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Related Experiment Videos

The cardiac nurse's role: an Australian Delphi study perspective

D Pelletier1, C Duffield, A Adams

  • 1Faculty of Nursing, University of Technology, Sydney.

Clinical Nurse Specialist CNS
|January 10, 1998
PubMed
Summary

Expert cardiac nurses identified significant gaps between ideal and real-world practice regarding technology integration. Addressing these discrepancies is crucial for advancing cardiac nursing education and practice standards.

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Area of Science:

  • Nursing Science
  • Healthcare Technology
  • Cardiology

Background:

  • Technological advancements and cost constraints are reshaping healthcare professional roles, particularly for nurses.
  • Specialty nurse education is shifting from hospitals to higher education, impacting curriculum and practice preparation.
  • There is a growing need to define competencies for expert clinicians in complex technological environments like cardiac care.

Purpose of the Study:

  • To determine the essential knowledge, skills, and attitudes for expert cardiac nurses in technologically advanced cardiac care settings.
  • To compare the 'real' world of current practice with the 'ideal' world of expert cardiac nursing in relation to technology.
  • To identify specific areas where current practice falls short of desired standards.

Main Methods:

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  • A national Delphi study involving cardiac educators and nurse clinicians.
  • A 107-item questionnaire administered using a 6-point Likert scale to assess the importance of various items in real and ideal practice scenarios.
  • Respondents ranked the top three items in 13 thematic groups in the final round.

Main Results:

  • Cardiac nurse clinicians perceived all 107 items as important to their role, generally feeling close to their 'ideal' practice.
  • 32 items showed a significant gap (≥2 median difference) between real and ideal practice, indicating areas needing improvement.
  • 21 items, though accepted as ideal, had low real-world median scores (≤3.5), suggesting under-recognition or under-practice.

Conclusions:

  • Significant discrepancies exist between the perceived ideal and actual practice of expert cardiac nurses concerning technology.
  • The identified gaps highlight critical areas for curriculum development and professional development in specialty cardiac nursing education.
  • Addressing these specific areas is essential for enhancing the quality of care and professional satisfaction for cardiac nurses in technological environments.