Global perspectives on heart disease rehabilitation and secondary prevention: a scientific statement from the Association of Cardiovascular Nursing and Allied Professions, European Association of Preventive Cardiology, and International Council of Cardiovascular Prevention and Rehabilitation

Cardiovascular disease is a leading cause of death, morbidity, disability, and reduced health-related quality of life, as well as economic burden worldwide, with some 80% of disease burden occurring in the low- and middle-income country (LMIC) settings. With increasing numbers of people living longer with symptomatic disease, the effectiveness and accessibility of secondary preventative and rehabilitative health services have never been more important. Whilst LMICs experience the highest prevalence and mortality rates, the global approach to secondary prevention and cardiac rehabilitation, which mitigates this burden, has traditionally been driven from clinical guidelines emanating from high-income settings. This state-of-the art review provides a contemporary global perspective on cardiac rehabilitation and secondary prevention, contrasting the challenges of and opportunities for high vs. lower income settings. Actionable solutions to overcome system, clinician, programme, and patient level barriers to cardiac rehabilitation access in LMICs are provided

Cardiac Surgery Healthcare Professionals’ Engagement in Research at the Bedside: Challenges and Opportunities

The increased emphasis on evidence-based practice in healthcare has led to a move of hospital-based nurse education into higher education institutions. This has led to a need for a significant shift in focus on educational training from imparting research contents to providing opportunities to experience the research process. Research was introduced in the nursing curriculum to increase awareness of research and capacity building to promote research output. Such strong emphasis on teaching and developing research in nursing programs was at both undergraduate and postgraduate levels and is evident in many parts of the world. Within clinical practice, nurses' input in generating research evidence has also been encouraged by the introduction of advanced nurse practitioner roles. Despite these efforts to increase opportunities for research participation, there has been a general lack of research to guide practice. Complex organizational issues and lack of funding, protected time for research, and educational supports have been identified as specific challenges to the engagement in research at the bedside. Strategies to promote engagement in research include mentorship; collaboration between researchers, academics, and clinicians; role modelling, facilitation, and support; increased awareness of supports for research engagement; cultivating a positive attitude toward research in the clinical environment; and securing time for clinicians to undertake research. Reference 1. Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Theory, research, and practice in health behavior and health education.</p

Humanity, expectations, access and transformation (HEAT): revisiting South African higher education entrance assessment in a postcolonial context

From Crossref via Jisc Publications RouterHistory: epub 2020-07-19, issued 2020-07-1

An international focus on cardiac surgery nursing : advanced practice

This paper is the second in a series discussing global trends in cardiac surgery. Specifically, this paper will examine the role of nurses in cardiac surgery across the UK, Australia, Canada and the United States

An international focus on cardiac surgery nursing : patient experience

The value of the patient experience as one of the pillars of ‘quality healthcare’ has been gaining international recognition (Doyle et al, 2013; Bull et al, 2019). Although mortality outcomes have been widely regarded as the core quality measure from as early as 1977 in the UK (English, 1978) and 1987 is the USA (Shroyer et al, 2008), there is a growing appreciation for the unique insights that patients can provide. Patients can often offer specific information regarding areas for improvement in existing services (Millenson and Macri, 2012) and improving and benchmarking hospital performance (Beattie et al, 2015). Examples include the Pay For Performance (P4P) programmes in Australia and the use of patient experience in some USA and UK programmes (the Integrated Healthcare Association Programme and Quality and Outcomes Framework, respectively), which aim to identify areas for change and strategic commissioning (World Health Organization, 2014). Patient experience and engagement in healthcare can take many forms, including detailed patient reflections on their experience, patient-led or co-produced innovations to enhance services, and routine patient experience measurement

An international focus on cardiac surgery nursing : clinical academic careers

This is the third article in a series discussing global trends in cardiac surgery, specifically exploring the standpoint from the UK, USA, Australia and Canada. This paper focuses on the international perspectives of clinical academic careers

Musik als interpretative Linse: Erfahrungen von Patient/innen nach Herzoperationen

In this article, we highlight the use of music as an interpretive lens to understand patients' experiences of discharge following open-heart surgery. We adopted an arts-informed narrative methodology and interviewed participants at 1 and 4-6 weeks following discharge. Our secondary analysis followed an aesthetic approach that involved application of musical principles including rhythm, timing, and tone to frame our interpretation. We found that the tensions, harmony and relational dynamics between patients and practitioners were best elucidated when viewed through the lens of a solo concerto; this is orchestral work that features a soloist. Our findings have an impact on the discourse of patient-centered care and the need to re-orient communication measures so that practitioners can access the internalized space of patients' mind and body. Since music as an interpretive lens is embryonic in its development, its use has expansive implications for fostering aesthetic knowing in research and health care.URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1301171En este artículo, destacamos el uso de la música como una lente interpretativa para comprender las experiencias de los pacientes dados de alta luego de una cirugía a corazón abierto. Adoptamos una metodología narrativa sustentada-en-artes y se entrevistó a los participantes de 1 a 4-6 semanas después de ser dados de alta. Nuestro análisis secundario fue posterior a un enfoque estético que involucró la aplicación de principios musicales como tono, ritmo y sincronización para enmarcar nuestra interpretación. Encontramos que las tensiones, la armonía y la dinámica relacional entre pacientes y profesionales se desarrollaron mejor al ser vistas a través del lente de un concierto de solista; es decir, una obra orquestal ejecutada por un solista. Nuestros hallazgos tienen un impacto en el discurso de la atención centrada en el paciente y la necesidad de reorientar las medidas de comunicación para que los profesionales puedan acceder al espacio interiorizado de la mente y el cuerpo de los pacientes. Dado que la música como una lente interpretativa es embrionaria en su desarrollo, su uso tiene amplias implicaciones para fomentar el saber estético en la investigación y el cuidado de la salud.URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1301171In diesem Beitrag zeigen wir, wie wir Musik genutzt haben, um die Erfahrungen von Patient/innen nach einer Herzoperationen zu verstehen: Im Rahmen eines kunstbasierten narrativen Forschungsansatzes haben wir Herzpatient/innen eine Woche bzw. 4-6 Wochen nach Entlassung interviewt. Mit Blick auf die Analyse haben wir uns mit ästhetischen und musischen Prinzipien wie Rhythmus, Tonfarben usw. beschäftigt. Wir fanden schließlich heraus, dass Spannungen, Harmonien und relationale Dynamiken zwischen Patient/innen und Pflegekräften am besten nachvollzogen werden konnten, wenn hierzu die Metapher eines Solokonzertes mit Orchester hinzugezogen wird.Unsere Ergebnisse sind bedeutsam für die Konzeption einer patient/innenzentrierten Pflege; sie verweisen auf das Erfordernis einer kommunikativen Reorientierung, damit Pflegekräfte Zugang zu den internalisierten mentalen und körperlichen Räumen der Patient/innen finden können.  Die Verwendung von Musik als Mittel der Datenanalyse ist zwar noch rudimentär ist, es hätte aber enorme Konsequenzen, würde das ästhetische Wissen in der Forschung und in der Gesundheitspflege verbessert.URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs130117