Evidence map›Paper›PMID 26758627›Full record

ArticleBMC medical education2016

Education and practice gaps on atrial fibrillation and anticoagulation: a survey of cardiovascular nurses.

Caleb Ferguson, Sally C Inglis, Phillip J Newton, Sandy Middleton, Peter S Macdonald, Patricia M Davidson

Abstract readComparative Study
In one paragraph

Article in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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  9. The need for knowledge and skills in the care of post-stroke patients.European journal of cardiovascular nursing · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Caleb FergusonFaculty of Health, University of Technology Sydney, Sydney, Australia. caleb.ferguson@uts.edu.au.
Sally C InglisCentre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Sydney, Australia. sally.inglis@uts.edu.au.
Phillip J NewtonCentre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Sydney, Australia. phillip.newton@uts.edu.au.
Sandy MiddletonSt Vincent's Health Australia (Sydney), Sydney, Australia. sandy.middleton@acu.edu.au.
Peter S MacdonaldHeart Transplant Program, Sydney and Victor Chang Cardiac Research Institute, St Vincent's Hospital, Sydney, Australia. peter.macdonald@svha.org.au.
Patricia M DavidsonCentre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Sydney, Australia. pdavidson@jhu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients' knowledge of their atrial fibrillation (AF) and anticoagulation therapy are determinants of the efficacy of thromboprophylaxis. Nurses may be well placed to provide counselling and education to patients on all aspects of anticoagulation, including self-management. It is important that nurses are well informed to provide optimal education to patients. Current practice and knowledge of cardiovascular nurses on AF and anticoagulation in the Australian and New Zealand (ANZ) context is not well reported. This study aimed to; 1) Explore the nurse's role in clinical decision making in anticoagulation in the setting of AF; 2) Describe perceived barriers and enablers to anticoagulation in AF; 3) Investigate practice patterns in the management of anticoagulation in the ANZ setting; 4) Assess cardiovascular nurses' knowledge of anticoagulation.

methodsA paper-based survey on current practices and knowledge of AF and anticoagulation was distributed during the Australian Cardiovascular Nursing College (ACNC) Annual Scientific Meeting, February 2014. This survey was also emailed to Cardiovascular Trials Nurses throughout New South Wales, Australia and nursing members of the Cardiac Society of Australia and New Zealand (CSANZ).

resultsThere were 41/73 (56%) respondents to the paper-based survey. A further 14 surveys were completed online via nurse members of the CSANZ, and via an investigator developed NSW cardiovascular trials nurse email distribution list. A total of 55 surveys were completed and included in analyses. Prior education levels on AF, stroke risk, anticoagulation and health behaviour modification were mixed. The CHA2DS2VASc and HAS-BLED risk stratification tools were reported to be underused by this group of clinicians. Reported key barriers to anticoagulation included; fears of patients falling, fears of poor adherence to medication taking and routine monitoring. Patient self-monitoring and self-management were reported as underutilised. ANZ cardiovascular nurses reported their key role to be counselling and advising patients on therapy regimens. Anticoagulant-drug interaction knowledge was generally poor.

conclusionThis study identified poor knowledge and practice in the areas of AF and anticoagulation. There is scope for improvement for cardiovascular nurses in ANZ in relation to AF and anticoagulation knowledge and practice.

Indexed as

AnticoagulantsAtrial FibrillationAustraliaCardiovascular NursingClinical CompetenceFemaleHealth Care SurveysHumansMaleNeeds AssessmentNew ZealandNurse's RolePatient Education as TopicPractice Patterns, Nurses'Surveys and QuestionnairesAnticoagulants

Identifiers

PMID26758627
PMCPMC4709951

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.