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Title: A qualitative study exploring cardiologists’ decision-making about pre-procedure fasting in interventional cardiology procedures.
Epworth Authors: Zinkel, Annika
Botti, Mari
Hutchinson, Ana
Other Authors: Rolley, John
Redley, Bernice
Keywords: Interventional Cardiology Procedures
Pre-Procedural Fasting
Patient Care
Interventional Cardiologists' Practice
Fasting Outcomes
Cardiac Catheterisation Laboratory
Epworth/Deakin Centre for Clinical Nursing Research, Melbourne, Victoria, Australia.
Issue Date: Jun-2018
Conference: Epworth HealthCare Research Week 2018
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: Background Patients undergoing elective interventional cardiology procedures may be at risk of preventable harm related to lengthy pre-procedural fasting. Variation in practice can directly impact on the provision of safe and high-quality care. Aim This study explored the pre-procedural fasting related decision-making of cardiologists, with the aim of generating evidence to inform the provision of safer patient care. Methods A qualitative study using a descriptive methodology to explore interventional cardiologists’ practice and views about outcomes associated with current fasting practice was conducted in a large metropolitan hospital in Melbourne, Australia. This study was part of a larger program of research exploring the variance in pre-procedural fasting of patients undergoing diagnostic and interventional cardiovascular procedures. Results Eight cardiologists were interviewed. The cohort consisted of those who managed patients pre- and post-procedure, as well as cardiologists who practiced in the Cardiac Catheterisation Laboratory setting. The average fasting time reported by the participants was approximately four to six hours fasting for solid food and clear fluids combined. Two key themes emerged: “Use of standardised protocols versus individualised decision-making” and “Gaps in specific evidence to inform practice in the Cardiac Catheterisation Laboratory”. Conclusion The study confirmed barriers to introducing recommendations for shorter pre-procedural fasting practices in the Cardiac Catheterisation Laboratory. As the cardiologists were managing complex patients, they used precautionary interventions such as intravenous fluids to prevent dehydration, rather than implementing shorter fasting times. More robust evidence based on prospective patient outcome studies is required to support practice change.
Type: Conference Poster
Affiliated Organisations: Deakin University Geelong, Australia. School of Nursing and Midwifery, Centre for Quality and Patient Safety Research.
Type of Clinical Study or Trial: Descriptive Study
Appears in Collections:Cardiac Sciences

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