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- Title
canadian cardiovascular Nurses' Knowledge, Practice and Advocacy role in Promoting evidence-Based Pre-Procedural Fasting Guidelines.
- Authors
Millard, Rosa-Lea Ruffy; Reimer-Kirkham, Sheryl; Reimer-Kent, Jocelyn
- Abstract
Background: Since 1990, the Canadian Anesthetists' Society (CAS) has promoted an evidence-based pre-procedural fasting guideline, which recommends that patients receive hydration two hours prior to surgery. Yet, the uptake of this guideline has been slow and inconsistent, resulting in detrimental effects. While there is a growing body of evidence about improved patient outcomes with a shortened pre-procedural fasting time, an evidence-practice gap remains in how this research is implemented by nurses. Purpose: To examine Canadian cardiovascular (CV) nurses' current knowledge, practice and advocacy role pertaining to this guideline. Method: Fifty-one CV nurses completed an online survey and descriptive statistical and content analyses were conducted. Findings: All respondents reported they were knowledgeable about pre-procedural fasting in general, yet only 42% were aware of the CAS guideline, and 34% still believed all cardiac patients should be kept NPO after midnight prior to their procedure, which could be any noninvasive or invasive cardiac investigation, intervention or surgery. Of the 42% who were aware of the CAS guideline, 62% reported it was always or often implemented. Barriers to implementation of the CAS guideline included inconsistent medical practice, unforeseen circumstances, and lack of communication and knowledge. Advocacy strategies used to support the adoption of the CAS guideline were promoting the use of pre-printed orders, discussing the issue at professional practice meetings, and seeking a directive from the organization's senior executive. Implications: Closing the evidence-practice gap will require multi-modal, coordinated efforts such as leadership, professional and patient education, practice support tools, improved inter-professional communication, and engagement with key stakeholders.
- Publication
Canadian Journal of Cardiovascular Nursing, 2018, Vol 28, Issue 2, p11
- ISSN
0843-6096
- Publication type
Academic Journal