Factors in effectiveness:practice nurses, health promotion and cardiovascular disease (original) (raw)

1999, Clinical Effectiveness in Nursing

Research and Development Executive, to explore the implementation of research-based knowledge by practice nurses in the prevention of cardiovascular disease (CVD) and stroke. Design: the study was designed in two stages. Stage I involved a national survey of practice nurses, focusing upon current practice in relation to the identification and monitoring of the major risk factors for CVD and stroke.This paper relates to stage II of the study, in which semi-structured interviews were undertaken to illuminate issues emerging from the survey data, while also being sensitive to issues raised by respondents. Participants: the interviewees were practice nurses, all female, ranging in age from 27 to 53 years who worked between 18 and 38 hours per week. Findings: a number of factors which appear to influence effective practice and suggest that evidence-based practice is a result of a complex interaction of'organizational', 'patient-centred','personal practice' and 'wider' issues rather than a consequence of the influence of individual elements. Conclusions and recommendations: further research is needed to explore the ways in which the combination of these factors affects changes in nursing practice.

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