Key result
The support of doctors and cardiac liaison nurses enabled practice nurses to provide post-hospital follow-up care for ischaemic heart disease, while lack of discharge notification hindered it.
Observational
Effective post-hospital follow-up care for ischemic heart disease by practice nurses requires timely discharge notification and ongoing support from liaison nurses and general practitioners.
May facilitate nurse-led IHD follow-up via better support and notification; leaves open effects on patient outcomes.
Follow-up care of patients with angina and myocardial infarction after hospital discharge is known to be suboptimal across the UK. The employment of cardiac liaison nurses ensured timely notification of hospital discharge and good communication of each patient's current and planned care. The direct ongoing support of the liaison nurse was valued by more practice nurses than educational support meetings and the initial counselling skills course. The most important factor which enabled practice nurses to expand their role to provide post-hospital follow-up care was the support of the doctors in the practice. After the conclusion of the Southampton Heart Integrated Care Project (SHIP) and the withdrawal of cardiac liaison nurses, the lack of hospital discharge notification was the most important reason for practice nurses discontinuing follow-up care.
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Wright et al. (1999) conducted an observational in Ischaemic heart disease. Southampton Heart Integrated Care Project (SHIP) was evaluated on Practice nurses' perspective on factors enabling or hindering post-hospital follow-up care. The support of doctors and cardiac liaison nurses enabled practice nurses to provide post-hospital follow-up care for ischaemic heart disease, while lack of discharge notification hindered it.
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