Практические советы для медсестер по реализации клинических сестринских руководств - Оценка риска и профилактика сердечно-сосудистых заболеваний

Abstract

The aim of the study: The evidence-based nursing clinical guidelines transform the best research evidence into recommendations for clinical practice. Majority of patients can be managed according to nursing clinical guidelines. In nursing clinical guideline implementation the nurse uses his/her own knowledge base and jurisdiction in the care of the patient. The nurse makes observations of the status of the patient and chooses the best nursing intervention included in the nursing clinical guideline to promote the condition of the patient. Methods. In the Republic of Kazakhstan, adaptation was chosen as a method how to develop nursing clinical guidelines. The Kazakhstani nursing clinical guideline “Risk estimation and prevention of cardiovascular diseases” contains recommendations for nursing professionals involved in screening risk factors and caring for patients with cardiovascular diseases. The guideline was originally developed by the Scottish Intercollegiate Guidelines Network. Results. Nurses need to make decisions concerning the care of cardiovascular patients: advice on treatment, patient information and education. The article contains evidence-based information of cardiovascular nursing care and recommendations for nursing professionals involved in screening risk factors and caring for patients with cardiovascular diseases. The main nursing intervention is motivational interview technique to establish a trustworthy relationship with the patient and trough controversial dialogue to support the patient towards healthier lifestyle and commitment to planned care. Conclusion. In addition, the article covers a short overview of nursing clinical guideline development process in the Republic of Kazakhstan, to ensure the common understanding of nursing clinical guideline development process and the role of nursing clinical guidelines in everyday nursing practice.