Evidence map›Paper›PMID 28111970›Full record

ArticleEuropean journal of cardiovascular nursing2017

Continuity of care after percutaneous coronary intervention: The patient's perspective across secondary and primary care settings.

Irene Valaker, Tone M Norekvål, Maj-Britt Råholm, Jan Erik Nordrehaug, Svein Rotevatn, Bengt Fridlund, CONCARD Investigators

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of cardiovascular nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Continuity of Nursing Care in Patients with Coronary Artery Disease: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
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  10. Development and psychometric properties of a short version of the Patient Continuity of Care Questionnaire.Health expectations : an international journal of public participation in health care and health policy · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Irene Valaker1 Faculty of Health Studies, Western Norway University of Applied Sciences, Førde, Norway.
Tone M Norekvål2 Department of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Maj-Britt Råholm1 Faculty of Health Studies, Western Norway University of Applied Sciences, Førde, Norway.
Jan Erik Nordrehaug3 Department of Clinical Science, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Svein Rotevatn2 Department of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Bengt Fridlund2 Department of Heart Disease, Haukeland University Hospital, Bergen, Norway.
CONCARD Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough patients may experience a quick recovery followed by rapid discharge after percutaneous coronary interventions (PCIs), continuity of care from hospital to home can be particularly challenging. Despite this fact, little is known about the experiences of care across the interface between secondary and primary healthcare systems in patients undergoing PCI.

aimTo explore how patients undergoing PCI experience continuity of care between secondary and primary care settings after early discharge.

methodsThe study used an inductive exploratory design by performing in-depth interviews of 22 patients at 6-8 weeks after PCI. Nine were women and 13 were men; 13 were older than 67 years of age. Eight lived remotely from the PCI centre. Patients were purposively recruited from the Norwegian Registry for Invasive Cardiology. Interviews were analysed by qualitative content analysis.

findingsPatients undergoing PCI were satisfied with the technical treatment. However, patients experienced an unplanned patient journey across care boundaries. They were not receiving adequate instruction and information on how to integrate health information. Patients also needed help to facilitate connections to community-based resources and to schedule clear follow-up appointments. CONCLUSIONS AND IMPLICATIONS: As high-technology treatment dramatically expands, healthcare organisations need to be concerned about all dimensions of continuity. Patients are witnessing their own processes of healthcare delivery and therefore their voices should be taken into greater account when discussing continuity of care. Nurse-led initiatives to improve continuity of care involve a range of interventions at different levels of the healthcare system.

Indexed as

Patient SatisfactionAdultAgedAged, 80 and overContinuity of Patient CareFemaleHumansMaleMiddle AgedNorwayPatientsPercutaneous Coronary InterventionPrimary Health CareSecondary Health Carecontinuity of carehealthcare levelsnursingPercutaneous coronary interventionqualitative content analysisqualitative method

Identifiers

PMID28111970
PMCPMC5458873

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.