Atrial fibrillation care: challenges in clinical practice and educational needs assessment
| Autor: | Carolyn Pullen, Suzanne Murray, Patrice Lazure, Paule Maltais, Paul Dorian |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Canada Cardiology Context (language use) Nursing Atrial Fibrillation medicine Internal Medicine Humans Data collection Evidence-Based Medicine business.industry Data Collection Professional development Atrial fibrillation Canadian Cardiovascular Society Middle Aged medicine.disease Clinical Practice Trustworthiness Neurology Family medicine Needs assessment Practice Guidelines as Topic Catheter Ablation Emergency Medicine Education Medical Continuing Female Clinical Competence Curriculum Diffusion of Innovation Cardiology and Cardiovascular Medicine business Family Practice Anti-Arrhythmia Agents |
| Zdroj: | The Canadian journal of cardiology. 27(1) |
| ISSN: | 1916-7075 |
| Popis: | Background Current debates around the choice of management strategy for patients with atrial fibrillation (AF) combined with limited efficacy and frequent adverse effects of current pharmacotherapies cause uncertainty and confusion, challenging optimal care delivery to AF patients. Objectives To determine gaps in knowledge, skill, and competencies of Canadian physicians caring for patients with AF as well as underlying causes of these gaps. Methods A mixed-method approach --consisting of qualitative (semistructured interviews) and quantitative data collection techniques (online survey) --was conducted. Findings were triangulated to ensure the reliability and trustworthiness of findings. The combined sample (n = 161) included 43 family physicians/general practitioners, 23 internal medicine specialists, 48 cardiologists, 28 emergency physicians, 14 neurologists, and 5 patients. Results Gaps and barriers impeding optimal care were related to an unclear definition of AF, uncertainty of its pathophysiology, and knowledge gaps across the care continuum, including screening, diagnosis, and treatment. Clinical decision-making, individualized patient therapy, communication with patients and between professionals, and application of guidelines were found to be particularly challenging. These issues are discussed in the context of the newly revised Canadian Cardiovascular Society (CCS) AF Guidelines. Conclusions Educational gaps exist across the entire continuum of care. Results from this study, along with the 2011 CCS guidelines for AF management, provide direction for solutions through physician education and professional development. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect