Effectiveness and Safety of an Independently Run Nurse Practitioner Outpatient Cardioversion Program (2009 to 2014)

The impact of a nurse‐led elective direct current cardioversion in atrial fibrillation on patient outcomes: A systematic review

“…None of the studies attained high score of overall validity of ≥75%. The highest score achieved was 68% in the study by Norton et al (), and the lowest score was 38% by Quinn (). Boodhoo et al () study scored 51.72%, House et al () study scored 57%, Strezelczyk et al () study scored 50%, Moore et al () study scored 60%, and Shelton et al () study scored 40%.…”

“…The interventions of the individual studies varied with different educational qualifications such as RGN, ANP/APP/NP). Boodhoo et al (), House et al (), Norton et al () and Strezelczyk et al () compared the intervention group with medical‐led procedures. All articles highlighted that prior to performing elective DCCVs, all interventions have performed minimum of twenty DCCVs under direct supervision of physicians.…”

“…All seven included studies reported on nurse‐led elective DCCV success rates; four of these were comparative studies (Boodhoo et al, ; House et al, ; Norton et al, ; Strezelczyk et al, ). Figure displays the percentage of success rate in restoration to sinus rhythm in all studies.…”

“…Four studies (Boodhoo et al, ; House et al, ; Norton et al, ; Strzelczyk et al, ) compared the outcome of nurse‐led DCCVs with medical‐led procedures (Figure ). A prospective longitudinal study by Boodhoo et al () aimed to determine the safety and effectiveness of nurse‐led DCCV.…”

“…Norton et al () carried out a retrospective descriptive study to evaluate the outcome of DCCV service compared between medical doctor (MD), a NP under supervision and an independent NP. The primary outcome of this study was to determine the safety and effectiveness of DCCVs independently run by NP.…”