2.50
Hdl Handle:
http://hdl.handle.net/10755/164039
Category:
Abstract
Type:
Presentation
Title:
Influencing Outcomes for Patients with Atrial Fibrillation: A CNS Role
Author(s):
McCabe, Pamela J.
Author Details:
Pamela J. McCabe, MS, RN, CNS, Mayo Clinic, Rochester, Minnesota, USA, email: nacnsorg@nacns.org
Abstract:
Problem: Atrial fibrillation (AF) is the leading cause for hospitalization for cardiac arrhythmia. At least 2.3 million people in the United States are known to have atrial fibrillation (AF). Because the risk for developing AF increases with age, the number of people with AF is predicted to more than double in 20 years. As the prevalence of AF increases, healthcare resource use is expected to increase as well. To provide quality and cost effective care to this rapidly increasing population, evidence-based guidelines were developed and published to guide management of AF. Clinical nurse specialists (CNSs) can play a critical role in the application of those evidence-based guidelines to influence positive outcomes for patients who are diagnosed with AF, but little is known about how CNSs have influenced implementation of the above guidelines. Purpose: This presentation will describe how CNSs, whose spheres of influence encompass patients, nursing personnel, and organizations, are uniquely qualified to use evidence-based guidelines to promote positive outcomes of AF management. Outcomes include, but are not limited to patient knowledge and self-management behaviors, improved rate control, effective anticoagulation, successful treatment of reversible causes of AF and a reduced rate of complications. Examples of how the CNS functioned in roles of system change agent, staff educator, mentor and direct care provider to apply evidence-based practice for patients with AF to influence achievement of targeted outcomes will be shared. Significance: AF is a pervasive condition that adversely affects morbidity, mortality, use of health care resources and quality of life. Nurses in diverse settings are challenged to respond to the multifaceted needs of the increasing number of people with AF. Evidence-based practice guidelines for this population have not been widely recognized and implemented. CNSs have a critical role in increasing awareness of such guidelines and influencing implementation of evidence-based practice guidelines for AF management. Methods: Multifaceted strategies were used to implement the recently published evidence-based guidelines for atrial fibrillation management. The CNS developed class curriculum, published, and presented nationally to increase awareness of the significance of AF and to introduce evidence-based guidelines. The CNS mentored individual staff members in the care of patients with AF, worked with a multidisciplinary team to develop and evaluate patient education materials, and case managed high risk complex patients with AF. Indicators of performance were measured. Resources available to assist CNSs to implement the evidence-based guidelines will be presented. Evaluation: The above strategies were effective for increasing staff awareness of the evidence-based practice guidelines for management of AF. Evaluation shows that practice patterns consistent with the guidelines have been adopted. Further research and evaluation to assess outcomes such as patient knowledge and self-management skills is in progress. Implications: As the number of people with AF increases, risks for adverse patient and system outcomes have the potential to threaten the well-being of patients and health care systems. It is imperative that CNSs recognize the significance of AF and use their multi-faceted skills to promote and assess adherence to evidence-based practice guidelines designed to reduce the risks of adverse outcomes of AF. Mayo Foundation 2003
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleInfluencing Outcomes for Patients with Atrial Fibrillation: A CNS Roleen_GB
dc.contributor.authorMcCabe, Pamela J.en_US
dc.author.detailsPamela J. McCabe, MS, RN, CNS, Mayo Clinic, Rochester, Minnesota, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164039-
dc.description.abstractProblem: Atrial fibrillation (AF) is the leading cause for hospitalization for cardiac arrhythmia. At least 2.3 million people in the United States are known to have atrial fibrillation (AF). Because the risk for developing AF increases with age, the number of people with AF is predicted to more than double in 20 years. As the prevalence of AF increases, healthcare resource use is expected to increase as well. To provide quality and cost effective care to this rapidly increasing population, evidence-based guidelines were developed and published to guide management of AF. Clinical nurse specialists (CNSs) can play a critical role in the application of those evidence-based guidelines to influence positive outcomes for patients who are diagnosed with AF, but little is known about how CNSs have influenced implementation of the above guidelines. Purpose: This presentation will describe how CNSs, whose spheres of influence encompass patients, nursing personnel, and organizations, are uniquely qualified to use evidence-based guidelines to promote positive outcomes of AF management. Outcomes include, but are not limited to patient knowledge and self-management behaviors, improved rate control, effective anticoagulation, successful treatment of reversible causes of AF and a reduced rate of complications. Examples of how the CNS functioned in roles of system change agent, staff educator, mentor and direct care provider to apply evidence-based practice for patients with AF to influence achievement of targeted outcomes will be shared. Significance: AF is a pervasive condition that adversely affects morbidity, mortality, use of health care resources and quality of life. Nurses in diverse settings are challenged to respond to the multifaceted needs of the increasing number of people with AF. Evidence-based practice guidelines for this population have not been widely recognized and implemented. CNSs have a critical role in increasing awareness of such guidelines and influencing implementation of evidence-based practice guidelines for AF management. Methods: Multifaceted strategies were used to implement the recently published evidence-based guidelines for atrial fibrillation management. The CNS developed class curriculum, published, and presented nationally to increase awareness of the significance of AF and to introduce evidence-based guidelines. The CNS mentored individual staff members in the care of patients with AF, worked with a multidisciplinary team to develop and evaluate patient education materials, and case managed high risk complex patients with AF. Indicators of performance were measured. Resources available to assist CNSs to implement the evidence-based guidelines will be presented. Evaluation: The above strategies were effective for increasing staff awareness of the evidence-based practice guidelines for management of AF. Evaluation shows that practice patterns consistent with the guidelines have been adopted. Further research and evaluation to assess outcomes such as patient knowledge and self-management skills is in progress. Implications: As the number of people with AF increases, risks for adverse patient and system outcomes have the potential to threaten the well-being of patients and health care systems. It is imperative that CNSs recognize the significance of AF and use their multi-faceted skills to promote and assess adherence to evidence-based practice guidelines designed to reduce the risks of adverse outcomes of AF. Mayo Foundation 2003en_GB
dc.date.available2011-10-27T11:40:51Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:40:51Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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