Why the study?
Does the intervention of a liaison nurse improve follow-up care by general practice nurses in patients discharged after myocardial infarction or angina pectoris?
Does the intervention of a liaison nurse improve follow-up care by general practice nurses in patients discharged after myocardial infarction or angina pectoris?
A liaison nurse intervention successfully increases follow-up by general practice nurses for patients discharged after MI or angina, highlighting a shift in nursing tasks toward sustaining behavioral changes and medication adherence.
Supports liaison nurse integration to improve post-discharge nurse follow-up after MI or angina; extends task-shifting evidence in primary cardiac care.
The intervention of a liaison nurse is effective in ensuring that general practice nurses follow-up patients after hospital discharge. It does not alter the number of follow-up visits made by the patient to the doctor. Levels of prescribing and reported changes in behaviour at hospital discharge indicate that the main tasks facing practice nurses during follow-up are to help patients to sustain changes in behaviour, to encourage doctors to prescribe appropriate medication and to encourage patients to adhere to medication while returning to an active life. These are very different tasks to those traditionally undertaken by practice nurses in relation to primary prevention, where the emphasis has been on identifying risk and motivating change. Assessment of the effectiveness of practice nurses in undertaking these new tasks requires a longer follow-up.
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Kate Jolly (1998) studied this question.