Development of clinical practice guidelines for the nursing care of people undergoing percutaneous coronary interventions: An Australian & New Zealand collaboration

Rolley, John X.; Salamonson, Yenna; Dennison, Cheryl R.; Davidson, Patricia M.

doi:10.1016/j.aucc.2010.03.004

« Previous Next »Australian Critical Care
Volume 23, Issue 4 , Pages 177-187, November 2010

Development of clinical practice guidelines for the nursing care of people undergoing percutaneous coronary interventions: An Australian & New Zealand collaboration

John X. Rolley, RN, BN (Hons), PhD
- Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Curtin University, Australia
- Australian Catholic University, Australia
- Corresponding author at: School of Nursing and Midwifery, College of Health Sciences, Curtin Health Innovation Research Institute, Curtin University, 39 Regent Street, Chippendale, NSW 2008, Australia. Tel.: +61 2 8382 4024; fax: +61 2 8399 7834.
Yenna Salamonson, RN, PhD
- School of Nursing and Midwifery, University of Western Sydney, Australia
Cheryl R. Dennison, ANP, PhD, FAHA
- School of Nursing, Johns Hopkins University, Australia
Patricia M. Davidson, RN, PhD
- Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Curtin University, Australia

Received 6 October 2009; received in revised form 30 January 2010; accepted 16 March 2010. published online 23 April 2010.

Summary

Aim

This paper describes the development of nursing practice guidelines for percutaneous coronary intervention (PCI).

Background

Clinical practice guidelines (CPGs) supporting PCI nursing care are limited.

Method

The National Health and Medical Research Council's (NH&MRC) health and medical practice development guidelines were used for the guideline development process. A panel of experts (clinicians and consumers) attended a consensus conference to review existing evidence. Subsequently, nurses’ opinions were identified via an online survey. This was followed by a modified Delphi method was used to refine a draft set of guidelines over two rounds.

Results

The consensus conference was attended by 41 participants (39 cardiovascular nurses and 2 consumer representatives). Eight additional members joined the panel for the modified Delphi rounds with 27 participants completing the online survey. The final guideline document consisted of 75 recommendations. Endorsement was then sought from key peak cardiovascular bodies in Australia and New Zealand.

Discussion/conclusion

Inconclusive evidence precludes definitive recommendations. Therefore, consultation and consensus are important in developing guidelines to achieve standardised nursing care and monitoring of outcomes.

Implications for practice

Nurses play a crucial role in PCI care, yet currently there are limited guidelines to inform practice. This paper describes the method developing clinical practice guideline and deriving consensus.

Keywords: Clinical practice guidelines, Delphi, Consensus methods, Angioplasty (percutaneous coronary), Nursing practice