The caregiver role in thromboprophylaxis management in atrial fibrillation: a literature review

Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M (2015) The caregiver role in thromboprophylaxis management in atrial fibrillation: a literature review. European Journal of Cardiovascular Nursing, 14 2: 98-107. doi:10.1177/1474515114547647

Author Ferguson, Caleb
Inglis, Sally C.
Newton, Phillip J.
Middleton, Sandy
Macdonald, Peter S.
Davidson, Patricia M
Title The caregiver role in thromboprophylaxis management in atrial fibrillation: a literature review
Journal name European Journal of Cardiovascular Nursing   Check publisher's open access policy
ISSN 1474-5151
Publication date 2015-04
Year available 2015
Sub-type Article (original research)
DOI 10.1177/1474515114547647
Open Access Status Not Open Access
Volume 14
Issue 2
Start page 98
End page 107
Total pages 10
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2016
Language eng
Formatted abstract
Background: Atrial fibrillation is a common arrhythmia and a risk factor for adverse events including stroke. People living with atrial fibrillation are commonly elderly and have multiple comorbidities. The role of a caregiver in supporting the individual to manage a chronic and complex condition has received limited attention.

Objectives: This review aims to summarize available information on the caregiver role in atrial fibrillation, specifically in promoting adherence to thromboprophylaxis and evidence for strategies to support and enable the caregiver.

Data sources: A review of electronic databases and search engines was undertaken including Medline, Scopus and CINAHL. The search terms ‘atrial fibrillation’, ‘anticoagulation’, ‘carer’, ‘caregiver’, ‘family support’ were used. Dates searched were from January 1990 to November 2012.

Results: The review found limited original clinical research studies. The majority of the literature identified in the initial search included review papers and work which recommends the inclusion of the caregiver in the care of patients with atrial fibrillation but limited empirical evidence.

Conclusions: Caregivers have an essential role to play in advocacy, family centred care and shared decision-making. This may influence thromboprophylaxis treatment choices and potentially adherence. Assessment of caregiver needs and support should be central to patient assessment and care planning. There is a need for clinical intervention studies which more target and address the caregiver role.
Keyword Atrial fibrillation
Stroke prevention
Caregiver role
Caregiver education
Family support
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
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Created: Thu, 29 Oct 2015, 10:56:57 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work