NMHS42500 Nursing Persons with Cardiovascular Disease

Academic Year 2023/2024

The module aim to provide the student with a comprehensive theoretical background to facilitate the delivery of holistic and evidence based nursing care for persons with acute coronary syndromes, atrial arrhythmias and inflammatory heart disease.

Show/hide contentOpenClose All

Curricular information is subject to change

Learning Outcomes:

On completion of this module students should be able to:
•Apply prior knowledge of anatomy and physiology of the heart, electrophysiology of ECG, and risk factors of cardiovascular dysfunction to the nursing care of the person with ischaemic heart disease
•Utilise nursing theory, nursing taxonomies (NANDA-I NIC and NOC), and evidence-based guidelines to debate and analyse the holistic nursing management of persons who suffer from the following conditions: (1) arrhythmias originating in the sino-atrial node and atria, (2) acute coronary syndromes (ACS) including ST-elevation ACS and non-ST elevation ACS (3) inflammatory heart disease and (4) hypertension
•Demonstrate proficiency in the skills of interpreting, documenting, and reporting changes in trends and patterns during the acute phase of acute coronary syndromes and an ability to relate the changes to treatments received
•Discuss the monitoring role of the critical care nurse.
•Appraise evidence-based patient education interventions for persons diagnosed with acute coronary syndromes, for persons undergoing percutaneous coronary intervention, for persons pre cardiothoracic surgery, and for persons with hypertension.

Indicative Module Content:

Indicative Content includes the nursing management and collaborative care for persons with atrial arrhythmias, acute coronary syndrome, hypertension, promoting heart health and cardiovascular disease prevention.

Student Effort Hours: 
Student Effort Type Hours
Lectures

30

Practical

7

Specified Learning Activities

20

Autonomous Student Learning

173

Online Learning

20

Total

250

Approaches to Teaching and Learning:
This year a blended learning approach will be taken. Lectures and practicals will be online and in-person (Depending on public health advice re: The Covid-19 pandemic situation). Hence, there will be a mix of online and face-to-face learning approaches with synchronised (live) and unsynchronised (recorded) elements. This will include teaching and learning strategies such as group work and group discussion, ECG workshops, and low and high-fidelity simulation. 
Requirements, Exclusions and Recommendations
Learning Requirements:

The Student:
-Needs to be registered with the NMBI as an RGN.
-Must have a minimum of 12 months post-registration experience
-Must work a minimum of 78 hours per month in the relevant cardiovascular nursing area


Module Requisites and Incompatibles
Equivalents:
Cardiovascular Disease (NMHS40290), Cardiovascular Disease (NURS40290)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Assignment: Case presentation written assignment Varies over the Trimester n/a Alternative non-linear conversion grade scale 50% No

35

Examination: ECG analysis plus long and short answer/MCQ Exam towards the end of the Trimester 2 hour End of Trimester Exam No Alternative non-linear conversion grade scale 50% No

65


Carry forward of passed components
Yes
 
Remediation Type Remediation Timing
In-Module Resit Prior to relevant Programme Exam Board
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, post-assessment
• Group/class feedback, post-assessment

How will my Feedback be Delivered?

Electronic formative feedback is provided generically and individually for an online discussion piece of work. Individual feedback is provided for the case presentation assignment using the relevant rubric. Generic group feedback will also be provided. The terminal paper is a reusable object with MCQ and short answer components.

Core Textbooks for the Programme

Ackley, B.J, Ladwig, G.B., Makic, M.B., Martinez-Kratz, M. and Zanotti, M. (2021) Nursing Diagnosis Handbook (12th edition revised preprint with 2021-2023 NANDA-I Updates, Edition 12. St Louis: Mosby Elsevier.

Butcher, H.K. et al. (2018) Nursing Interventions Classification (NIC) (7th Edition), St Louis: Mosby Elsevier.

Carpenito, L.J (2018) Nursing Diagnosis: Application to Practice (15th edition), London: Wolter Kluwer Health, Lippincott Williams and Wilkins

**Herdman, T.H. Kamitsuru, S. and Takao lopes (Eds) (2021) Nursing Diagnoses: Definitions and Classifications 2021-2023, (12th edition) New York: Thieme.
Johnson, M. et al. (2012) NOC and NIC Linkages to NANDA-I and Clinical Conditions, 3rd Edition, St Louis: Mosby Elsevier.
Moorhead, S. et al. (2018) Nursing Outcome Classification: measurement of health outcomes (6th edition). St Louis: Elsevier.

Olsen, K. (2014) Oxford handbook of Cardiac Nursing (3rd Edition), Oxford: Oxford University Press

**Thaler, M. (2018) The Only EKG Book you’ll Ever Need (9th edition), Philadelphia: Lippincott Williams and Wilkins.

**Woods, S.L. et al. (2009) Cardiac Nursing (6th edition), Philadelphia: Lippincott Williams and Wilkins.
** indicate essential texts
NMHS 42500 Nursing Persons with Cardiovascular Disease

Bennett, D.H. (2013) Bennett's Cardiac Arrhythmias: Practical Notes on Interpretation and Treatment (8th edition), Oxford: Wiley-Blackwell.

Bickley, L.S. (2016) Bates' Pocket Guide to Physical Examination and History Taking (8th edition), Philadelphia: Lippincott Williams and Wilkins.

Hayes, D.L., Asirvatham, S.J. & Friedman, P.A. (2013) Cardiac Pacing, Defibrillation and Resynchronisation (3rd Edition), London: Wiley Blackwell

Huff, J. (2016) ECG Workout: Exercises in Arrhythmia Interpretation (7th edition), Philadelphia: Lippincott Williams and Wilkins.

Moorhead, S.et al. (2018) Nursing Outcome Classification: measurement of health outcomes (6th edition). St Louis:Elsevier

Kenny, T. (2015) The nuts and bolts of implantable device therapy: Pacemakers (1st edition), Wiley-Blackwell, Oxford.


Khan, M.G. (2007) Cardiac Drug Therapy (7th edition), New Jersey: Humana Press.
Angela Kucia, A. and Tom Quinn, T (Eds) (2013) Acute Cardiac Care: A practical guide for nurses, London: Wiley-Blackwell.
Lough, M.E. (2016) Hemodynamic Monitoring, 1st Edition: evolving Technologies and Clinical Practices. Edinburgh: Elsevier.

Martini, F. et al. (2014) Fundamentals of Anatomy and Physiology (10th edition), San Francisco: Pearson Benjamin Cummings.
Or similar anatomy and physiology text such as Tortora and Derickson.

Mann, D., Zipes, D., Libby, P. Bonow, R.O (2014) Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine (10th Edition), Philadelphia: W.B. Saunders

Opie, L.H. (2013) Drugs for the Heart (8th edition), Philadelphia: W.B. Saunders.

Perpetua E.M., Keegan, P. (2021) Cardiac Nursing (7th Edition) Philadelphia: Wolters Klumer

Topol, E.J. (2015) Textbook of Interventional Cardiology (7h edition), Philadelphia: W. B. Saunders.

Wesley, K. (2017) Huszar’s ECG and 12 Lead interpretation(5th edition) Missouri. Elsevier
Journal Articles, Guidelines and Publications of Interest

Bobadila, R. (2016) Acute Coronary Syndromes : focus on antiplatelet therapy Critical Care Nurse. 36(1), p 15- 27

Central statistics office (2021) deaths registered from principle causes. Available at: https://www.cso.ie/en/releasesandpublications/ep/p-vsys/vitalstatisticsyearlysummary2020 [Last accessed 4th May 2022].

Department of Health (2017) Committee on the Future of Healthcare Sláintecare Report. Dublin: The Stationery Office.

Department of Health (2018) Sláintecare Implementation Strategy. Dublin: The Stationery Office

Grif Alspach, J. (2012) Acute myocardial infarction without chest pain: a life threatening variant, Critical Care Nurse, 32, pp. 10 -13

Ibanez, B. et al. (2018) 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC), European Heart Journal, 39(2), 7 pp.119–177.

Kirchhof, P. et al. (2016) 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC), European Heart Journal, 37(38) pp.2893–2962.

Williams, B. et al. (2018) 2018 ESC/ESH Guidelines for the management of arterial hypertension, European Heart Journal, 39(33), pp.3021 -3104.

Piepoli, M.F. et al. (2016) 2016 European Guidelines on cardiovascular disease prevention in clinical practice. European Heart Journal, 37(29), pp.2315-2381.


Roffi, M. et al. (2016) 2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST segment elevation, European Heart Journal, 37(3), pp.267 -315.

Sampson, M. (2015) Understanding the ecg. Part1 anatomy and physiology, British Journal of Cardiac Nursing, 10(11), p.548

Sampson, M. (2015) Understanding the ECG Part 2: ECG basics, British Journal of Cardiac Nursing, 10(12), p.588

Sampson, M. (2016) Understanding the ecg Part 3: arrhythmias, British Journal of Cardiac Nursing, 11(1), p. 15

Sampson, M. (2016) Understanding the ecg part 5: pre –excitation, British Journal of Cardiac Nursing 11(3), p. 123

Sampson, M. (2016) Understanding the ecg part 6: QRS axis, British Journal of Cardaic Nursin,g 11(4), p.180

Sampson, M. (2016) ‘Understanding the ECG. Part 8: myocardial ischaemia and infarction (Part A)’, British Journal of Cardiac Nursing, 11(6), pp. 290-298.

Sampson, M. (2016) ‘Understanding the ECG. Part 9: Myocardial Ischaemia and infarction (Part B)’, British Journal of Cardiac Nursing, 11(7), pp. 332-343.

Valgimigli, M. et al. (2018) 2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS: The Task Force for dual antiplatelet therapy in coronary artery disease of the European Society of Cardiology (ESC) and of the European Association for Cardio-Thoracic Surgery (EACTS), European Heart Journal, 39(3), pp.213-260.

Neumann, F-J. et al.(2018) 2018 ESC/EACTS Guidelines on myocardial revascularisation, European Heart Journal, 40 (2), pp. 87-165.

Fox, K.A.A. White, H.D. Gersh, B.J. and Opie, L.H.(2013) Antithrombotic agents: platelet inhibitors, acute anticoagulants, fibrinolytics and chronic anti- coagulants in Opie. L.H Gersh B.J (2013) Drugs For the Heart (8th edition) Elsevier Saunders. pp 332

Hill, B. and Smith, C. (2021) Central venous pressure monitoring in critical care settings British Journal of Nursing, 30(4) https://doi.org/10.12968/bjon.2021.30.4.230

Kamman, H., Jneid, H., Kayani, W.T. et al. (2021) Oral antiplatelet therapy after acute coronary syndrome : a review Journal of American Medical Association. 325(15) pp. 1545 -1555

MacDonald, N., Jones, J. and Leslie, S.T. (2016) Acute coronary syndromes: the role of the CCU nurse.Part I:initial management British Journal of Cardiac Nursing 11(9), pp. 453 - 458

MacDonald, N., Jones, J. and Leslie, S.T. (2016) Acute coronary syndromes: the role of the CCU nurse .Part II: A look at inpatient recovery and discharge British Journal of Cardiac Nursing 11(11), pp. 544 – 547

Neumann, F-J. et al.(2018) 2018 ESC/EACTS Guidelines on myocardial revascularisation, European Heart Journal, 40 (2), pp. 87-165.

O’Brien, L., McKeough, C. and Abbasi, R. (2013) Pre- surgery education for elective cardiac surgery patients : a survey from the patients perspective

ECG pack. Australian Occupational Therapy Journal 60, pp. 404 -409.

O’Donovan, K. (2013) Nursing assessment of the causes of chest pain. British Journal of Cardiac Nursing. 8(10) https://doi.org/10.12968/bjca.2013.8.10.483



Name Role
Ms Orla Daly Lecturer / Co-Lecturer
Dr Aoife Claire MacCormac Lecturer / Co-Lecturer
Ms Kate O'Donovan Lecturer / Co-Lecturer
Dr Lisa Rogers Lecturer / Co-Lecturer
Ms Katie Wedgeworth Lecturer / Co-Lecturer
Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.
 
Autumn
     
Laboratory Offering 1 Week(s) - 3 Fri 09:00 - 16:50
Lecture Offering 1 Week(s) - 1 Mon 13:00 - 14:30
Laboratory Offering 1 Week(s) - 9, 11 Wed 09:00 - 16:50
Laboratory Offering 1 Week(s) - 1 Mon 13:00 - 16:30
Autumn