Patients’ and practice nurses’ perceptions of secondary preventive care for established ischaemic heart disease: a qualitative study
Article first published online: 28 JUN 2008
Journal of Clinical Nursing
Volume 10, Issue 2, pages 180–188, March 2001
How to Cite
Wright , F. L. , Wiles , R. A. and Moher , M. (2001), Patients’ and practice nurses’ perceptions of secondary preventive care for established ischaemic heart disease: a qualitative study. Journal of Clinical Nursing, 10: 180–188. doi: 10.1111/j.1365-2702.2001.00469.x
- Issue published online: 28 JUN 2008
- Article first published online: 28 JUN 2008
- coronary heart disease;
- nurse-led clinics;
- secondary prevention
• A significant proportion of patients with established ischaemic heart disease remain unrecognized in general practice and those who are receiving treatment are experiencing sub-optimal care.
• The provision of coronary prevention by practice nurses may be an important strategy to improve the quality of this care, and this is feasible and effective.
• This study explored what occurred during patients’ initial assessment for secondary prevention of ischaemic heart disease with a practice nurse and investigated patients’ and practice nurses’ views of nurse-led clinics in primary care.
• Nurses were effective in history taking and offering reassurance and dietary advice, yet were less confident in discussing patients’ understandings of heart disease and related medication.
• Practice nurse-led coronary preventive care is acceptable to both nurses and patients.
• Further practice nurse education is required in heart disease, cardiac medications and skills necessary for exploring and challenging patients’ understandings of these issues.