Research-based practice: reducing bedrest following cardiac catheterization.
Patient discomfort with prolonged bedrest following femoral arterial puncture for cardiac catheterization is a significant nursing problem. Safely reducing the time required for supine bedrest could improve patient comfort and reduce nursing care needs. Reducing bedrest also has the potential to improve organizational resource utilization. A review of the literature was conducted and a decision was made to implement 2 hours of bedrest, a significant decrease from the previous practice of 6 hours. Vascular complications were closely monitored in the first 50 patients, as a means of implementing the research-based change in practice. No significant vascular complications occurred and the practice change has expanded to all inpatient and outpatient areas caring for patients undergoing cardiac catheterization. This experience with utilizing research to change practice has created a positive environment for future research-based initiatives.
Vlasic
W
W
Interventional Cardiology, London Health Sciences Centre, Ontario. Wendy.Vlasic@lhsc.on.ca
Almond
D
D
D001416:Back Pain / Q000209:etiology; D001510:Bed Rest / Q000009:adverse effects / Q000379:methods* / Q000451:nursing* / Q000523:psychology; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000451:nursing* / Q000523:psychology; D015400:Clinical Nursing Research; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011182:Postoperative Care / Q000379:methods* / Q000451:nursing* / Q000523:psychology; D015203:Reproducibility of Results; D013997:Time Factors