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[Anticoagulant therapy clinic: moving towards Advanced Nursing Practice]
Adolfo Romero Ruiz1, Gema Parrado Borrego1, José Rodríguez González1
1Consulta de terapia antitrombótica, Unidad de Gestión Clínica de Hematología, Hospital Universitario Virgen de la Victoria, Málaga, España.
Enfermeria Clinica
|April 22, 2014
Summary
Hospital nurses can now manage acenocoumarol doses, improving oral anticoagulant therapy. This advanced nursing practice ensures patients stay within therapeutic ranges, enhancing treatment safety and efficiency for a common medication.
Area of Science:
- Pharmacology and Therapeutics
- Nursing Practice and Healthcare Management
Background:
- Oral anticoagulants like acenocoumarol are widely prescribed, necessitating regular coagulation monitoring.
- Current practice often transfers anticoagulant management from hospitals to primary care nurses after stabilization.
- Hospital nurses possess the expertise to manage acenocoumarol dosing but are not typically involved in dose adjustments.
Purpose of the Study:
- To introduce and evaluate an Advanced Nursing Practice model for managing oral anticoagulant therapy.
- To assess the feasibility of hospital-based nurses adjusting acenocoumarol doses within defined therapeutic ranges.
Main Methods:
- Implementation of an Advanced Nursing Practice model in a Haematology unit.
- Development of a protocol for dose adjustments based on therapeutic and diagnostic ranges.
- Involvement of experienced hospital nurses in managing patient anticoagulant treatment.
Main Results:
- Successful integration of advanced nursing practice for anticoagulant management.
- Demonstrated capability of hospital nurses to adjust acenocoumarol doses effectively.
- Potential for improved patient care continuity and efficiency in anticoagulant therapy.
Conclusions:
- Advanced Nursing Practice models can empower hospital nurses to manage oral anticoagulant therapy, including dose adjustments.
- This approach can optimize patient care by leveraging existing nursing expertise within the hospital setting.
- Further studies are warranted to evaluate the long-term impact on patient outcomes and healthcare resource utilization.
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