title: Nurses' perspectives on nurse-coordinated prevention programmes in secondary prevention of cardiovascular disease: a pilot survey.
abstract: BACKGROUND
  Secondary prevention of coronary artery disease (CAD) is increasingly provided by nurse-coordinated prevention programs (NCPP). Little is known about nurses' perspectives on these programs.
  
  
  OBJECTIVE
  To investigate nurses' perspectives/experiences in NCPPs in acute coronary syndrome patients.
  
  
  METHODS
  Thirteen nurses from NCPPs in 11 medical centers in the RESPONSE trial completed an online survey containing 45 items evaluating 3 outcome categories: (1) conducting NCPP visits; (2) effects of NCPP interventions on risk profiles and (3) process of care.
  
  
  RESULTS
  Nurses felt confident in counseling/motivating patients to reduce CAD risk. Interventions targeting LDL, blood pressure and medication adherence were reported as successful, corresponding with significant improvements of these risk factors. Improving weight, smoking and physical activity was reported as less effective. Screening for anxiety/depression was suggested as an improvement.
  
  
  CONCLUSIONS
  Nurses acknowledge the importance and effectiveness of NCPPs, and correctly identify which components of the program are the most successful. Our study provides a basis for implementation and quality improvement for NCCPs.
authors.affiliation: a Department of Cardiology , Academic Medical Center - University of Amsterdam , Meibergdreef 9, 1100 DE Amsterdam , The Netherlands.
authors.forename: H T
authors.initials: HT
authors.lastname: Jorstad
authors.affiliation: a Department of Cardiology , Academic Medical Center - University of Amsterdam , Meibergdreef 9, 1100 DE Amsterdam , The Netherlands.
authors.forename: Y K
authors.initials: YK
authors.lastname: Chan
authors.affiliation: b Amsterdam University of Applied Sciences , Nicolaes Tulphuis, Tafelbergweg 51, 1105 BD Amsterdam , The Netherlands.
authors.forename: W J M
authors.initials: WJ
authors.lastname: Scholte op Reimer
authors.affiliation: a Department of Cardiology , Academic Medical Center - University of Amsterdam , Meibergdreef 9, 1100 DE Amsterdam , The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Doornenbal
authors.affiliation: a Department of Cardiology , Academic Medical Center - University of Amsterdam , Meibergdreef 9, 1100 DE Amsterdam , The Netherlands.
authors.forename: J G P
authors.initials: JG
authors.lastname: Tijssen
authors.affiliation: a Department of Cardiology , Academic Medical Center - University of Amsterdam , Meibergdreef 9, 1100 DE Amsterdam , The Netherlands.
authors.forename: R J G
authors.initials: RJ
authors.lastname: Peters
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009740:Nursing Staff / Q000523:psychology*; D010865:Pilot Projects
keywords: cardiovascular nursing; coronary artery disease; prevention and control; risk factors