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Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory: a modified Delphi study

Conway, Aaron, Rolley, John, Page, Karen and Fulbrook, Paul 2014, Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory: a modified Delphi study, Journal of advanced nursing, vol. 70, no. 5, pp. 1040-1053, doi: 10.1111/jan.12337.

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Title Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory: a modified Delphi study
Author(s) Conway, Aaron
Rolley, John
Page, Karen
Fulbrook, Paul
Journal name Journal of advanced nursing
Volume number 70
Issue number 5
Start page 1040
End page 1053
Total pages 14
Publisher Wiley
Place of publication London, Eng.
Publication date 2014-05
ISSN 1365-2648
Keyword(s) artificial cardiac pacing
cardiac electrophysiology
conscious sedation
deep sedation
evidence-based practice
guidelines
heart catheterization
nursing
Science & Technology
Life Sciences & Biomedicine
NURSING, SCI
NURSING, SSCI
ATRIAL-FIBRILLATION
RISK-FACTORS
CARDIOVERTER-DEFIBRILLATORS
EMERGENCY-DEPARTMENT
CORONARY-ANGIOGRAPHY
CONSECUTIVE PATIENTS
SUPPLEMENTAL OXYGEN
RESPIRATORY EVENTS
Summary Aim : To develop clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory.

Background : Numerous studies have reported that nurse-administered procedural sedation and analgesia is safe. However, the broad scope of existing guidelines for the administration and monitoring of patients who receive sedation during medical procedures without an anaesthetist present means there is a lack of specific guidance regarding optimal nursing practices for the unique circumstances where nurse-administered procedural sedation and analgesia is used in the cardiac catheterization laboratory.

Methods : A sequential mixed methods design was used. Initial recommendations were produced from three studies conducted by the authors: an integrative review; a qualitative study; and a cross-sectional survey. The recommendations were revised according to responses from a modified Delphi study. The first Delphi round was completed by nine senior cardiac catheterization laboratory nurses. All but one of the draft recommendations met the predetermined cut-off point for inclusion with 59 responses to the second round. Consensus was reached on all recommendations.

Implications for nursing : The guidelines that were derived from the Delphi study offer 24 recommendations within six domains of nursing practice: Pre-procedural assessment; Pre-procedural patient and family education; Pre-procedural patient comfort; Intra-procedural patient comfort; Intra-procedural patient assessment and monitoring; and Postprocedural patient assessment and monitoring.

Conclusion : These guidelines provide an important foundation towards the delivery of safe, consistent and evidence-based nursing care for the many patients who receive sedation in the cardiac catheterization laboratory setting.
Language eng
DOI 10.1111/jan.12337
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30070756

Document type: Journal Article
Collection: School of Nursing and Midwifery
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