Date of Award

Spring 5-10-2019

Document Type

DNP Project

Project Team Faculty Member

Amelia Perez

Project Team Faculty Member

Valerie Yancey


team-based approach, rural health, cardiovascular care, outpatient setting, barriers, advanced practice registered nurse


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.

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Background Introduction_amsimps.docx (13 kB)
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

Included in

Nursing Commons



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