A commentary on access to cardiovascular services: Nursing roles and initiatives

• Published in: Canadian journal of cardiology 2008-02, Vol.24 (2), p.107-112
• Main Authors: Eastwood, Cathy, RN BN MN, Doucet, Janine, RN BSN MN, Estrella-Holder, Estrelita, RN MScA CCNC, MacDonald, June, RN, Nichols, Natalie, RN BA MN CCNC, Sherrard, Heather, RN MHA CHE, Smigorowsky, Marcie, RN NP MN CCNC, Yates, Gillian, RN MN NP CCNC, Woodend, Kirsten, RN MSc PhD
• Format: Article
• Language: English
• Subjects: Canada; Cardiovascular; Cardiovascular Diseases - therapy; Health Outcomes/Public Policy; Health Policy; Health Services Accessibility; Health Services Needs and Demand; Humans; Interprofessional care; National Health Programs; Nurse's Role; Nursing roles; Patient Care Team; Patient-centred care; Wait lists; Waiting Lists
• ISSN: 0828-282X; 1916-7075
• DOI: 10.1016/S0828-282X(08)70563-4

The Canadian Council of Cardiovascular Nurses (CCCN) applauds the work done by the Canadian Cardiovascular Society in setting benchmarks for wait times. The Canadian Cardiovascular Society is to be commended for developing the benchmark documents, as well as for establishing strategies for systematic dissemination to increase awareness, advocacy and implementation of the benchmarks across Canada. Quality nursing care, as defined within the CCCN framework, includes working with health teams to ensure that patients have timely access to specialized personnel, tests and procedures as required to prevent disease, promote health, address acute and episodic interventions, and to provide rehabilitative and palliative services, depending on patient need. To extend the access to care discussion, the CCCN suggests that further engagement of all stakeholders, especially clients/patients, is needed to find solutions to wait times and define benchmarks. In addition, preventing heart disease and promoting ‘health care’ should be recognized and acted on as central to reducing wait times for cardiovascular care. Finally, access to cardiovascular services will be more efficient when the first point of care is broadened to include nurses and other health care professionals. Nurses occupy creative, costeffective roles directly aimed at reducing wait times and improving care while patients wait. The expanded role of interprofessional education and health care teams, as well as the inclusion of patients and families in program improvement, are solutions that the CCCN suggests may contribute to improved access to cardiovascular care and a sustainable health care system in Canada.