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THE ROLE OF REGISTERED NURSES AND NURSE PRACTITIONER’S WITHIN HEART FAILURE CLINIC TEAMS IN ONTARIO
Abstracts
and considerations for care of post-operative cardiac surgery patients receiving direct oral anticoagulants and anti-platelets will be highlighted. Case studies will be integrated to optimize best nursing practice. N029 THE ROLE OF REGISTERED NURSES AND NURSE PRACTITIONER’S WITHIN HEART FAILURE CLINIC TEAMS IN ONTARIO S Hinton,1 V Boscart,2 R McKelvie,3 K Harkness,4 G Heckman1 1
University of Waterloo, Waterloo, ON
2
Conestoga College, Kitchener, ON
3
McMaster University, Hamilton, ON
4
Cardiac Care Network of Ontario, Toronto, ON
A non-standardized approach to heart failure (HF) management contributes to suboptimal and fragmented patient care that often results in increasing healthcare system costs. The Cardiac Care Network of Ontario (CCN) proposed an integrated patient-centred system to manage HF. In order for this system to work efficiency, roles and responsibilities of the health care professional (HCP) team members need to be clearly defined. Four focus groups were conducted with HF teams across Ontario in order to provide insight into the involvement of these different HCP team members. The purpose of this presentation is provide an overview of the role of the registered nurses (RN) and nurse practitioners (NP) in the HF clinics. A total of three RN’s and five NP’s participated in the focus groups from two HF hospital-based HF clinics and two primary care based HF clinics. The focus groups were transcribed verbatim and coded by two research assistants using a hierarchy coding system. Three key findings emerged: (1) The role of the RN and NP is instrumental to the consistent management and care of HF patients; (2) NP’s have a large leadership capacity within the HF care team setting; (3) HF clinic teams operate without a hierarchy of clinical roles. The adoption of the these principle roles and responsibilities within HF clinic teams in Ontario will provide teams with the ability to offer high quality and consistent care that will serve as a fundamental piece for developing a cohesive provincial strategy for the management of HF care in Ontario. N030 OBESITY AND NURSING PREJUDICE: AN EXPLORATION OF THE ISSUES C Lazarenko, K Then University of Calgary, Calgary, AB
In Canada, the prevalence of obesity is18.3% in the adult population (Twells, Gregory, Reddigan & Midodzi, 2014). This is an increase of 12.2% since 1985. Individuals who are obese have a higher risk for dyslipidemia, hypertension, diabetes and heart disease and stroke. Weight bias is strongly influenced by society and the media and these biases also often
S323
exist in healthcare. These biases often lead to negative attitudes and discrimination towards the obese patient. Nurses can subconsciously associate a specific weight or BMI of a patient with a perceived increase in their own workload. Personal beliefs towards certain diseases or patient conditions also influence nurses’ stigmas towards these populations and affect the care provided. The objective of this presentation will be to examine nurses’ potential prejudice towards the obese patient. Biases and prejudgment by nurses can negatively affect both other HCPs and the patients themselves. Nurses may have presumptive beliefs regarding motivation, psychosocial needs, and patients overall value. Understanding the perspective of nurses caring for obese patients will help in the development of education and stigma sensitivity training. Culture is shaped by beliefs and values that society learns and shares and these beliefs and values are often perpetuated within the health care system. The purpose of this presentation is to examine six themes: Risk factors for cardiac disease; nursing perspective: attitudes and beliefs about obesity; barriers found within the healthcare system; obesity and its correlation to health status; culture/gender roles and the impact on obesity; and media/societal influences. In addition, stigma sensitivity and management of the obese cardiovascular patient will be discussed. Cardiovascular nurses play a valuable role in modeling and promoting health and this can only be done once we acknowledge and deal with our own biases and prejudices.
N031 A MULTI-DISCIPLINARY APPROACH TO THE DEVELOPMENT AND IMPLEMENTATION OF BEST PRACTICES FOR THE MANAGEMENT OF CARDIAC ARREST PATIENTS: INCREASING THE ‘CHAIN OF SURVIVAL’ B Quinlan, C Cooper, K Murfitt, A Charlebois The University of Ottawa Heart Institute, Ottawa, ON
Out-of hospital cardiac arrests (OOHCA) are affecting 40,000 Canadians annually, with seven percent surviving to discharge, this number increasing dramatically with improvements to access of emergency care technology. The most common cause of cardiac arrest is Coronary Artery Disease, however for the patient and family the most significant long term problem related to the event is often the cognitive or neurological complications, not the coronary disease. Patients who have survived but have been left with cognitive impairments due to anoxic brain injury should be offered early identification and initiation of rehabilitation needs during their cardiac admission to mitigate the impact of these deficits, preventing disability and improving functional outcomes. At least half of all OOHCA survivors experience secondary anoxic brain injury requires some degree of rehabilitation. Unfortunately, most cardiac arrest survivors do not receive specialized rehabilitation during their acute hospitalization
and considerations for care of post-operative cardiac surgery patients receiving direct oral anticoagulants and anti-platelets will be highlighted. Case studies will be integrated to optimize best nursing practice. N029 THE ROLE OF REGISTERED NURSES AND NURSE PRACTITIONER’S WITHIN HEART FAILURE CLINIC TEAMS IN ONTARIO S Hinton,1 V Boscart,2 R McKelvie,3 K Harkness,4 G Heckman1 1
University of Waterloo, Waterloo, ON
2
Conestoga College, Kitchener, ON
3
McMaster University, Hamilton, ON
4
Cardiac Care Network of Ontario, Toronto, ON
A non-standardized approach to heart failure (HF) management contributes to suboptimal and fragmented patient care that often results in increasing healthcare system costs. The Cardiac Care Network of Ontario (CCN) proposed an integrated patient-centred system to manage HF. In order for this system to work efficiency, roles and responsibilities of the health care professional (HCP) team members need to be clearly defined. Four focus groups were conducted with HF teams across Ontario in order to provide insight into the involvement of these different HCP team members. The purpose of this presentation is provide an overview of the role of the registered nurses (RN) and nurse practitioners (NP) in the HF clinics. A total of three RN’s and five NP’s participated in the focus groups from two HF hospital-based HF clinics and two primary care based HF clinics. The focus groups were transcribed verbatim and coded by two research assistants using a hierarchy coding system. Three key findings emerged: (1) The role of the RN and NP is instrumental to the consistent management and care of HF patients; (2) NP’s have a large leadership capacity within the HF care team setting; (3) HF clinic teams operate without a hierarchy of clinical roles. The adoption of the these principle roles and responsibilities within HF clinic teams in Ontario will provide teams with the ability to offer high quality and consistent care that will serve as a fundamental piece for developing a cohesive provincial strategy for the management of HF care in Ontario. N030 OBESITY AND NURSING PREJUDICE: AN EXPLORATION OF THE ISSUES C Lazarenko, K Then University of Calgary, Calgary, AB
In Canada, the prevalence of obesity is18.3% in the adult population (Twells, Gregory, Reddigan & Midodzi, 2014). This is an increase of 12.2% since 1985. Individuals who are obese have a higher risk for dyslipidemia, hypertension, diabetes and heart disease and stroke. Weight bias is strongly influenced by society and the media and these biases also often
S323
exist in healthcare. These biases often lead to negative attitudes and discrimination towards the obese patient. Nurses can subconsciously associate a specific weight or BMI of a patient with a perceived increase in their own workload. Personal beliefs towards certain diseases or patient conditions also influence nurses’ stigmas towards these populations and affect the care provided. The objective of this presentation will be to examine nurses’ potential prejudice towards the obese patient. Biases and prejudgment by nurses can negatively affect both other HCPs and the patients themselves. Nurses may have presumptive beliefs regarding motivation, psychosocial needs, and patients overall value. Understanding the perspective of nurses caring for obese patients will help in the development of education and stigma sensitivity training. Culture is shaped by beliefs and values that society learns and shares and these beliefs and values are often perpetuated within the health care system. The purpose of this presentation is to examine six themes: Risk factors for cardiac disease; nursing perspective: attitudes and beliefs about obesity; barriers found within the healthcare system; obesity and its correlation to health status; culture/gender roles and the impact on obesity; and media/societal influences. In addition, stigma sensitivity and management of the obese cardiovascular patient will be discussed. Cardiovascular nurses play a valuable role in modeling and promoting health and this can only be done once we acknowledge and deal with our own biases and prejudices.
N031 A MULTI-DISCIPLINARY APPROACH TO THE DEVELOPMENT AND IMPLEMENTATION OF BEST PRACTICES FOR THE MANAGEMENT OF CARDIAC ARREST PATIENTS: INCREASING THE ‘CHAIN OF SURVIVAL’ B Quinlan, C Cooper, K Murfitt, A Charlebois The University of Ottawa Heart Institute, Ottawa, ON
Out-of hospital cardiac arrests (OOHCA) are affecting 40,000 Canadians annually, with seven percent surviving to discharge, this number increasing dramatically with improvements to access of emergency care technology. The most common cause of cardiac arrest is Coronary Artery Disease, however for the patient and family the most significant long term problem related to the event is often the cognitive or neurological complications, not the coronary disease. Patients who have survived but have been left with cognitive impairments due to anoxic brain injury should be offered early identification and initiation of rehabilitation needs during their cardiac admission to mitigate the impact of these deficits, preventing disability and improving functional outcomes. At least half of all OOHCA survivors experience secondary anoxic brain injury requires some degree of rehabilitation. Unfortunately, most cardiac arrest survivors do not receive specialized rehabilitation during their acute hospitalization