Improving health professionals’ self-efficacy to support cardiac patients’ emotional recovery: the ‘Cardiac Blues Project’

Murphy, Barbara; Higgins, Rosemary; Shand, Lyndel; Page, Karen; Holloway, Elizabeth L.; Grande, Michael Le; Jackson, Alun C

doi:10.1177/1474515116643869

Cited by 17 publications

(16 citation statements)

References 35 publications

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“…For health professionals, the emotional recovery of the cardiac patient has to be considered as central care element. Personalizing the treatment and making the patient really part of the care process is necessary to encourage a conscious change [18]. To address this need, our future research will develop relational tools for nurses, with the purpose of leading the patient towards a better quality of life and supporting the patient in this moment of fragility, and guarantees uniformity of care and simplifies the insertion of new professionals in the team when necessary.…”

Section: Discussionmentioning

confidence: 99%

Comparative Nursing Study of Patients Undergoing Coronary Intervention Therapy in Different Ways

He¹,

Luan²,

Fu³

et al. 2019

JBM

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Purpose: To compare the surgical indicators, perioperative complications and postoperative psychological status of patients with coronary interventional therapy (CIT) by radical artery and femoral artery puncture approaches. Methods: 120 patients with CIT were divided into femoral artery group (FAG) and radial artery group (RAG) according to the operation ways. The interventional operation was performed by the same surgeon team and methods. Data of surgical indicators and perioperative complications were recorded and collected. The psychological questionare survey was made within 48 hours the after surgery by the hospital anxiety and depression scale (HAD), and the results were scored by the psychiatrist. Results: The age, sex, ethnicity, education level, disease type, and combined diseases of the two groups had homogeneity without statistical difference. There was no obvious difference in X-ray exposure time, contrast agent usage and operation time in two ways (P > 0.05). The success rate of one-time catheterization was higher in FAG than in RAG (P < 0.05). However, the incidence of vascular complications such as subcutaneous hematoma, puncture site bleeding in RAG were significantly lower than those in FAG (P < 0.05). Complications of vascular and puncture site bleeding, the operative limb braking time and hospitalization time were longer in FAG than those in the RAG (P < 0.05).The postoperative anxiety and depression question are data analysis showed patients in both groups had obvious higher anxiety and depression scores compare to Chinese norm. Even though there was no difference on anxiety scores of the patients in two groups, but the depression scores showed that patients in the FAG were more prone to psychological depression than patients in the RAG. Combined with the clinical nursing requirements, the postoperative nursing record charts of patients with CIT were established according to general patient data and physical discomfort with high incidence in the above survey

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Section: Discussionmentioning

confidence: 99%

Comparative Nursing Study of Patients Undergoing Coronary Intervention Therapy in Different Ways

He¹,

Luan²,

Fu³

et al. 2019

JBM

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“…Health professional training is designed both to improve knowledge and to build confidence, or self-efficacy, in applying that knowledge in the workplace. [18][19][20][21][22] Self-efficacy refers to individuals' belief in their capacity to execute behaviours that are necessary to produce specific performance outcomes. [23] Self-efficacy has been observed as a predictor of professional practice behaviours [24] and as an outcome of clinical training.…”

Section: Introductionmentioning

confidence: 99%

“…[23] Self-efficacy has been observed as a predictor of professional practice behaviours [24] and as an outcome of clinical training. [25] Selfefficacy has been studied in the training of health professionals [20,22,[26][27][28] and found to improve after training comple-tion. [20,22,[26][27][28] Training also needs to support the translation of increased self-efficacy into positive practice change, [24] which has been found to contribute to improved patient outcomes as a result of professional training.…”

Section: Introductionmentioning

confidence: 99%

“…[25] Selfefficacy has been studied in the training of health professionals [20,22,[26][27][28] and found to improve after training comple-tion. [20,22,[26][27][28] Training also needs to support the translation of increased self-efficacy into positive practice change, [24] which has been found to contribute to improved patient outcomes as a result of professional training. [18] We developed an intensive five-day centre-based training program designed to address the required knowledge and skills for health professionals working in CR programs across Australia and have been delivering the training since 1993.…”

Section: Introductionmentioning

confidence: 99%

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Impact of intensive training on health professionals’ self-efficacy in establishing, running and maintaining a cardiac rehabilitation program

Murphy

Higgins

Grande

et al. 2019

JNEP

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We developed an intensive five-day training program for health professionals working in cardiac rehabilitation (CR). The training covers topics related to establishing, running, maintaining and evaluating a CR program. The aim of this study was to assess the impact of the training on health professionals’ self-efficacy regarding the effective delivery of CR. From 2014 to 2018, 167 health professionals participated in one of five training programs. Participants completed a 28-item pre- and post-training self-efficacy scale. For a sub-group, self-efficacy was re-assessed 4 months later. Factor analysis was used to identify self-efficacy domains. Paired sample t-tests compared pre- and post-training self-efficacy scores; repeated measures analysis of variance investigated change over the three time points. Variations in self-efficacy across profession, role in CR, and years of CR practice were investigated. Factor analysis identified three domains: Operational aspects of CR; Medical aspects of heart disease; and Psychosocial aspects of CR. Health professionals’ self-efficacy increased significantly after training participation, across the three domains and for the total score. Effects were sustained in the 4-month follow-up. Few variations in self-efficacy trajectories by participant characteristics were identified. The study demonstrates that our health professional CR training significantly improves health professionals’ confidence in a range of areas related to establishing, running, maintaining and evaluating a CR program, with immediate improvements sustained four months later. The pattern of findings was largely consistent regardless of participants’ role and experience in CR. Findings highlight the benefits of this relatively brief intensive program on enhancing the capacity of the CR workforce.

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“…To address this need, relational tools have been developed, for nurses, with the purpose of leading the patient towards a better quality of life and supporting the patient in this moment of fragility. Furthermore, such a tool, when shared by the whole team, guarantees uniformity of care and simplifies the insertion of new professionals in the team when necessary (Murphy et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Application of relational tool to support acute cardiac patients’ emotional recovery: analysis of effects during acute and follow-up care

Berardo

Mussa

2019

International Journal of Qualitative Studies on Health and Well

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After an acute cardiac event, many patients experience emotional disturbance. This is a normal response to the event and to hospitalization, but, if not treated with emotive and social support, the symptoms can evolve, resulting in emotional and behavioural disorders. The aim of the study was to evaluate the outcome of the use of a new nursing relational tool, designed to support patients' emotional recovery. The data are the result of semi-structured narrative interviews, conducted in the intensive cardio care unit of the Mauriziano hospital of Turin and by telephone, during March and August of 2017. The research sample involved 26 patients, divided into control and intervention groups. Exclusion criteria were: under age of 18, cognitive impairment or dementia, difficulty with comprehension and expression in Italian, and previous acute cardiac events. The interviews have shown that an emotional management tool improves the patient's recovery, the quality of information received, and the quality of the patient's everyday life after the event. The use of a relational tool by nursing staff improves the patient's emotional management and increases the knowledge required to ensure a good quality of life. Continuous use also improves the confidence of health professionals in managing these emotional conditions.

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Improving health professionals’ self-efficacy to support cardiac patients’ emotional recovery: the ‘Cardiac Blues Project’

Abstract: The health professional training significantly improves health professionals' confidence in identifying and managing the 'cardiac blues' and depression. Monitoring of uptake is ongoing and future studies will investigate patient outcomes.

Cited by 17 publications

References 35 publications

Comparative Nursing Study of Patients Undergoing Coronary Intervention Therapy in Different Ways

Comparative Nursing Study of Patients Undergoing Coronary Intervention Therapy in Different Ways

Impact of intensive training on health professionals’ self-efficacy in establishing, running and maintaining a cardiac rehabilitation program

Application of relational tool to support acute cardiac patients’ emotional recovery: analysis of effects during acute and follow-up care

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