Date of Award
Spring 5-10-2019
Document Type
DNP Project
Project Team Faculty Member
Amelia Perez
Project Team Faculty Member
Valerie Yancey
Keywords
team-based approach, rural health, cardiovascular care, outpatient setting, barriers, advanced practice registered nurse
Abstract
Cardiovascular morbidity and mortality are significantly higher among individuals living in rural areas compared to urban and suburban settings. Some contributing factors include financial limitations, education level, and limited access to cardiovascular specialty healthcare. Using a team-based cardiovascular care approach in rural communities, including both nurse practitioners and physicians, could help improve access to cardiovascular health services. The purpose of this project was to conduct a focus group interview to evaluate a team-based care approach to cardiovascular services implemented in a rural clinic located in a medically underserved area. Based on the results of the focus group interview, an evidence based strategic plan was developed. Nine health care providers participated in the focus group. The participants noted that with the team-based approach, there has been an increase in the number of cardiology patients that are able to receive care. They expressed that support from clinic administrators influenced the noted success. Their main concerns were now focused on the implementation of a standardized chest pain protocol, increasing and retaining specialized staff, and acquiring equipment for more cardiovascular procedures. Future projects focusing on evaluating the perceptions that patients receiving cardiovascular care have about this model are essential.
Recommended Citation
Clouser, Amanda; Engeling, Kastin; and Rhodes, Kris, "Utilizing Team-Based Care to Improve Rural Cardiovascular Care" (2019). Doctor of Nursing Practice Projects. 39.
https://spark.siue.edu/dnpprojects/39
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Background Introduction
Problem Statement_amsimps.docx (12 kB)
Problem Statement
Clinical Relevance_amsimps.docx (12 kB)
Clinical Relevance
Literature Review_amsimps.docx (20 kB)
Literature Review
Conceptual Framework_amsimps.docx (12 kB)
Conceptual Framework
Project Methods_amsimps.docx (13 kB)
Project Methods
Evaluation Process_instruments_amsimps.docx (12 kB)
Evaluation Process
Final Reference List_amsimps.docx (16 kB)
Final Reference List