Clinical and procedural predictors of nurse workload during and after invasive coronary procedures: the potential benefit of a systematic radial access
| Autor: | Francesca Li Puma, Ugo Limbruno, Rita Bellucci, Mascia Sarti, Giovanni Amoroso, Anna Sonia Petronio, Silvia D'Alessandro, Alessia Canova |
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| Rok vydání: | 2004 |
| Předmět: |
Male
Cardiac Catheterization Complications Radial medicine.medical_treatment Coronary Disease 030204 cardiovascular system & hematology Angioplasty Catheterisation In-hospital stay 0302 clinical medicine Prospective Studies Angioplasty Balloon Coronary Prospective cohort study education.field_of_study 030504 nursing Workload Middle Aged Femoral Artery Medical–Surgical Nursing Predictive value of tests Radial Artery Female 0305 other medical science Cardiology and Cardiovascular Medicine Risk assessment Population Nurse's Role Risk Assessment Statistics Nonparametric 03 medical and health sciences Nursing Predictive Value of Tests medicine.artery medicine Humans Radial artery education Aged Probability Quality of Health Care Advanced and Specialized Nursing business.industry Coronary Care Units Clinical trial Linear Models business |
| Zdroj: | European journal of cardiovascular nursing. 4(3) |
| ISSN: | 1474-5151 |
| Popis: | Background: Invasive coronary procedures are increasing in number and complexity over time. This trend translates in an increased need for economical and human resources, among which is nurse staffing the most affected. Aims: To identify possible predictors of nurse workload, during and after diagnostic and interventional procedures. Methods: Two hundred and sixty consecutive patients were included: 52 and 208 patients underwent femoral and radial access, respectively. Nurse workload was calculated with a self-developed model. Results: Cathlab nurse workload was 103 [63–156] min. Independent predictors of increased Cathlab nurse workload were: femoral access, failed radial access and cross-over, interventional procedures, procedural time, urgent procedures. Cathlab nurse workload was 174 [134–218] and 86 [58–126] min, for femoral and radial access, respectively ( p < 0.001). Among the overall population, 174/260 patients (44 females, mean age 66 ± 11 years) were hospitalised at our Center after the procedure. Fifty-six and 118 patients had femoral and radial access, respectively. Ward nurse workload was 457 [226–954] min. Independent predictors of increased Ward nurse workload were: access-site complication, length of in-hospital stay, admission to CCU, interventional procedures. Ward nurse workload was 386 [226–652] and 720 [314–1375] min, respectively for radial and femoral access ( p < 0.001). Conclusions: A systematic radial access is an effective strategy for reducing nurse workload, both during, by simplifying nurse tasks in the CathLab, and after coronary invasive procedures, by preventing access-site complications, shortening in-hospital stays, and reducing admissions to CCU. |
| Databáze: | OpenAIRE |
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