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. 2023 Jun;19(6):104599.
doi: 10.1016/j.nurpra.2023.104599. Epub 2023 Apr 11.

Implementation and Outcomes of an Advanced Nurse Practitioner Telephone Chest Pain Clinic Developed in Response to the COVID-19 Pandemic

Shirley Ingram, Gregory Offiah

Implementation and Outcomes of an Advanced Nurse Practitioner Telephone Chest Pain Clinic Developed in Response to the COVID-19 Pandemic

Shirley Ingram et al. J Nurse Pract. 2023 Jun.

Abstract

Introduction: During the COVID-19 pandemic, a virtual telephone advanced nurse practitioner (ANP) led chest pain clinic was set up because face-to-face clinic visits had ceased.

Methods: This retrospective cohort analysis compared the ANP virtual chest pain clinic to the face-to-face nurse specialist-led clinic.

Results: Autonomous nursing management was significantly higher in the virtual clinic, and significantly fewer patients were referred for functional testing. Coronary arterial disease (CAD) diagnosis did not differ.

Conclusion: ANP autonomy and experience enabled continued chest pain assessment and CAD diagnosis via a virtual telephone clinic.

Keywords: Advanced Nurse Practitioner; Autonomy; Chest Pain; Coronary Artery Disease; Telehealth; Virtual chest pain clinic.

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Figures

Figure 1
Figure 1
Local overall emergency department (ED) patient attendance and patients with chest pain attendance during the initial pandemic period in 2020, compared with the same period in 2019.
Figure 2
Figure 2
Typicality of chest pain as per National Institute for Health and Care Excellence CG95
See this image and copyright information in PMC

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