Non-pharmacological interventions to reduce psychological distress in patients undergoing diagnostic cardiac catheterization: a rapid review

Abstract Background: Cardiac catheterization is the standard procedure for the diagnosis of coronary heart disease. The threat physically and emotionally from this procedure can effect the patient’s perception of their health. The heightened psychological distress associated with this diagnostic procedure can cause adverse patient outcomes. Non-pharmacologic interventions have been implemented to reduce psychological distress associated with cardiac catheterization. Aims: The objective of this rapid review is to assess the efficacy of non-pharmacologic interventions (procedural education, relaxation techniques, psychological preparation) on psychological distress experienced by patients as they undergo a cardiac catheterization. Methods: Published, peer-reviewed, English-language intervention studies from 1981 to 2014 were identified in a search of CINAHL, Medline, and Cochrane Library. Eligible studies included adults undergoing cardiac catheterization. Studies included in this review used experimental and quasi-experimental designs and assessed at least one primary outcome: anxiety, depression, and pain to test non-pharmacologic interventions pre and post-cardiac catheterization. Researchers independently extracted data from included studies and completed a quality assessment using a published tool. Data was synthesised as a narrative. Results: There were 29 eligible experimental and quasi-experimental studies that tested the 3 interventions (n=2504). Findings suggest that non-pharmacologic interventions were able to effectively reduce psychological distress in some patients undergoing cardiac catheterization. Conclusion: Evidence is stronger in recent studies that non-pharmacologic interventions of procedural education and psychological preparation can reduce psychological distress in patients undergoing cardiac catheterization. Further research is needed to define the various relaxation techniques that can be effectively implemented for patients undergoing cardiac catheterization

Community Gardening: Integrating Social Responsibility and Sustainability in a Higher Education Setting—A Case Study from Australia

Community gardening (CG) has been the subject of growing interest, both within and without the realm of academia. The reasons for this increase in interest are straightforward, given that CG typically offers benefits in at least three areas: (1) fostering a sense of community among contributing stakeholders; (2) promoting a sense of social responsibility; and (3) heightening awareness in areas of sustainability. As such CG is typically recognised as having the capacity to conjointly meet core human needs. This paper presents a case study that describes the inception and progressive implementation of a community garden project (“campus greening”), set within the university context of a private higher education (HE) provider in Brisbane, Australia. The paper charts progress made to date, highlights hurdles that have had to be overcome, distils relevant lessons learned, and extrapolates success factors for future similar projects. Capitalising on ‘right timing’ emerges as a critical success factor for incentivising, progressing and implementing CG projects. The case study analysis also culminates in a shortlist of tentative recommendations for different stakeholders: (1) soliciting input from alternative leaders; (2) building supportive interdepartmental coalitions; (3) building a broad stakeholder base; and (4) building momentum and support through unconventional means. Experiences and lessons gathered in this paper will be useful for education stakeholders who are interested to use CG to promote community, social responsibility, and sustainability