The impact of the cardiac nurse specialist in implementing coronary heart disease management in primary care

Joss, Kathryn A (2006) The impact of the cardiac nurse specialist in implementing coronary heart disease management in primary care. MSc(R) thesis, University of Glasgow.

Abstract

Introduction: Coronary heart disease (CHD) is the major cause of death and disability in the Western society. Much is known about the disease process and its contributing risk factors. This, and evidence from chemical pharmaceutical trials has been used to develop clinical guidelines for best practice. Despite this, the healthcare literature repeatedly demonstrates sub optimal CHD risk factor and medical management of patients. More effective measures of health promotion, care management directed to achieve risk factor targets and education are recommended. Study aims and objectives: The research has two main aims. First to investigate the extent to which secondary prevention measures for CHD patients are managed in a contemporary West of Scotland setting and, second to evaluate a new healthcare model for the secondary prevention of CHD, with the care to be provided by a cardiac nurse specialist (CNS) working with patients and the healthcare team across the primary and secondary care interface. The specific objectives of this thesis are: To identify the extent to which evidence based practice is applied to the management of patients with CHD. To examine the perceived health status of CHD patients and their motivation to make healthy lifestyle changes. To evaluate the impact of a CNS in the management of patients with CHD.

• Item Type: Thesis (MSc(R))
• Qualification Level: Masters
• Keywords: Nursing, Medicine
• Subjects: R Medicine > RC Internal medicine; R Medicine > RT Nursing
• Colleges/Schools: College of Medical Veterinary and Life Sciences
• Supervisor's Name: Lindsay, Dr. Grace
• Date of Award: 2006
• Depositing User: Enlighten Team
• Unique ID: glathesis:2006-71882
• Copyright: Copyright of this thesis is held by the author.
• Date Deposited: 17 May 2019 09:31
• Last Modified: 21 May 2021 09:19
• URI: https://theses.gla.ac.uk/id/eprint/71882