN Centre, AIIMS, New Delhi |
title_full |
A study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the Cardiology Outpatient Department at CN Centre, AIIMS, New Delhi |
title_fullStr |
A study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the Cardiology Outpatient Department at CN Centre, AIIMS, New Delhi |
title_full_unstemmed |
A study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the Cardiology Outpatient Department at CN Centre, AIIMS, New Delhi |
title_sort |
study to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction patients attending the cardiology outpatient department at cn centre, aiims, new delhi |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of the Practice of Cardiovascular Sciences |
issn |
2395-5414 2454-2830 |
publishDate |
2018-01-01 |
description |
Introduction: Nurse-led clinics are a model of care indicated where there are service gaps due to high demand or workforce shortages. Objective: The objective of this study was to evaluate the feasibility of a nurse-led follow-up clinic among postmyocardial infarction (MI) patients by inter-rater agreement of selected clinical variables with cardiologist clinic and to assess the satisfaction among post-MI patients related to assessment and recommendations done in a nurse-led follow-up clinic. Materials and Methods: Quasi-experimental evaluation design – only posttest using a comparison group was used. Convenience sampling was done. From three follow-up clinics, 79 participants were included, and the interventions were post-MI patients' assessment, documentation, and recommendations, which were done in both nurse-led and cardiologist follow-up clinics using post-MI clinical pro forma. Results: The overall inter-rater agreement ranges from 87.34% to 99.8%. The kappa score obtained was found to be highly significant (P = 0.0001). 86% of patients were highly satisfied and only 14% were moderately satisfied, and the total mean score was 34.47 ± 6.15. Conclusion: The nurse-led clinic was feasible among post-MI patients after proper training of nurse. |
topic |
Inter-rater agreement nurse-led follow-up clinic patient satisfaction postmyocardial infarction follow-up selected clinical variables |
url |
http://www.j-pcs.org/article.asp?issn=2395-5414;year=2018;volume=4;issue=3;spage=198;epage=205;aulast=Usha |
work_keys_str_mv |
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