What do cardiovascular nurses know about the hematological management of patients with Eisenmenger syndrome?

Moons, Philip, Fleck, Desiree, Jaarsmam, Tiny, Norekval, Tone M., Smith, Karen, Stromberg, Anna, Thompson, David R. and Budts, Werner (2009) What do cardiovascular nurses know about the hematological management of patients with Eisenmenger syndrome?. European Journal of Cardiovascular Nursing, 8 4: 246-250. doi:10.1016/j.ejcnurse.2009.05.002


Author Moons, Philip
Fleck, Desiree
Jaarsmam, Tiny
Norekval, Tone M.
Smith, Karen
Stromberg, Anna
Thompson, David R.
Budts, Werner
Title What do cardiovascular nurses know about the hematological management of patients with Eisenmenger syndrome?
Formatted title
What do cardiovascular nurses know about the hematological management
of patients with Eisenmenger syndrome?
Journal name European Journal of Cardiovascular Nursing   Check publisher's open access policy
ISSN 1474-5151
Publication date 2009-10
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.ejcnurse.2009.05.002
Volume 8
Issue 4
Start page 246
End page 250
Total pages 5
Editor T Jaarsma
Place of publication Netherlands
Publisher Elsevier BV
Collection year 2010
Language eng
Subject C1
920103 Cardiovascular System and Diseases
920210 Nursing
110999 Neurosciences not elsewhere classified
110201 Cardiology (incl. Cardiovascular Diseases)
Abstract Aim: We investigated the level of knowledge of hematological management of patients with Eisenmenger syndrome among general cardiovascular nurses and nurses who specialize in congenital heart disease (CHD). Methods: We conducted a survey at two international conferences attended by cardiovascular nurses. Nurses were asked to complete a questionnaire comprising two questions and three clinical case scenarios. Overall, 89 nurses participated (response rate 90.8%), 43 of whom specialized in CHD. Results: The level of knowledge displayed among cardiovascular nurses is poor. About one-third of nurses not specialized in CHD recognized the definition of Eisenmenger syndrome and knew what normal hematocrit levels are. With respect to the cases presented, less than 10% of the nurses could give a correct answer. The level of knowledge of specialized nurses was significantly higher, but also here, important gaps in the level of knowledge could be observed. Less than two-thirds knew the reference values of hematocrit and knew the appropriate management in two cases. Less than half of the specialized nurses knew about the procedure of isovolumic phlebotomy. Conclusion: The level of knowledge displayed by cardiovascular nurses regarding the hematological management of patients with Eisenmenger syndrome is poor. Also the knowledge of nurses specialized in CHD could be improved.
Formatted abstract
Aim: We investigated the level of knowledge of hematological management of patients with Eisenmenger syndrome among general cardiovascular nurses and nurses who specialize in congenital heart disease (CHD).
Methods: We conducted a survey at two international conferences attended by cardiovascular nurses. Nurses were asked to complete a questionnaire
comprising two questions and three clinical case scenarios. Overall, 89 nurses participated (response rate 90.8%), 43 of whom specialized in CHD.
Results: The level of knowledge displayed among cardiovascular nurses is poor. About one-third of nurses not specialized in CHD recognized the definition of Eisenmenger syndrome and knew what normal hematocrit levels are. With respect to the cases presented, less than 10% of the nurses could give a correct answer. The level of knowledge of specialized nurses was significantly higher, but also here, important gaps in the level of knowledge could be observed. Less than two-thirds knew the reference values of hematocrit and knew the appropriate management in two cases. Less than half of the specialized nurses knew about the procedure of isovolumic phlebotomy.
Conclusion: The level of knowledge displayed by cardiovascular nurses regarding the hematological management of patients with
Eisenmenger syndrome is poor. Also the knowledge of nurses specialized in CHD could be improved.
Keyword congenital heart disease
Eisenmenger
pulmonary arterial hypertension
cardiovascular
nursing
knowledge
References [1] Vongpatanasin W, Brickner ME, Hillis LD, Lange RA. The Eisenmenger syndrome in adults. Ann Intern Med 1998;128:745–55. [2] Moons P, Canobbio MM, Budts W. Eisenmenger syndrome: A clinical review. Eur J Cardiovasc Nurs 2009;8:237–45. [3] Norekval TM, Deaton C, Scholte op Reimer WJM. Moving from working group on cardiovascular nursing to council on cardiovascular nursing and allied professions in ESC. Eur J Cardiovasc Nurs 2007;6:3–5. [4] Moons P, Canobbio MM, Harrison J. The International Adult Congenital Heart Disease Nursing Network: coming together for the future. Prog Cardiovasc Nurs 2006;21:94–6. [5] Bouzas B, Gatzoulis MA. Pulmonary arterial hypertension in adults with congenital heart disease. Rev Esp Cardiol 2005;58:465–9. [6] Oechslin EN, Harrison DA, Connelly MS, Webb GD, Siu SC. Mode of death in adults with congenital heart disease. Am J Cardiol 2000;86:1111–6. [7] Budts W. Eisenmenger syndrome: medical prevention and management strategies. Expert Opin Pharmacother 2005;6:2047–60. [8] Deanfield J, Thaulow E,Warnes C,Webb G, Kolbel F, Hoffman A, et al. Management of grown up congenital heart disease. Eur Heart J 2003;24:1035–84. [9] Moons P, Scholte op Reimer W, De Geest S, Fridlund B, Heikkila J, Jaarsma T, et al. Nurse specialists in adult congenital heart disease: the current status in Europe. Eur J Cardiovasc Nurs 2006;5:60–7.
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Mon, 26 Oct 2009, 14:14:38 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work