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O'Shea MC, Barrett C, Corones-Watkins K, Foo J, Maloney S, Bauer J, Palermo C, Kellett U, Williams LT. Dietetics student contribution to addressing malnutrition in residential aged care facilities. Nutr Diet 2024. [PMID: 38409632 DOI: 10.1111/1747-0080.12864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 11/17/2023] [Accepted: 12/30/2023] [Indexed: 02/28/2024]
Abstract
AIMS To test a model of malnutrition screening and assessment conducted by dietetics students on placement in residential aged care facilities. The secondary aim was to identify possible facilitators and barriers to the implementation of the model. METHOD The type 1 hybrid effectiveness-implementation trial study design and reporting outcomes were developed using the Consolidated Framework for Implementation Research. An innovative placement model was developed, where students on voluntary placement visited three residential aged care facilities to identify residents at risk of malnutrition using currently available screening tools for older people. Students completed malnutrition assessments for all residents using the subjective global assessment tool. RESULTS Thirty-two students participated; 31 completed all three sessions, with malnutrition screening completed for 207 residents and malnutrition assessment for 187 residents (July and September 2022). Based on the subjective global assessment, 31% (n = 57) of residents were mildly/moderately malnourished, and 3% (n = 5) were severely malnourished. The Innovation Domain of the Framework was the most important consideration before implementation. CONCLUSION Whilst previous research documented student learning opportunities in residential aged care facilities, this study provides the first available evidence of the direct contribution students can make to the health of aged care residents through malnutrition screening and assessment. The model enables students to conduct malnutrition screening and assessment feasibly and efficiently in facilities that do not routinely collate and act on these data. With a limited nursing aged care workforce to undertake this vital task, the potential role of student dietitians to fulfil this role must be considered.
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Affiliation(s)
- Marie-Claire O'Shea
- School of Health Sciences and Social Work, Griffith University, Southport, Queensland, Australia
- Menzies Health Institute Queensland, Griffith University, Southport, Queensland, Australia
| | - Clare Barrett
- School of Health Sciences and Social Work, Griffith University, Southport, Queensland, Australia
| | | | - Jonathan Foo
- School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia
| | - Stephen Maloney
- School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia
| | - Judy Bauer
- School of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia
| | - Claire Palermo
- School of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia
| | - Ursula Kellett
- School of Nursing & Midwifery, Griffith University, Queensland, Australia
| | - Lauren T Williams
- School of Health Sciences and Social Work, Griffith University, Southport, Queensland, Australia
- Menzies Health Institute Queensland, Griffith University, Southport, Queensland, Australia
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Muller JA, Forster EM, Corones-Watkins K, Chaplin B. The experiences of trans (binary and non-binary) patients accessing care in the emergency department: An integrative review. Australas Emerg Care 2024:S2588-994X(24)00004-6. [PMID: 38307781 DOI: 10.1016/j.auec.2024.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Revised: 01/04/2024] [Accepted: 01/10/2024] [Indexed: 02/04/2024]
Abstract
Accessing care in the Emergency Department is often fraught with stress and heightened emotions due to illness or injury, and the complexity of navigating an often busy and overwhelming healthcare setting. For people who identify as trans (binary and non-binary), accessing Emergency Department care is often associated with additional stress or avoided due to fears of discrimination, or previous negative experiences (1). The aim of this integrative review was to identify and review the literature relating to the experiences of trans (binary and non-binary) people accessing Emergency Department care, to guide practice and future research. A structured search process was used to identify 11 articles published between January 2013 and November 2023. These articles were appraised using the mixed methods appraisal tool (MMAT) (2) and included in this review. Utilising the methodology outlined by Whittemore & Knafl (3), a constant comparison analytic approach identified five key themes; 1. emergency department context; 2. interactions with staff and language; 3. health professional knowledge; 4. advocacy; and 5. disclosing trans status. This review identified a perceived lack of competence for healthcare providers to deliver gender affirming healthcare in the Emergency Department due to perceptions of inadequate healthcare provider knowledge, and structural barriers founded on cisgender processes.
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Affiliation(s)
- Jake A Muller
- School of Nursing and Midwifery, Griffith University, Nathan Campus, 170 Kessels Rd, Nathan, QLD 4111, Australia.
| | - Elizabeth M Forster
- School of Nursing and Midwifery, Griffith University, Nathan Campus, 170 Kessels Rd, Nathan, QLD 4111, Australia
| | - Katina Corones-Watkins
- School of Nursing and Midwifery, Griffith University, Nathan Campus, 170 Kessels Rd, Nathan, QLD 4111, Australia
| | - Belinda Chaplin
- School of Nursing and Midwifery, Griffith University, Nathan Campus, 170 Kessels Rd, Nathan, QLD 4111, Australia
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3
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Corones-Watkins K, Cooke M, Butland M, McGuire A. Exploring the delivery of phase II cardiac rehabilitation services in rural and remote Australia: a scoping review. AUST HEALTH REV 2023; 47:239-245. [PMID: 36634931 DOI: 10.1071/ah22204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 12/13/2022] [Indexed: 01/14/2023]
Abstract
ObjectivePhase II cardiac rehabilitation (CR) reduces cardiovascular risk factors, morbidity and mortality after a cardiac event. Traditional Australian CR programs are located in metropolitan areas and delivered by an expert, multidisciplinary team. Referral and uptake barriers for people living in rural and remote locations are significantly affected by geographical isolation. This scoping review aimed to explore how phase II CR services in rural and remote Australia are being delivered.MethodsA scoping review was conducted to obtain all published literature relating to CR service delivery for people living in rural and remote Australia. A literature search of the following databases was performed in December 2021: Cumulative Index to Nursing and Allied Health Literature, Embase, the Physiotherapy Evidence Database, and PubMed.ResultsSix articles met the inclusion criteria. Study designs varied and included mixed methods, cross-sectional design and narrative review. Overall, literature relating to CR programs in rural and remote Australia was limited. Three themes were apparent: (1) barriers to the delivery of phase II CR in rural and remote Australia remain; (2) community centre-based programs do not reach all people in rural and remote Australia; and (3) alternative models of CR are underutilised.ConclusionsPhase II CR programs in rural and remote Australia do not align with current recommendations for service delivery. The use of technology as a primary or adjunct model of delivery to support people living in rural and remote Australia needs to be further developed and implemented. Further research exploring barriers to the uptake of alternative models of CR delivery is recommended.
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Affiliation(s)
- Katina Corones-Watkins
- School of Nursing and Midwifery, Faculty of Health, Griffith University, Nathan Campus, Brisbane, Qld 4111, Australia
| | - Marie Cooke
- School of Nursing and Midwifery, Faculty of Health, Griffith University, Nathan Campus, Brisbane, Qld 4111, Australia
| | - Michelle Butland
- School of Nursing and Midwifery, Faculty of Health, Griffith University, Nathan Campus, Brisbane, Qld 4111, Australia
| | - Amanda McGuire
- School of Nursing and Midwifery, Faculty of Health, Griffith University, Gold Coast Campus, Southport, Qld 4215, Australia
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West R, Saunders V, West L, Blackman R, Del Fabbro L, Neville G, Minniss FR, Armao J, van de Mortel T, Kain VJ, Corones-Watkins K, Elder E, Wardrop R, Mansah M, Hilton C, Penny J, Hall K, Sheehy K, Rogers GD. Indigenous-led First Peoples Health Interprofessional and Simulation-Based Learning Innovations: mixed methods study of nursing academics' experience of working in partnership. Contemp Nurse 2022; 58:43-57. [PMID: 35029132 DOI: 10.1080/10376178.2022.2029518] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND Collaborative, Indigenous-led pedagogical and research approaches in nursing education are fundamental to ensuring culturally safe curriculum innovations that address institutional racism. These approaches privilege, or make central, Indigenous worldviews in the ways healthcare practices are valued and assessed. With the aim of informing excellence in cultural safety teaching and learning, and research approaches, this study draws on the experiences and key learnings of non-Indigenous nursing academics in the collaborative implementation of First Peoples Health interprofessional and simulation-based learning (IPSBL) innovations in an Australian Bachelor of Nursing (BN) program. METHODS An Indigenous-led sequential mixed method design was used to investigate non-Indigenous nursing academics' experiences in the design, development and delivery of two IPSBL innovations. A validated survey (Milne, Creedy & West, 2016) was administered to nursing academics before and after the innovations were delivered. Phenomenological interviews were also conducted following implementation of the innovations. RESULTS Of the 27 staff involved in delivery of the innovations, six nursing academics completed both pre-and post-surveys (22%). Nine (33%) participated in phenomenological interviews. There was a non-significant trend towards improved scores on the awareness of cultural safety scale (ACSS) following the delivery of the innovations. Nursing academics' perceptions of the innovations' relevance to their practice were enhanced. An increased awareness of culturally safe academic practices was reported among those actively involved in innovations. IMPACT STATEMENT Indigenous-led approaches in teaching and research promote excellence within mandatory cultural safety education for nurses and midwives. CONCLUSIONS This study confirms the importance of educating the educators about cultural safety in teaching and learning, and research approaches. It also provides important insights into how non-Indigenous nursing academics can work within Indigenous-led pedagogical and research approaches to design culturally safe curriculum innovations.
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Affiliation(s)
- Roianne West
- School of Nursing Midwifery and First Peoples Health Unit, Griffith University, Level 1, 15 Lancaster Place, Majura Park, ACT, 2609
| | - Vicki Saunders
- PhD Senior Research Fellow, CATSINAM and First Peoples Health Unit, Griffith University, Level 1, 15 Lancaster Place, Majura Park, ACT, 2609
| | - Leeona West
- Senior Project Manager, CATSINAM and School of Nursing and Midwifery, Griffith University, Level 1, 15 Lancaster Place, Majura Park, ACT, 2609
| | - Renee Blackman
- CEO Gidgee Healing Aboriginal Medical Service, School of Nursing and Midwifery, Griffith University, 121 Marian Street, Mt Isa, QLD, 4825
| | - Letitia Del Fabbro
- Lecturer, School of Nursing and Midwifery and Griffith University, Nursing and Midwifery Education and Research Unit, Gold Coast Hospital and Health Service, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Georgina Neville
- School of Nursing and Midwifery, Griffith University, 68 University Drive, Meadowbrook, QLD 4111
| | - Fiona Rowe Minniss
- Senior Project Manager, CATSINAM and First Peoples Health Unit, Griffith University, Level 1, 15 Lancaster Place, Majura Park, ACT, 2609
| | - Jessica Armao
- Senior Research Assistant, CATSINAM and First Peoples Health Unit, Griffith University, Level 1, 15 Lancaster Place, Majura Park, ACT, 2609
| | - Thea van de Mortel
- Deputy Head of School (Learning & Teaching), School of Nursing and Midwifery, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Victoria J Kain
- Director, Undergraduate Nursing Programs, School of Nursing and Midwifery, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Katina Corones-Watkins
- Lecturer, School of Nursing and Midwifery, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Elizabeth Elder
- Lecturer, School of Nursing and Midwifery, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Rachael Wardrop
- Lecturer, School of Nursing and Midwifery, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Martha Mansah
- Lecturer, School of Nursing and Midwifery, Griffith University, Building N48 Nathan Campus, 170 Kessels Rd, Nathan QLD. 4111, Australia
| | - Cieon Hilton
- Research Assistant, First Peoples Health Unit, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Jamie Penny
- Research Assistant, First Peoples Health Unit, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Kerry Hall
- Lecturer, First Peoples Health Unit, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Kylee Sheehy
- Lecturer, First Peoples Health Unit, Griffith University, 1 Parklands Drive, Southport, QLD 4215, Australia
| | - Gary D Rogers
- Dean of the School of Medicine, Deakin University, 75 Pigdons Rd, Waurn Ponds, VIC 3216, Australia
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Corones-Watkins K, Cooke M, Theobald K, White K, Thompson DR, Ski CF, King-Shier K, Conway A, Ramis MA. Effectiveness of nurse-led clinics in the early discharge period after percutaneous coronary intervention: A systematic review. Aust Crit Care 2020; 34:510-517. [PMID: 33272768 DOI: 10.1016/j.aucc.2020.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 10/21/2020] [Accepted: 10/21/2020] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Readmission after percutaneous coronary intervention is common in the early postdischarge period, often linked to limited opportunity for education and preparation for self-care. Attending a nurse-led clinic within 30 d after discharge has the potential to enhance health outcomes. OBJECTIVE The aim of the study was to synthesise the available literature on the effectiveness of nurse-led clinics, during early discharge (up to 30 d), for patients who have undergone percutaneous coronary intervention. REVIEW METHOD USED A systematic review of randomised and quasi-randomised controlled trials was undertaken. DATA SOURCES The databases included PubMed, OVID, CINAHL, EMBASE, the Cochrane Library, SCOPUS, and ProQuest. REVIEW METHODS Databases were searched up to November 2018. Two independent reviewers assessed studies using the Cochrane risk-of-bias tool. RESULTS Of 2970 articles screened, only four studies, representing 244 participants, met the review inclusion criteria. Three of these studies had low to moderate risk of bias, with the other study unclear. Interventions comprised physical assessments and individualised education. Reported outcomes included quality of life, medication adherence, cardiac rehabilitation attendance, and psychological symptoms. Statistical pooling was not feasible owing to heterogeneity across interventions, outcome measures, and study reporting. Small improvements in quality of life and some self-management behaviours were reported, but these changes were not sustained over time. CONCLUSIONS This review has identified an important gap in the research examining the effectiveness of early postdischarge nurse-led support after percutaneous coronary intervention on outcomes for patients and health services. More robust research with sufficiently powered sample sizes and clearly defined interventions, comparison groups, and outcomes is recommended to determine effectiveness of nurse-led clinics in the early discharge period.
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Affiliation(s)
| | - Marie Cooke
- School of Nursing and Midwifery, Griffith University, Brisbane, Australia
| | - Karen Theobald
- School of Nursing, Queensland University of Technology, Brisbane, Australia
| | - Katherine White
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
| | - David R Thompson
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Chantal F Ski
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK; Integrated Care Academy, University of Suffolk, Ipswich, UK.
| | | | - Aaron Conway
- Faculty of Nursing, University of Toronto, Toronto, Canada
| | - Mary-Anne Ramis
- School of Nursing, Queensland University of Technology, Brisbane, Australia
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Butland M, Corones-Watkins K, Evanson AD, Cooke M. Health behaviours of rural Australians following percutaneous coronary intervention: a systematic scoping review. Rural Remote Health 2019; 19:4854. [PMID: 31142120 DOI: 10.22605/rrh4854] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Following a percutaneous coronary intervention (PCI), emphasis is placed on healthy lifestyle modification by means of secondary prevention. The literature suggests Australians have difficulty within the period following a PCI, particularly the rural cohort. Despite having a higher incidence of cardiac disease, there is minimal evidence on secondary prevention within the rural Australian population. Therefore, there is a clear need for a comprehensive review to gather literature of the health behaviours of this population post-PCI. METHODS A scoping review was undertaken to obtain literature within 2007-2017. The following databases were searched in January 2018: Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PubMed Central, Embase, ProQuest and PsycINFO. Search strings were derived from three topics: 'behaviours', 'rural' and 'PCI'. RESULTS Ten publications met the inclusion criteria. Over half the studies were of a quantitative design, along with one qualitative study. Overall, there was minimal published literature on the rural Australian population. Three key themes were identified from the literature: referral and attendance to cardiac rehabilitation, isolation and transitioning difficulties. CONCLUSIONS The systematic scoping review highlights the need for future research to determine strategies to improve healthy behaviours of rural Australians post-PCI.
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Affiliation(s)
| | | | - Alaina D Evanson
- Rural & Remote, Mount Waddington, Vancouver Island Health Authority
| | - Marie Cooke
- School of Nursing and Midwifery, Griffith University, Australia
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Bonner A, Gillespie K, Campbell KL, Corones-Watkins K, Hayes B, Harvie B, Kelly JT, Havas K. Evaluating the prevalence and opportunity for technology use in chronic kidney disease patients: a cross-sectional study. BMC Nephrol 2018; 19:28. [PMID: 29394930 PMCID: PMC5797344 DOI: 10.1186/s12882-018-0830-8] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Accepted: 01/22/2018] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Chronic kidney disease (CKD) is increasing worldwide and early education to improve adherence to self-management is a key strategy to slow CKD progression. The use of the internet and mobile phone technologies (mHealth) to support patients is considered an effective tool in many other chronic disease populations. While a number of mHealth platforms for CKD exist, few studies have investigated if and how this population use technology to engage in self-management. METHODS Using a cross-sectional design across five health districts in Queensland (Australia), a 38-item self-report survey was distributed to adults with CKD attending outpatient clinics or dialysis units to measure current use and type of engagement with mHealth, perceived barriers to use, and opportunities to support CKD self-management. Odds ratio (OR) were calculated to identify associations between demographic characteristic and mHealth use. RESULTS Of the 708 participants surveyed, the majority had computer access (89.2%) and owned a mobile phone (83.5%). The most likely users of the internet were those aged ≤ 60 years (OR: 7.35, 95% confidence interval [CI]: 4.25-12.75, p < 0.001), employed (OR: 7.67, 95% CI: 2.58-22.78, p < 0.001), from non-indigenous background (OR: 6.98, 95% CI: 3.50-13.93, p < 0.001), or having completed higher levels of education (OR: 3.69, CI: 2.38-5.73, p < 0.001). Those using a mobile phone for complex communication were also younger (OR: 6.01, 95% CI: 3.55-10.19, p < 0.001), more educated (OR: 1.99, 95% CI: 1.29-3.18, p < 0.01), or from non-indigenous background (OR: 3.22, 95% CI: 1.58-6.55, p < 0.001). Overall, less than 25% were aware of websites to obtain information about renal healthcare. The mHealth technologies most preferred for communication with their renal healthcare teams were by telephone (56.5%), internet (50%), email (48.3%) and text messages (46%). CONCLUSION In the CKD cohort, younger patients are more likely than older patients to use mHealth intensively and interactively although all patients' technology literacy ought to be thoroughly assessed by renal teams before implementing in practice. Further research testing mHealth interventions to improve self-management in a range of patient cohorts is warranted.
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Affiliation(s)
- Ann Bonner
- School of Nursing, Queensland University of Technology, Brisbane, Australia
- Kidney Health Service, Royal Brisbane and Women’s Hospital, Herston, Australia
- NHMRC Chronic Kidney Disease Centre of Research Excellence, University of Queensland, Herston, Australia
| | - Kerri Gillespie
- School of Nursing, Queensland University of Technology, Brisbane, Australia
| | - Katrina L. Campbell
- Renal Service, Princess Alexandra Hospital, Woolloongabba, Australia
- Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia
| | | | | | | | - Jaimon T. Kelly
- Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia
| | - Kathryn Havas
- School of Nursing, Queensland University of Technology, Brisbane, Australia
- NHMRC Chronic Kidney Disease Centre of Research Excellence, University of Queensland, Herston, Australia
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Corones-Watkins K, Cooke M, Theobald K, White K, Thompson D, Ski C, Conway A, King-Shier K. The Effectiveness of Post-Percutaneous Coronary Intervention Nurse-Led Clinics: A Systematic Review. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.777] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Corones-Watkins K, Theobald K, White K. Self-Management Practices in Post-PCI Patients After Attending a Nurse-led Clinic. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Corones-Watkins K, Theobald K, White K, Clark RA. PW376 A pilot study of a post-discharge nurse-led, educational intervention on cardiac self-efficacy and anxiety in post-PCI patients. Glob Heart 2014. [DOI: 10.1016/j.gheart.2014.03.2437] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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