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Related Experiment Videos

Nurse-led elective cardioversion: an evidence-based practice review.

Andrew Smallwood1

  • 1Research and Development Department, New Cross Hospital, Wolverhampton, UK. andy.smallwood@rwh-tr.nhs.uk

Nursing in Critical Care
|September 16, 2005
PubMed
Summary

Nurse-led cardioversion shows promise, with nurses contributing significantly to patient care. Further research is needed to strengthen the evidence base for these expanding nursing roles in cardiology.

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Area of Science:

  • Cardiology
  • Nursing Practice
  • Evidence-Based Practice

Background:

  • Nursing roles in cardiology are expanding.
  • Nurse-led services are increasingly common.
  • Evidence for nurse-led cardioversion needs exploration.

Purpose of the Study:

  • To document and explore the published evidence for nurse-led cardioversion.
  • To critically appraise the safety and efficacy of existing studies.
  • To identify themes and develop a conceptual framework for nurse-led practice.

Main Methods:

  • Literature review of pertinent articles and conference abstracts.
  • Critical appraisal of methodologies, safety, and efficacy.
  • Thematic analysis to develop a conceptual framework.

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Main Results:

  • Limited evidence found, with methodological weaknesses in most studies.
  • Descriptive evaluations supported by audit data were common.
  • Nurse-led cardioversion is feasible and contributes to patient care.

Conclusions:

  • While evidence is limited, nurses can significantly contribute to cardioversion care.
  • Further research within a formal research context is essential.
  • Expanding nursing roles require robust evaluation to inform evidence-based practice.