Kerry L Gaskin, David Barron, Jo Wray
Parents' Journeys of Mastery and Knowledge Construction After Their Infant's First Stage of Surgery for Complex Congenital Heart Disease
Comprehensive child and adolescent nursing
inconsistent utilisation clinical practice guidelines cpgs cardiovascular disease cvd screening management healthcare professionals identify cvd risk factors early intervene using current recommendations address issue cardiovascular assessment screening program casp developed implemented evaluated manuscript reports second phase exploratory sequential mixed methods study tested effectiveness casp nurse practitioners nps patients canada twoarmed nonblinded cluster randomised controlled trial crct compared npled implementation casp usual care nps community practice clinics across one canadian province nps cluster variable screening practices could affected educational training resources factors nps eligible inclusion study located different urban rural community settings could conduct followup visits patients nps recruited enrolled patients practices participants healthy individuals aged 4074 years established cvd vascular disease researchers randomly allocated nps n 10 intervention group ig control group cg eight 8 nps 167 patients participated crct study patient participantlevel data analysed originally assigned groups ig n 68 cg n 99 utilising glm generalized linear modeling ig patients 90 n 61 received comprehensive cvd screening compared cg patients 2 n 2 rr 302 95 ci 876 1039 p 0001 controlling effect np bp category np implementation casp effective comprehensive screening compared usual care led identifying previously unknown cvd risk factors calculated frs heart health priorities personalised goalsetting clinicaltrialgov id nct03170752 date registration 20170531