Premium
The impact of a nurse‐led elective direct current cardioversion in atrial fibrillation on patient outcomes: A systematic review
Author(s) -
Manoj Sunitha,
Moore Zena,
Patton Declan,
O'Connor Tom,
Nugent Linda E.
Publication year - 2019
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/jocn.14852
Subject(s) - cinahl , checklist , cochrane library , medicine , nursing , medline , health care , systematic review , psychology , psychological intervention , randomized controlled trial , surgery , political science , law , economics , cognitive psychology , economic growth
Aims and objectives To examine and present the success rate in relation to nurse‐led elective DCCV service in AF patients. Background As the incidence of AF increases healthcare settings will continue to face challenges in providing appropriate timely intervention. The provision of DCCV has primarily been medical‐led. Due to the increasing requirement of hospital beds, cost restriction and medical team stress the roles of nurse specialists have been driven to include elective DCCV. Design A systematic review with a narrative synthesis was undertaken. Methods The databases searched include the following: The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Embase, Clinical Key, Web of Science, Cochrane Library and HSE library website. A total of 187 articles were identified, and seven studies were included for synthesis. The EBL checklist was used to assess validity. The PRISMA checklist was used for transparency. Results The results of this review show an acceptable complication rate, no negative patient outcomes and a high rhythm conversion success rate. A disparity was identified due to the lack of distinction between registered nurse (RGN), advanced nurse practitioner (ANP), advanced practice provider (APP) and nurse practitioner (NP) roles. These results support the belief that a highly skilled nurse in this specific background working in a supportive organisational framework can make a valuable contribution to such practices. Conclusion A structured nurse‐led elective DCCV service appears safe, effective and has a high success rate in restoration to sinus rhythm in AF. However, the need for further research in order to advance knowledge and support changes in nurse‐led DCCV practice is evident. Relevance to clinical practice This review demonstrates that a nurse‐led elective DCCV service appears safe and successful in restoring sinus rhythm. It has promising potential effects in terms of waiting time, cost saving and achieving patient satisfaction.