Background
Cardiac rehabilitation and secondary prevention are evidence-based strategies to reduce
the risk of recurrent cardiac events but are underutilised. New approaches are required
to improve uptake.
Methods
A new cardiac rehabilitation needs assessment tool (CRNAT), for use by cardiology
ward nurses, was developed and refined in collaboration with stakeholders through
action research. The tool documented patients’ risk factors, initiated a discussion
about secondary prevention and linked patients to post-discharge follow-up. The initial
version of the tool was developed through consultation with cardiac rehabilitation
specialist staff (n=3), reviewed by ward nurses (n=4) and general practitioners (GP)
(n=8), and piloted in patients (n=8). Review was undertaken at six months post implementation
through patient (n=66) and GP (n=10) surveys, with additional patient feedback through
focus groups (n=8 patients) and phone interviews (n=14). At 12 months, ward nurses
(n=21) were surveyed.
Results
The CRNAT was well regarded by patients and GPs and stakeholder feedback resulted
in only minor changes to the tool's content. Feedback from ward nurses led to important
changes to the process of administering the tool to streamline its use in an inpatient
setting.
Conclusions
Feedback from end users is important when developing a new clinical tool to ensure
it meets their requirements.
Keywords
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Article info
Publication history
Published online: January 20, 2015
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© 2015 Published by Elsevier Inc. All rights reserved.
