Date of Completion
Master of Science in Nursing - Nursing Administration and Health Policy
Dr. Doreen Wagner
Percutaneous coronary interventions (PCIs) are considered life-saving techniques in the event of myocardial infarction and remain the standard of care for managing acute heart attack. Given the success of the procedures, decreased complications, and the economic advantage over open-heart surgery, coronary interventions continue to be the preferred treatment choice. However, amidst the growth and success of these procedures, readmissions after percutaneous coronary interventions have been identified and still prevail among hospitals. Hence, the goal was to conduct an integrative review to identify and synthesize literature on the interventions that help reduce readmissions after percutaneous coronary interventions and illuminate nurses' role in decreasing readmissions. The following review question guided the integrative review: What nursing interventions reduce hospital readmissions after patients undergoing percutaneous coronary interventions? Whittemore and Knafl's (2005) framework was used for the integrative review. A total of eight studies, quantitative in nature, met the quality criteria to be included. Three themes related to the research questions emerged: evidence-based process interventions in place, management for women after PCI, and patient education and follow-up appointments. The findings provide a clear opportunity to improve care relative to the causes of preventing readmissions. Further research is needed to identify why females are more affected than men and to determine interventions based on those factors. Further research is also needed to assess nurse-led intervention's impact on readmissions for PCI.
Keywords: Percutaneous coronary intervention, nurse, readmission.