bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experiences of participation in patient's with infective endocarditis: a qualitative study
Authors: Sarmanlu D , Ryom K , Risom S , Grum M , Bech B , Hoejlund H , Rasmussen T 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Infective Endocarditis (IE) is a life-threatening disease with increasing incidence worldwide. An important aspect in a patient’s course of illness is having a close and understanding caregiver. Receiving support from a partner or spouse has been found to be associated with increased survival and lower recurrence of heart diseases. Likewise, the caregiver may be able to experience positive emotions and personal growth by being an important part of the patient’s course of illness. Previous studies have explored patients’ and caregivers’ experiences with participation during the patient’s course of illness. To our knowledge, these perspectives have not yet been studied in patients with IE and their caregivers.

Purpose
The purpose of this study was to explore and elucidate patients with IE and their caregivers’ experiences with each other’s participation during the patient’s course of illness including hospitalization and recovery at home.

Methodology
The design was a holistic single-case study, where patients with IE and their caregivers were the target of interest. The empirical data was collected using qualitative, semi-structured dyadic interviews where the participants were interviewed in pairs. Theory-driven and data-driven coding was used as the analytical tools in the analysis of the data.

Results
The empirical data suggest that social support plays a significant role in the participants’ lives and course of illness, in which emotional support, physiological and practical assistance, as well as attitude transmission accounted for the greatest sources of impact. Important factors to the psychological well-being of participants were spending time with family members and maintaining a positive outlook on life. In light of theories of coping in social psychology, some participants reported using emotion-focused coping, problem-focused coping and protective buffering coping, whilst others did not use these. The majority of the caregivers reported that the course of illness did not have an impact on their working life and social relations, while some stated that it had a negative impact on their work, finances, mental and physical energy and social relations. An additional insight was given as the participants shared their thoughts on a need for psychological counseling and their experiences with compassionate healthcare professionals.
Conclusion: The study concludes that the participation of patients with IE and their caregivers in the course of illness played an important and positive role in their lives. As such, it could be advised that healthcare professionals should focus more on how patients and their caregivers cope both individually and together in the course of illness. Understanding their perspectives could have implications on how healthcare professionals plan health measures to improve outcomes for both the patient and the caregiver.
Occupational burnout in nurses employed in cardiology and noncardiology departments
Authors: Wolfshaut-Wolak R , Nowacka A , Micek A , Kolacz J , Piskorz A , Wadas T , Gniadek A 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: Public Institution(s). Main funding source(s): Uniwersytet Jagiellonian Collegium Medicum, Krakow
Prevalence of occupational burnout in nurses employed in cardiology and non-cardiology departments in hospitals in the Małopolska region

Introduction
An increase in the incidence of burnout symptoms was observed in nurses employed in hospitals.

Objective
An assessment of the frequency of burnout symptoms among nurses working in hospital cardiology and non-cardiology departments.
Metody: A cross-sectional, descriptive study was conducted between 2020 and 2022. It was carried out in a group of 155 nurses working in cardiology departments and 202 nurses working in non-cardiology departments. The nurses were randomly selected from the register of hospital employed nurses of Malopolska Regional Chamber of Nurses and Midwives. The incidence and intensity of burnout syndrom were determined based on Maslach Burnout Inventory (MBI). The study described the burnout syndrome the level of occupational burnout using the dimensions of emotional exhaustion, depersonalization, and personal accomplishment.

Results
Among the surveyed nurses, a high level of emotional exhaustion was the most common, 52.9% in cardiology nurses and 45% in other nurses. The average level of depersonalization was most common (37.4% vs 33.2%). Personal accomplishment was dominated by a low degree in both groups (48.4% and 48.0%). No significant differences were found between the types of departments. There were a significant relationship between the occurrence of depersonalization symptoms and age (p&lt;0.007) and work experience of nurses (p&lt;0.009). Nurses with a high degree of depersonalization were significantly younger or had shorter work experience.

Conclusions
The study found that nurses worked in hospital departments in Małopolska region were very high level of burnout. The incidents of exposure was no depend on the departments where they work.
Characterization of therapeutic programs headed at post-myocardial infarction patients or at risk of: a scoping review
Authors: Santos D S , Taveira A T , Macedo A M 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Worldwide stays confirmed that more than 7 million people experience acute myocardial infarction, in which one-year mortality rates range from 10%. The consequences are more dramatic among patients who survived because they are 20% likely to suffer a second cardiovascular event in the first year and mostly occur in those with a previous hospital discharge. Evidence has shown that prevention after a myocardial infarction has been positively associated with an improvement in its prognosis. The European Society of Cardiology was determined to embrace this challenge, endorsing the crucial role of secondary programs. However, recent studies allow us to state some gaps between the correlation of some important variables, related to secondary programs and patients that should be considered to reinforce good intervention practices.

Purpose
To analyze data capable of characterizing therapeutic programs considering the correlation between variables such as quality indicators, settings of implementation, use of digital technology, health professionals/organization enrolled, and the program's overall length.

Methods
We performed the analyses in different electronic databases, including published studies from 2007 to September 2022 that reported health therapeutic programs headed post at post-myocardial infarction patients or at risk. After identifying 609 titles, and screening 131 articles, accepting 20 full-text for systematic analysis.

Results
16 studies included outpatient presence requirements in the relationship with the health care provider; 4 studies used mobile phone/ digital applications in patient health communication; 3 programs included multi-professional collaboration, the other 7 studies were single-professional with relevance to psychologists and physiotherapists; only 3 studies were conducted in the community setting; Overall, the maximum of programs length ranged from 3 to 42 months; Only 4 studies evaluated the efficiency of the interventions, considering the cost to the organization of the programs and the hospitalized patients; 18 studies related their efficiency based on changes in patient's health behavior and biological parameters. Overall, in terms of the methodology outlined 60% of the studies used a quantitative design, 10% used a mixed plan, and 15% did not refer to it.

Conclusions
we confirmed the absence of prior guidelines for secondary programs' uniformization, which corroborate the need affirmed for the European Society of Cardiology of endorsing the crucial role and the impact of secondary programs on patient`s health path, tailored to patients needs. We highlight the importance of using mixed methodologies, and prospective design capable of capturing the whole phenomenon. We did not identify any study considering the interoperability of health organizations as a strategy capable of adding value.
Barriers and facilitators of cardiac rehabilitation uptake and completion in south Asian minorities: a meta-synthesis
Authors: Inayat S , Hayden A , Shier K K , Campbell T 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Introduction
Cardiac rehabilitation is a proven modality to prevent future cardiac events and complications in cardiac patients. However, the uptake and completion rate are suboptimal in cardiac patients and even worse in ethnic minorities and women. South Asian minorities experience several barriers and facilitators to cardiac rehabilitation uptake and completion.

Aim
To develop a comprehensive understanding of barriers and facilitators to cardiac rehabilitation uptake and completion by South Asian minorities.

Methods
A meta-synthesis was conducted, and findings were reported using PRISMA guidelines. The following databases: Medline, Embase, APA PsycInfo, Cochrane Database of Systematic Review, CINHAL, Scopus, and Web of Science were searched from inception to July 2022. The inclusion criteria comprised the studies that focused on South Asian adult minorities’ barriers and/or facilitators of a structured cardiac rehabilitation program. Studies were critically appraised using the Mixed Methods Appraisal Tool. Thematic synthesis was used in the analysis.

Results
A total of 7110 records were retrieved and eight studies from Canada and United Kingdom met the inclusion criteria. There were more identified barriers than facilitators. Communication constraints resulted in inadequate health education, while conservative socio-religious beliefs, negative attitudes about healthcare professionals, and systemic constraints (e.g., transportation problems, and work schedule concerns) were the key barriers themes. Peer and family support and patient-preferred specific mechanisms for cardiac rehabilitation implementation were substantial facilitators.

Conclusion
South Asian minorities experience multilevel barriers and facilitators to cardiac rehabilitation uptake and completion. Further research with a robust and culturally contextual intervention and methodology can help improve the uptake and cardiac rehabilitation completion in this population. Healthcare professionals and policymakers can utilize these findings to develop tailored cardiac rehabilitation programs for South Asian minorities.
Testosterone and depression in men with heart failure
Authors: Dumitrascu A R , Diaconu R , Donoiu I 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Low testosterone levels are frequently seen in men with chronic heart failure. Testosterone interacts with neurotransmitters like dopamine, serotonin, and noradrenaline and its levels affect neurobehavioral characteristics such as irritability, emotional tone, and cognitive function. Depression and anxiety are very frequent in patients with heart failure

Purpose
To evaluate the relationship between testosterone levels and depression severity in a cohort of males with dilated cardiomyopathy and heart failure.

Methods
In this cross-sectional single-center study we included 78 Caucasian male patients with dilated cardiomyopathy and chronic heart failure (mean age 58.5 years, range 29 – 80 years old; mean left ventricular ejection fraction 24.54%). All patients were subjected to clinical, biological, and echocardiographic examinations. Depressive symptoms were assessed using the PHQ-9 Depression Test Questionnaire which is a simple 97% sensitivity test used for guiding the diagnosis of depression in high-risk populations including patients with heart failure. Serum total T levels and sex hormone-binding globulin were measured by chemiluminescence assays and free testosterone (FT) levels were calculated. Based on the results from these assays, patients were divided into five groups according to the 5 stages of the PHQ-9 scale (minimal, mild, moderate, moderately severe, and severe).

Results
Patients with high levels of FT (82.83±55.73 pg/mL) didn’t show any features consistent with depression, however patients with lower levels of FT had a proportional increase in the number of signs and symptoms suggestive of depression (67.97±37.12 pg/mL– mild depression, 45.24±28.52 pg/mL - moderate depression, 29.79±20.32 pg/mL – moderately severe depression, 18.56±14.28 pg/mL- severe depression). Patients with depression also had higher levels of higher C-reactive protein, urea, and creatinine (p&lt;0.001).

Conclusion
Lower levels of free testosterone are associated with a proportional increase in depressive symptoms in patients with dilated cardiomyopathy and heart failure.
Role of nursing in the implantation of the injectable holter
Authors: Mesa-Rico R , Sanchez-Jimenez M , Carrasco-Campos M , Repullo-Cortes G , Gomez Garcia-Olias S , Campos-Marin A , Ruiz-Serrano A , Molina-Fernanez E , Llamas-Rios A , Berga-Congost G , Moreno-Segura N , Fuentes-Aparicio L , Marques-Sule E 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None. Main funding source(s): No

Introduction
The injectable Holter monitor is a useful tool in the evaluation of patients with recurrent syncope of unknown etiology and in patients with suspected embolic paroxysmal AF. This device monitors heart rhythm for 2-3 years. In our center, the implantation and follow-up of this type of patient is carried out exclusively by nursing, with three centers in Andalusia performing this type of procedure. The objective is to describe the injectable holter implant procedure prepared by nursing.

Material and Method
Through the bibliographic search in the CUIDEN and PubMed databases, a procedure for the implantation of an injectable Holter monitor by nursing has been developed. The types of Holter that are implanted in the Hemodynamics Unit, the implantation procedure, as well as the necessary material are described. When an injectable Holter monitor is implanted in a patient, a series of steps are followed, such as checking them the next day, conducting health education, as well as delivering the remote monitoring device.

Results
Since 2010, 266 devices have been implanted, with the nursing staff being fully responsible for both implanting and monitoring them. In the insertion procedure, the previous preparation of the patient, information, the necessary material for the implant, procedure and activation of the device by means of a programmer are highlighted. After the implant, monitoring and remote control are performed by the nursing staff for functional tests.

Conclusions
The complete approach to the implantation and follow-up of the injectable Holter monitor by nursing has allowed us to grow, helping closely in the diagnosis and treatment of heart rhythm disorders. The utility in the early detection of cardiac events in the injectable Holter monitor is a leap in the quality of life of patients, in the optimization of resources and in response time.
Filling the gap between research evidence and clinical practice to promote cardiovascular nursing-related knowledge
Authors: Mostafa S M , Elkhateb M , Abdelhay M 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Introduction
The journal club is intended to improve nurses' understanding of the research process and their capacity to analyse and synthesise research studies, serve as a forum for discussing research evidence in relation to clinical practice, disseminate research results into practice, and reinforce the need for evidence-based practice. The journal club encourages nurses to engage in evidence-based activities and to perform nurse-driven research investigations.
The application of new knowledge gained via participation can improve the quality of care provided to patients and their families.

Aim
Filling the gap between research evidence, clinical practice, and promoting nursing-related knowledge.
Process
Nursing Journal Club commenced in AHC on July 28, 2022; by the end of 2022, the total number of sessions held was 12.
All topics presented and discussed are nursing-focused, evidence-based practise research that enhances or changes the practice.
Since the launch of the club, all AHC nursing units have participated in presenting various topics.
The club met twice a month, where two nursing units presented recent research evidence based on current related practice, issues, areas for improvement, and/or areas of interest.
Data Analysis
The questionnaire was filled out by 55 nurses. Five nurses from each nursing department were chosen at random to fill it out. The survey's goal is to determine the effectiveness of using journal club in cardiac healthcare facilities. (Chart 1)
The survey reported that 96.4% of participants sensed that the club promoted interest in research and promoted the ability to apprise nurses of nursing research, 90.9% confirmed that the club strengthened the nurse's ability to analyse current evidence-based research; 94.5% agreed that the club allowed open discussions, 96.4% were disclosed that the club enhanced the chance to change practise to reflect the highest and most updated evidence; and 89.1% of participants reveled that the club answered dilemmas related to daily practice. The journal club was a main place to discuss the current research and evidence in nursing; as 98.2% of participants reported. Eventually, 94.5% of participants exposed that the club was a suitable educational method.
The participants were asked one open-ended interview question; the majority responded that the club allowed nurses to have a vision for nursing research, expand knowledge, and was a useful approach for education in bridging the gap between research and daily practise.

Conclusion
Nurses' critical-thinking skills were sustained by the introduction of the journal club into cardiac healthcare facilities, which increased their familiarity with the latest research and strengthened their ability to evaluate the quality of published studies. Moreover, it encourages the use of newly acquired knowledge in clinical practice, which should enhance patient outcomes.The survey results
Peri-procedure experiences during minimalist transcatheter aortic valve implantation: insights from patients' perspectives
Authors: Lauck S , Percy C , Howard A F , Lee B 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
There is growing evidence to support the implementation of a streamlined clinical pathway to optimise outcomes, improve program capacity, and facilitate safe early discharge home after transcatheter aortic valve implantation (TAVI). In the peri-procedure phase, the adoption of a minimalist approach has accelerated the rapid transition from the use of general anaesthesia to default strategies ranging from conscious sedation to local anaesthesia only. Little is known of patients’ perspectives with undergoing minimalist TAVI. We aimed to explore what could be learned from this episode of care to inform multidisciplinary practice.

Methods
We conducted a prospective single centre qualitative study of TAVI patients within the first week of their discharge home, using purposeful sample to recruit a diverse population. We conducted individual interviews, using a semi-structured interview guide informed by pilot work and current evidence; open-ended questions were designed to explore patients’ perspectives of their peri-procedural experiences, inclusive of their recall of the procedure, interactions with team members, and the overall care received. Data were analyzed using interpretive description, a methodological approach appropriate to inform the knowledge needs of applied disciplines and conducive to generating new ideas and augment existing knowledge in the context of clinical practice.

Results
We recruited 15 participants, including 5 women, median age 82 (IQR 77,86); all patients had severe symptomatic aortic stenosis and multiple co-morbidities. TAVI was conducted using a transfemoral approach, with local anaesthesia only (n=4) or minimal sedation (n=11). Median length of stay was 1 day; one participant required a new permanent pacemaker; all participants were discharged home. The overarching theme of "I want to be a member of my Heart Team during my procedure" emerged; this aspiration, request and/or need was illustrated by three main themes: (1) "Who am I to them?", (2) "How can I be a good patient?", and (3) "How do I manage this complex wave of emotions?".

Conclusions
The rapid emergence of minimally invasive options for the treatment of valvular heart disease has established a new standard of care. Peri-procedure care initially informed by surgical practices have now shifted to most patients being conscious during TAVI and cared for by a smaller clinical team. The awareness of patients’ perspectives, and their inclusion in the Heart Team’s dynamics and processes offer important insights to optimise patients’ experiences of procedural care and clinical outcomes.
Knowledge, attitudes and behaviours of cardiac health professionals towards cognitive screening in acute coronary syndrome patients
Authors: Zhao E , Lowres N L , Bloomfield J B , Weddell J W , Tofler J T , Gallagher R G 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Cognitive impairment (CI) is common in acute coronary syndrome (ACS) patients but is often undetected and may impact recovery and secondary prevention uptake. Health professionals play a vital role in the early detection of CI through screening and managing CI in ACS patients.

Purpose
To explore health professionals’ knowledge, attitudes, and behaviours toward CI screening in ACS patients

Methods
Cardiac health professionals were recruited via acute and outpatient cardiac wards in three metropolitan teaching hospitals and from emailing members of two cardiac professional associations in Australia. All completed a 38-item survey administered in either paper or electronic format.

Results
100 health professionals responded (95 nurses and five allied health workers). Respondents identified the prevalence of CI, dementia, or delirium at 25% post-ACS (50% of respondents), and 74% identified difficulties in recalling recent information as the most common indicator of CI. The cognitive screening was performed at least some of the time in ACS patients by 73%. After accounting for age, receiving training in CI, work experience, and profession, cognitive screening was conducted more than eight times more often by health professionals who work in acute settings (OR=8.78, 95%CI 2.13, 36.25) versus non-acute. Participants identified the main reasons for conducting cognitive screening as early detection of change/establishing a baseline (n=27) and when they suspected any cognitive issue or decline (n=26). The most common barriers to both screening for CI and taking further actions when CI was detected were patients being unable to communicate well (60% and 49%), patients being too unstable/unwell (59% and 42%), and the priority being the patient’s clinical care (53% and 44%).

Conclusions
Health professionals working in acute settings are most likely to screen for CI regardless of experience or training in CI, leaving CI likely to be undetected in ACS patients receiving care in other settings. Barriers to screening are common and challenging to address due to time shortages and the appropriateness of tools. A standardised screening guideline and more feasible screening tools are needed to overcome the barriers to cognitive screening in ACS patients. Pre-professional education should also be implemented in the future.