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dc.contributor.authorDeaton, Cen_US
dc.contributor.authorJohnson, Ren_US
dc.contributor.authorEvans, Men_US
dc.contributor.authorTimmis, Aen_US
dc.contributor.authorZaman, Jen_US
dc.contributor.authorHemingway, Hen_US
dc.contributor.authorHughes, Jen_US
dc.contributor.authorFeder, Gen_US
dc.contributor.authorCramer, Hen_US
dc.date.accessioned2018-03-12T17:26:28Z
dc.date.available2016-08-30en_US
dc.date.issued2017-01en_US
dc.date.submitted2018-03-12T17:20:48.755Z
dc.identifier.issn2054-1058en_US
dc.identifier.other10.1002/nop2.69
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/34823
dc.description.abstractBACKGROUND: Studies have shown variation in care for patients with non-ST elevation myocardial infarction (NSTEMI), including in the roles of specialist and advanced practice nurses in diagnosis, treatment and coordination of care. AIM: The aim of this study was to describe the roles and responsibilities of specialist and advanced practice nurses in providing care for patients with NSTEMI. METHODS: Secondary analysis of observational field notes and interviews from an ethnographic study of variation in care for NSTEMI patients in 10 UK hospitals conducted 2011-2012. Data were thematically analysed to identify key concepts and themes related to the roles of specialist nurses. RESULTS: Seven of 10 hospitals had roles for specialist nurses in NSTEMI care. The major theme related to high demand and the complexity of patients and organizations ('Aligning the planets'). In this theme, nurses contributed to improving services or compensating for deficiencies ('Making the system work versus making up for the system'). Data collection for audit could take precedence over time with patients ('Paying worship to the paper'). Nurses expressed a sense of ownership of cardiovascular patients that drove their desire to provide quality of care ('They are our patients').en_US
dc.description.sponsorshipThis study was funded through a Research for Patient Benefit grant from the National Institute of Health Research, UKen_US
dc.format.extent49 - 56en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofNurs Openen_US
dc.rightsCreative Commons Attribution License
dc.subjectadvanced practiceen_US
dc.subjectnon‐ST‐elevation myocardial infarctionen_US
dc.subjectnursing rolesen_US
dc.subjectspecialist nursesen_US
dc.subjectvariation in careen_US
dc.titleAligning the planets: The role of nurses in the care of patients with non-ST elevation myocardial infarction.en_US
dc.typeArticle
dc.rights.holder2016. The authors
dc.identifier.doi10.1002/nop2.69en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/28078099en_US
pubs.issue1en_US
pubs.notesNot knownen_US
pubs.organisational-group/Queen Mary University of London
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/William Harvey Research Institute
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/William Harvey Research Institute/Cardiac Vascular & Inflammation
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/William Harvey Research Institute/REF William Harvey Research Institute
pubs.organisational-group/Queen Mary University of London/REF
pubs.organisational-group/Queen Mary University of London/REF/REF - WHRI
pubs.publication-statusPublished onlineen_US
pubs.volume4en_US
dcterms.dateAccepted2016-08-30en_US


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