University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Personalised discharge care planning for postmyocardial infarction patients through the use of the Personalised Patient Education Protocol - implementing theory into practice

Lau-Walker, Margaret, Landy, Anne and Murrells, Trevor (2016) Personalised discharge care planning for postmyocardial infarction patients through the use of the Personalised Patient Education Protocol - implementing theory into practice Journal of Clinical Nursing, 25 (9-10). pp. 1292-1300.

Full text not available from this repository.

Abstract

Aims and objectives This study aims to evaluate the service impact of the integration of an evidence-based instrument – the Personalised Patient Education Protocol – into an existing postmyocardial infarction care pathway. Background Recent research indicates that while better patient health outcomes can be achieved when care planning is personalised, delivery staff feel less satisfied and less confident in its provision. To achieve a shift to personalised care, innovations are needed to enable an effective transition for staff. Design A service evaluation using a patient survey and nurse interviews. Method A longitudinal patient survey measured changes in patient illness beliefs, cardiac diet and exercise self-efficacy, anxiety, depression and quality of life study of a patient cohort of 74. Paired t-tests analysed the effects before and after the implementation of the Personalised Patient Education Protocol. Cardiac rehabilitation nurses who implemented the Personalised Patient Education Protocol were interviewed and a patient survey identified perceptions of the usefulness of the service innovation. Results Analysis of change from baseline to three months results showed statistically significant changes in Illness Belief component ‘Understanding’ and the Dartmouth Quality of Life ‘General Health’. The integration of the Personalised Patient Education Protocol into the existing discharge process identified service improvements for cardiac nurse training and care pathway delivery, while patients identified the level and frequency of their use of the protocol following discharge. Conclusion The introduction of the Personalised Patient Education Protocol succeeded in increasing patient engagement, facilitated a more patient-centred service by enabling practitioners to systematically provide personalised patient education, and gave patients a postdischarge structure to better follow-up their illness concerns with health professionals in the community. Relevance to clinical practice Integration of the Personalised Patient Education Protocol into an existing postmyocardial infarction care pathway enabled nurses to systematically respond to individual patients’ illness beliefs and expectations.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Lau-Walker, Margaretm.lau-walker@surrey.ac.ukUNSPECIFIED
Landy, AnneUNSPECIFIEDUNSPECIFIED
Murrells, TrevorUNSPECIFIEDUNSPECIFIED
Date : May 2016
Identification Number : 10.1111/jocn.13177
Copyright Disclaimer : © 2016 John Wiley & Sons Ltd
Uncontrolled Keywords : Patient participation; Patient voice; Patient-centred care
Depositing User : Clive Harris
Date Deposited : 14 Jul 2017 13:39
Last Modified : 14 Jul 2017 13:39
URI: http://epubs.surrey.ac.uk/id/eprint/841656

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800