Assessment of atrial fibrillation patients' education needs from patient and clinician perspectives: A qualitative descriptive study

Salmasi, Shahrzad; Kwan, Leanne; MacGillivray, Jenny; Bansback, Nick; Vera, Mary A. De; Barry, Arden R.; Harrison, Mark; Andrade, Jason G.; Lynd, Larry D.; Loewen, Peter

doi:10.1016/j.thromres.2018.11.015

Cited by 34 publications

(69 citation statements)

References 46 publications

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“…42, 43 Yet only two studies, one a quantitative and one a qualitative study, examined patients’ AF knowledge, 31, 34 despite education as a core AF clinic component in the majority of studies. Given the positive association of knowledge with quality of life, 34 adherence 44 and symptom interpretation, management and related anxiety, 24, 43 the impact of clinic-delivered education components on patient-oriented outcomes warrants greater research attention. Knowledge-related findings from the current review were conflicting suggesting that specialised nurse-led AF clinics may not always be effective in enhancing patient knowledge.…”

Section: Discussionmentioning

confidence: 99%

The impact of nurse-led atrial fibrillation clinics on patient and healthcare outcomes: a systematic mixed studies review

Rush

Burton

Schaab

et al. 2019

European Journal of Cardiovascular Nursing

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Background: Atrial fibrillation, the most common arrhythmia worldwide, continues to increase as the population ages. Patients with atrial fibrillation, particularly those newly diagnosed or who have multiple comorbidities, have high healthcare utilisation rates. Nurse-led atrial fibrillation clinics have developed to improve care and guidance for atrial fibrillation patients, with the potential to reduce hospital presentations and healthcare utilisation. Atrial fibrillation clinics that provide specialised and patient-centred care have improved patient symptom management, quality of life and reduced healthcare utilisation and costs. Aims: The aim of this study was to provide the first synthesis of evidence for the impact of nurse-led atrial fibrillation clinics on patient, healthcare utilisation, and quality of care outcomes. Methods: This systematic mixed studies review examined citations from three databases: Medline, CINAHL and Embase, using the search terms ‘atrial fibrillation’ and ‘clinic’, and related concepts. Seventeen moderate to high quality articles were selected. Results: Overall, atrial fibrillation clinics were more cost effective, had shorter wait times and reduced hospitalisation and emergency department visits. Symptoms and sinus rhythm restoration were comparable in the nurse-led compared to physician-led cardioversion clinics. Findings related to patient knowledge and patient satisfaction were mixed, while mortality rates were lower, and patient medication adherence was higher in nurse-led atrial fibrillation compared to usual care. Quality of life and guideline adherence was increased in patients receiving nurse-led atrial fibrillation care compared to usual care. Conclusion: Nurse-led clinics improved healthcare, patient and quality care outcomes. Future research might examine the role of technology in delivery of nurse-led clinics in rural/remote areas as well as patient experiences with nurse-led clinics.

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Section: Discussionmentioning

confidence: 99%

The impact of nurse-led atrial fibrillation clinics on patient and healthcare outcomes: a systematic mixed studies review

Rush

Burton

Schaab

et al. 2019

European Journal of Cardiovascular Nursing

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“…The absorption and recall of patient guidance can be improved by using a variety of guidance materials [16]. An important addition was a video where a patient who had undergone the same procedure shared their experience; there is evidence that peer messaging in guidance reduces patient anxiety [17].…”

Section: Discussionmentioning

confidence: 99%

Patient-Centered Development of a Digital Care Pathway for Arrhythmia Patients

Liljamo

Säilynoja

Tuomikoski

et al. 2020

Studies in Health Technology and Informatics

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Citizens are ready and willing to use various kinds of e-health services and Web-based portals. The purpose of this study was to describe the experiences of patients who underwent an arrhythmia procedure of the guidance they received as well as their needs and expectations for a future digital care path. The goal for the future is to utilize the results in other patient-centered digital service development activities. The research material was collected in a two-part thematic interview with patients who underwent an electrophysiology examination and supraventricular tachycardia catheter ablation procedure (n=7) or ablation treatment for atrial fibrillation (n=4). The preliminary digital care path was modified based on the results. The arrhythmia patient’s digital care path was tested in a workshop using a test group consisting of patients (n=3) and nursing staff (n=6). As a result, a digital care pathway for arrhythmia patients was completed.

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“…Previous studies showed that group-based education for patients with type 2 diabetes promotes disease-specific knowledge, self-empowerment, and drug adherence, and it even improves clinical outcomes compared to individual education [ 43 ]. In addition to its effectiveness, patients favor group learning because it enables them to immediately receive answers to questions, discuss experiences and questions with peers, and experience a feeling of community [ 44 ]. To incorporate group learning during times of social distancing and limited in-person visits, a webinar may be a good option because this delivery mode offers the possibility of synchronous web-based interactive conversation between patients, living donors, and health care providers [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Topics, Delivery Modes, and Social-Epistemological Dimensions of Web-Based Information for Patients Undergoing Renal Transplant and Living Donors During the COVID-19 Pandemic: Content Analysis

Klaveren¹,

Jong²,

Hendriks³

et al. 2020

J Med Internet Res

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Background The COVID-19 pandemic has markedly affected renal transplant care. During this time of social distancing, limited in-person visits, and uncertainty, patients and donors are relying more than ever on telemedicine and web-based information. Several factors can influence patients’ understanding of web-based information, such as delivery modes (instruction, interaction, and assessment) and social-epistemological dimensions (choices in interactive knowledge building). Objective The aim of this study was to systemically evaluate the content, delivery modes, and social-epistemological dimensions of web-based information on COVID-19 and renal transplantation at time of the pandemic. Methods Multiple keyword combinations were used to retrieve websites on COVID-19 and renal transplantation using the search engines Google.com and Google.nl. From 14 different websites, 30 webpages were examined to determine their organizational sources, topics, delivery modes, and social-epistemological dimensions. Results The variety of topics and delivery modes was limited. A total of 13 different delivery modes were encountered, of which 8 (62%) were instructional and 5 (38%) were interactional; no assessment delivery modes were observed. No website offered all available delivery modes. The majority of delivery modes (8/13, 62%) focused on individual and passive learning, whereas group learning and active construction of knowledge were rarely encountered. Conclusions By taking interactive knowledge transfer into account, the educational quality of eHealth for transplant care could increase, especially in times of crisis when rapid knowledge transfer is needed.

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Assessment of atrial fibrillation patients' education needs from patient and clinician perspectives: A qualitative descriptive study

Cited by 34 publications

References 46 publications

The impact of nurse-led atrial fibrillation clinics on patient and healthcare outcomes: a systematic mixed studies review

The impact of nurse-led atrial fibrillation clinics on patient and healthcare outcomes: a systematic mixed studies review

Patient-Centered Development of a Digital Care Pathway for Arrhythmia Patients

Topics, Delivery Modes, and Social-Epistemological Dimensions of Web-Based Information for Patients Undergoing Renal Transplant and Living Donors During the COVID-19 Pandemic: Content Analysis

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