Nurse-led electrical external cardioversion toward patients with atrial fibrillation: a systematic review update protocol
Keywords:
atrial fibrillation, external cardioversion, advanced practice nursingAbstract
Background and aim: Atrial fibrillation is the most frequent and prevalent increasing cardiac arrhythmia. External electrical cardioversion is the intervention frequently preferred when atrial fibrillation doesn’t terminate spontaneously. Nurses, as health professionals, may have a key role in conducting the external electrical cardioversion. The aim is to understand the impact of a nurse-led elective direct current cardioversion in atrial fibrillation on patient outcomes, update the last reviews and add in the analysis educational training requested to the nurse. Methods: A systematic review of primary quantitative studies in English or Italian language with no temporal filter will be conducted. The search will be carried on Cochrane library, Pubmed, Cinahl, Psycinfo, Scopus, Embase and Web of science. The review will be performed using PRISMA guidelines for systematic review. Results: Data will be extracted independently using a data extraction format by two reviewers who will use summary of findings tables with the Grade approach to synthesize data. Conclusions: Conducting a systematic review on the topic, using Cochrane Library Handbook as a guide for methodological aspects, can contribute to updating the current secondary literature on the topic improving correct application on clinical practice. Implementing external elective direct cardioversion conducted by nurses requires considering effective patient potential outcomes but also professional and organisational aspects request.
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