{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T06:26:36Z","timestamp":1782887196692,"version":"3.54.5"},"reference-count":58,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,12,13]],"date-time":"2013-12-13T00:00:00Z","timestamp":1386892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100015539","name":"Federal Government","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100015539","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To develop clinical practice guidelines for nurse\u2010administered procedural sedation and analgesia in the cardiac catheterization laboratory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Numerous studies have reported that nurse\u2010administered procedural sedation and analgesia is safe. However, the broad scope of existing guidelines for the administration and monitoring of patients who receive sedation during medical procedures without an anaesthetist present means there is a lack of specific guidance regarding optimal nursing practices for the unique circumstances where nurse\u2010administered procedural sedation and analgesia is used in the cardiac catheterization laboratory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A sequential mixed methods design was used. Initial recommendations were produced from three studies conducted by the authors: an integrative review; a qualitative study; and a cross\u2010sectional survey. The recommendations were revised according to responses from a modified Delphi study. The first Delphi round was completed by nine senior cardiac catheterization laboratory nurses. All but one of the draft recommendations met the predetermined cut\u2010off point for inclusion with 59 responses to the second round. Consensus was reached on all recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for nursing<\/jats:title><jats:p>The guidelines that were derived from the Delphi study offer 24 recommendations within six domains of nursing practice: Pre\u2010procedural assessment; Pre\u2010procedural patient and family education; Pre\u2010procedural patient comfort; Intra\u2010procedural patient comfort; Intra\u2010procedural patient assessment and monitoring; and Postprocedural patient assessment and monitoring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These guidelines provide an important foundation towards the delivery of safe, consistent and evidence\u2010based nursing care for the many patients who receive sedation in the cardiac catheterization laboratory setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12337","type":"journal-article","created":{"date-parts":[[2013,12,13]],"date-time":"2013-12-13T06:46:43Z","timestamp":1386917203000},"page":"1040-1053","source":"Crossref","is-referenced-by-count":19,"title":["Clinical practice guidelines for nurse\u2010administered procedural sedation and analgesia in the cardiac catheterization laboratory: a modified Delphi study"],"prefix":"10.1111","volume":"70","author":[{"given":"Aaron","family":"Conway","sequence":"first","affiliation":[{"name":"School of Nursing Institute of Health and Biomedical Innovation Queensland University of Technology Kelvin Grove Queensland Australia"},{"name":"Cardiac Catheter Theatres The Wesley Hospital Auchenflower Queensland Australia"},{"name":"School of Nursing, Midwifery &amp; Paramedicine (QLD) Australian Catholic University Banyo Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Rolley","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Deakin University Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Page","sequence":"additional","affiliation":[{"name":"Heart Foundation Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Fulbrook","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery &amp; Paramedicine (QLD) Australian Catholic University Banyo Queensland Australia"},{"name":"Nursing Research and Practice Development Unit The Prince Charles Hospital Chermiside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,12,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-197011000-00020"},{"key":"e_1_2_8_3_1","unstructured":"ANZCA(2010)Guidelines on Sedation and\/or Analgesia for Diagnostic and Interventional Medical or Surgical Procedures[Online]. 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