- Email: [email protected]
NP027 Supporting Cardiac Sciences Nurses Through Nursing Leadership Council
S450
months. The presentation will address patient selection, percutaneous MitraClip technique, and patient outcomes. As well any complications related to the actual procedure will be discussed. Reducing MR from a grade three or four will improve patient quality of life and prevent major complications related to traditional open heart surgery. The intention is that MitraClip procedure will reduce multiple hospital admissions related to Congestive Heart Failure.
NP026 RANDOMIZED TRIAL OF E-LEARNING VS FACE-TO-FACE EDUCATION ON PATIENT KNOWLEDGE AND TREATMENT CHOICES FOR CHOLESTEROL LOWERING INTERVENTIONS L Helden, K Morrison, A Levinson, S Ng, L Colizza McMaster Children’s Hospital, Hamilton, ON
Computer-based educational interventions may be an efficient way to improve patient knowledge, health behaviour and outcomes in children with hyperlipidemia. We studied the effectiveness and feasibility of computer-based instructional tools for teaching children and guardians in the McMaster Children’s Hospital Pediatric Lipid Clinic about dietary fibre and its health benefits, and whether it impacts on therapeutic decisions families make. Parent and youth (10 – 17 years) dyads (n⫽30) attending the clinic were randomly assigned to receive either face to face education (FACE) or receive instruction from a multimedia computer presentation (ELEARNING) on 3 treatment options: Soluble fibre supplement, supplementation with high fibre foods or usual treatment. Knowledge was assessed preintervention, immediately post and 6-12 weeks later. We also examined satisfaction with the intervention, decisional conflict, mental effort, time on task and influence of the education type on treatment choice. Knowledge test scores increased in both FACE and ELEARNING groups, with no difference between groups. Delayed posttest scores remained above baseline (p⫽0.005) and no difference between groups was seen. Participants from both groups were equally satisfied with the education intervention but the face to face education intervention took longer (60 minutes vs 30 minutes). Participants were equally divided between choosing fibre supplement vs high fibre foods with no differences between the groups. Decisional conflict was high in both groups. An e-learning educational intervention resulted in similar knowledge acquisition immediately and in delayed post-test as well as similar treatment choice, even though the e-learning intervention took half as much time.
NP027 SUPPORTING CARDIAC SCIENCES NURSES THROUGH NURSING LEADERSHIP COUNCIL C Kuttnig,1 I Nazarevich,1 L Avery,2 E Estrella-Holder,1 S Bowles2 1
St. Boniface Hospital, 2 Winnipeg Regional Health Authority,Winnipeg, MB
Canadian Journal of Cardiology Volume 28 2012
The purpose of this presentation is to describe how a Cardiac Sciences Nursing Leadership Council (CSNLC) provides a leadership role in the practice of nursing. The terms of reference for the CSNLC are to support the development and dissemination of new nursing knowledge, to provide a forum to discuss and resolve nursing practice issues and to contribute nursing expertise to decisions that effect clinical nursing care. Evidence informed nursing care and interventions are continually evolving as new research and nursing knowledge is generated. Cardiac Sciences nurses are constantly challenged to keep up to date on new nursing knowledge that may impact the care of cardiac patients and to integrate practice changes into their daily work. As well, changes and updates to existing nursing policy, procedures and evidence based tools are expected to be incorporated into relevant clinical areas within the Cardiac Sciences Program. The CSNLC facilitates the exchange of ideas and knowledge related to nursing practice and also provides a forum for nurses to contribute their nursing expertise in how to best introduce changes in diverse clinical areas. The CSNLC functions in part to ensure a nursing voice to the delivery of patient care as well as an opportunity for nurses to actively engage in new initiatives that support practice. Opportunities to liaise with internal and external stake holders facilitates a collaborative approach to advance nursing knowledge and ultimately to improve the care of cardiac patients.
NP028 WOUND CARE RESOURCE TEAM: A PILOT PROJECT R Rana, M Borzueh, L Nguyen, L Shapera St. Paul’s Hospital, Vancouver, BC
Some cardiac procedures and medications increase the risk of wounds developing, but basic nursing education does not prepare nurses to manage these, necessitating specialized wound care practitioners. However, a rise in referrals is overwhelming our wound care service, delaying initiation of definitive interventions. We are aiming to prevent or reduce complications associated with delayed treatment by providing earlier assessment and intervention. The purpose of this project was to evaluate the effectiveness of a newly-created wound care resource team (WCRT) in a cardiac setting, as measured by the number of referrals to the wound care service; staff nurses’ knowledge of basic principles of wound care; and the incidence and prevalence of pressure ulcers, pre and post implementation. This setting is two cardiac step-down units in a universityaffiliated quaternary care hospital in Vancouver, BC. The WCRT consists of six registered nurses who have received supplementary education by the hospital’s Clinical Nurse Specialist: Wound & Skin Care. Upon request, a WCRT member assesses the patient’s wound with the primary nurse and assists in the development of a treatment plan. Clinical support for carrying out the treatment plan is also offered to the primary nurse, as well as informal education on wound prevention for
months. The presentation will address patient selection, percutaneous MitraClip technique, and patient outcomes. As well any complications related to the actual procedure will be discussed. Reducing MR from a grade three or four will improve patient quality of life and prevent major complications related to traditional open heart surgery. The intention is that MitraClip procedure will reduce multiple hospital admissions related to Congestive Heart Failure.
NP026 RANDOMIZED TRIAL OF E-LEARNING VS FACE-TO-FACE EDUCATION ON PATIENT KNOWLEDGE AND TREATMENT CHOICES FOR CHOLESTEROL LOWERING INTERVENTIONS L Helden, K Morrison, A Levinson, S Ng, L Colizza McMaster Children’s Hospital, Hamilton, ON
Computer-based educational interventions may be an efficient way to improve patient knowledge, health behaviour and outcomes in children with hyperlipidemia. We studied the effectiveness and feasibility of computer-based instructional tools for teaching children and guardians in the McMaster Children’s Hospital Pediatric Lipid Clinic about dietary fibre and its health benefits, and whether it impacts on therapeutic decisions families make. Parent and youth (10 – 17 years) dyads (n⫽30) attending the clinic were randomly assigned to receive either face to face education (FACE) or receive instruction from a multimedia computer presentation (ELEARNING) on 3 treatment options: Soluble fibre supplement, supplementation with high fibre foods or usual treatment. Knowledge was assessed preintervention, immediately post and 6-12 weeks later. We also examined satisfaction with the intervention, decisional conflict, mental effort, time on task and influence of the education type on treatment choice. Knowledge test scores increased in both FACE and ELEARNING groups, with no difference between groups. Delayed posttest scores remained above baseline (p⫽0.005) and no difference between groups was seen. Participants from both groups were equally satisfied with the education intervention but the face to face education intervention took longer (60 minutes vs 30 minutes). Participants were equally divided between choosing fibre supplement vs high fibre foods with no differences between the groups. Decisional conflict was high in both groups. An e-learning educational intervention resulted in similar knowledge acquisition immediately and in delayed post-test as well as similar treatment choice, even though the e-learning intervention took half as much time.
NP027 SUPPORTING CARDIAC SCIENCES NURSES THROUGH NURSING LEADERSHIP COUNCIL C Kuttnig,1 I Nazarevich,1 L Avery,2 E Estrella-Holder,1 S Bowles2 1
St. Boniface Hospital, 2 Winnipeg Regional Health Authority,Winnipeg, MB
Canadian Journal of Cardiology Volume 28 2012
The purpose of this presentation is to describe how a Cardiac Sciences Nursing Leadership Council (CSNLC) provides a leadership role in the practice of nursing. The terms of reference for the CSNLC are to support the development and dissemination of new nursing knowledge, to provide a forum to discuss and resolve nursing practice issues and to contribute nursing expertise to decisions that effect clinical nursing care. Evidence informed nursing care and interventions are continually evolving as new research and nursing knowledge is generated. Cardiac Sciences nurses are constantly challenged to keep up to date on new nursing knowledge that may impact the care of cardiac patients and to integrate practice changes into their daily work. As well, changes and updates to existing nursing policy, procedures and evidence based tools are expected to be incorporated into relevant clinical areas within the Cardiac Sciences Program. The CSNLC facilitates the exchange of ideas and knowledge related to nursing practice and also provides a forum for nurses to contribute their nursing expertise in how to best introduce changes in diverse clinical areas. The CSNLC functions in part to ensure a nursing voice to the delivery of patient care as well as an opportunity for nurses to actively engage in new initiatives that support practice. Opportunities to liaise with internal and external stake holders facilitates a collaborative approach to advance nursing knowledge and ultimately to improve the care of cardiac patients.
NP028 WOUND CARE RESOURCE TEAM: A PILOT PROJECT R Rana, M Borzueh, L Nguyen, L Shapera St. Paul’s Hospital, Vancouver, BC
Some cardiac procedures and medications increase the risk of wounds developing, but basic nursing education does not prepare nurses to manage these, necessitating specialized wound care practitioners. However, a rise in referrals is overwhelming our wound care service, delaying initiation of definitive interventions. We are aiming to prevent or reduce complications associated with delayed treatment by providing earlier assessment and intervention. The purpose of this project was to evaluate the effectiveness of a newly-created wound care resource team (WCRT) in a cardiac setting, as measured by the number of referrals to the wound care service; staff nurses’ knowledge of basic principles of wound care; and the incidence and prevalence of pressure ulcers, pre and post implementation. This setting is two cardiac step-down units in a universityaffiliated quaternary care hospital in Vancouver, BC. The WCRT consists of six registered nurses who have received supplementary education by the hospital’s Clinical Nurse Specialist: Wound & Skin Care. Upon request, a WCRT member assesses the patient’s wound with the primary nurse and assists in the development of a treatment plan. Clinical support for carrying out the treatment plan is also offered to the primary nurse, as well as informal education on wound prevention for