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Patients’ and practice nurses’ perceptions of secondary preventive care for established ischaemic heart disease: a qualitative study
Author(s) -
Wright F. L.,
Wiles R. A.,
Moher M.
Publication year - 2001
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/j.1365-2702.2001.00469.x
Subject(s) - medicine , ischaemic heart disease , nursing , qualitative research , disease , coronary heart disease , secondary prevention , practice nurse , family medicine , primary care , intensive care medicine , social science , sociology
• A significant proportion of patients with established ischaemic heart disease remain unrecognized in general practice and those who are receiving treatment are experiencing sub‐optimal care. • The provision of coronary prevention by practice nurses may be an important strategy to improve the quality of this care, and this is feasible and effective. • This study explored what occurred during patients’ initial assessment for secondary prevention of ischaemic heart disease with a practice nurse and investigated patients’ and practice nurses’ views of nurse‐led clinics in primary care. • Nurses were effective in history taking and offering reassurance and dietary advice, yet were less confident in discussing patients’ understandings of heart disease and related medication. • Practice nurse‐led coronary preventive care is acceptable to both nurses and patients. • Further practice nurse education is required in heart disease, cardiac medications and skills necessary for exploring and challenging patients’ understandings of these issues.