Development and implementation of a critical pathway for patients with chest pain through action research

European Journal of Cardiovascular Nursing

Volumn 11, Issue 4, 2012, Pages 466-471

  Siebens, Kaat ^a   Miljoen, Hielko ^b   De Geest, Sabina ^a,c   Drew, Barbara ^d   Vrints, Christiaan ^b  

^a UNIVERSITY OF LEUVEN   (Belgium)

^b ANTWERP UNIVERSITY HOSPITAL   (Belgium)

^c UNIVERSITY OF BASEL   (Switzerland)

^d UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Action research; Chest pain; Critical pathway

Indexed keywords

ACETYLSALICYLIC ACID; HEPARIN; THIENOPYRIDINE DERIVATIVE;

ACTION RESEARCH; ARTICLE; BLOOD PRESSURE; CLINICAL PRACTICE; CORONARY ANGIOGRAPHY; CORONARY ARTERY BYPASS GRAFT; HEALTH CARE PERSONNEL; HEART MUSCLE ISCHEMIA; HUMAN; OXYGEN THERAPY; POINT OF CARE TESTING; PRIORITY JOURNAL; ST SEGMENT ELEVATION; THORAX PAIN; BELGIUM; CLINICAL PATHWAY; DISEASE MANAGEMENT; EMERGENCY HEALTH SERVICE; EMERGENCY TREATMENT; FEMALE; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH SERVICES RESEARCH; MALE; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PROGRAM DEVELOPMENT; TOTAL QUALITY MANAGEMENT;

BELGIUM; CHEST PAIN; CRITICAL PATHWAYS; DISEASE MANAGEMENT; EMERGENCY TREATMENT; FEMALE; HEALTH PLAN IMPLEMENTATION; HEALTH SERVICES RESEARCH; HUMANS; MALE; MIDDLE AGED; PATIENT CARE TEAM; PROGRAM DEVELOPMENT; PROGRAM EVALUATION; TOTAL QUALITY MANAGEMENT; TRIAGE;

EID: 79958156012     PISSN: 14745151     EISSN: 18731953     Source Type: Journal    
DOI: 10.1016/j.ejcnurse.2011.05.004     Document Type: Article

References (18)

1. Erhardt, L, Herlitz, J, Bossaert, L, Halinen, M, Keltai, M & Koster, R et al. Task force on the management of chest pain. Eur Heart J 2002;23(15): 1153–76.
2. Every, NR, Hochman, J, Becker, R, Kopecky, S & Cannon, CP. Critical pathways: a review. Committee on acute cardiac care, council on clinical cardiology, American Heart Association. Circulation 2000;101(4): 461–5.
3. Bassand, JP, Priori, S & Tendera, M. Evidence-based vs. ‘impressionist’ medicine: how best to implement guidelines. Eur Heart J 2005;26(12): 1155–8.
4. Goodacre, S, Nicholl, J, Dixon, S, Cross, E, Angelini, K & Arnold, J et al. Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care. BMJ 2004;328(7434): 254.
5. Mandelzweig, L, Battler, A, Boyko, V, Bueno, H, Danchin, N & Filippatos, G et al. The second Euro Heart Survey on acute coronary syndromes: characteristics, treatment, and outcome of patients with ACS in Europe and the Mediterranean Basin in 2004. Eur Heart J 2006;27(19): 2285–2293.
6. Stomel, R, Grant, R & Eagle, KA. Lessons learned from a community hospital chest pain center. Am J Cardiol 1999;83(7): 1033–7.
7. Meyer, J. Qualitative research in health care. Using qualitative methods in health related action research. BMJ 2000;320(7228): 178–81.
8. Bridges, J, Meyer, J, Glynn, M, Bentley, J & Reeves, S. Interprofessional care co-ordinators: the benefits and tensions associated with a new role in UK acute health care. Int J Nurs Stud 2003;40(6): 599–607.
9. Bahr, RD, Copeland, C & Strong, J. Chest pain centers–Part Evaluation in the hospital ED or chest pain center (CPC). J Cardiovasc Manag 2002;13(2): 23–5.
10. Webb, C. Action research: philosophy, methods and personal experiences. J Adv Nurs 1989;14(5): 403–10.
11. Meyer, JE. New paradigm research in practice: the trials and tribulations of action research. J Adv Nurs 1993;18(7): 1066–72.
12. Siebens, K, Miljoen, H, Fieuws, S, Drew, B, De Geest, S & Vrints, C. Implementation of the guidelines for the management of patients with chest pain through a critical pathway approach improves length of stay and patient satisfaction but not anxiety. Crit Pathw Cardiol 2010;9(1): 30–4.
13. Lingard, L, Albert, M & Levinson, W. Grounded theory, mixed methods, and action research. BMJ 2008;337: a567.
14. Bertrand, ME, Simoons, ML, Fox, KA, Wallentin, LC, Hamm, CW & McFadden, E et al. Management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J 2002;23(23): 1809–40.
15. Silber, S, Albertsson, P, Aviles, FF, Camici, PG, Colombo, A & Hamm, C et al. Guidelines for percutaneous coronary interventions. The task force for percutaneous coronary interventions of the European Society of Cardiology. Eur Heart J 2005;26(8): 804–47.
16. Van de Werf, F, Ardissino, D, Betriu, A, Cokkinos, DV, Falk, E & Fox, KA et al. Management of acute myocardial infarction in patients presenting with ST-segment elevation. The task force on the management of acute myocardial infarction of the European Society of Cardiology. Eur Heart J 2003;24(1): 28–66.
17. Vanhaecht, K, Sermeus, W, Vleugels, A & Peeters, G. Ontwikkeling en gebruik van klinische paden (clinical pathways) in de gezondheidszorg. Tijd Voor Geneeskunde 2002;58(23): 11
18. Pearson, SD, Goulart-Fisher, D & Lee, TH. Critical pathways as a strategy for improving care: problems and potential. Ann Intern Med 1995;123(12): 941–8