{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T04:13:27Z","timestamp":1758946407799},"reference-count":31,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2016,3,9]],"date-time":"2016-03-09T00:00:00Z","timestamp":1457481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>This study aims to evaluate the service impact of the integration of an evidence\u2010based instrument \u2013 the Personalised Patient Education Protocol \u2013 into an existing postmyocardial infarction care pathway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Recent research indicates that while better patient health outcomes can be achieved when care planning is personalised, delivery staff feel less satisfied and less confident in its provision. To achieve a shift to personalised care, innovations are needed to enable an effective transition for staff.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A service evaluation using a patient survey and nurse interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A longitudinal patient survey measured changes in patient illness beliefs, cardiac diet and exercise self\u2010efficacy, anxiety, depression and quality of life study of a patient cohort of 74. Paired <jats:italic>t<\/jats:italic>\u2010tests analysed the effects before and after the implementation of the Personalised Patient Education Protocol. Cardiac rehabilitation nurses who implemented the Personalised Patient Education Protocol were interviewed and a patient survey identified perceptions of the usefulness of the service innovation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis of change from baseline to three\u00a0months results showed statistically significant changes in Illness Belief component \u2018Understanding\u2019 and the Dartmouth Quality of Life \u2018General Health\u2019. The integration of the Personalised Patient Education Protocol into the existing discharge process identified service improvements for cardiac nurse training and care pathway delivery, while patients identified the level and frequency of their use of the protocol following discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The introduction of the Personalised Patient Education Protocol succeeded in increasing patient engagement, facilitated a more patient\u2010centred service by enabling practitioners to systematically provide personalised patient education, and gave patients a postdischarge structure to better follow\u2010up their illness concerns with health professionals in the community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Integration of the Personalised Patient Education Protocol into an existing postmyocardial infarction care pathway enabled nurses to systematically respond to individual patients\u2019 illness beliefs and expectations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13177","type":"journal-article","created":{"date-parts":[[2016,3,10]],"date-time":"2016-03-10T06:09:56Z","timestamp":1457590196000},"page":"1292-1300","source":"Crossref","is-referenced-by-count":12,"title":["Personalised discharge care planning for postmyocardial infarction patients through the use of the <scp>P<\/scp>ersonalised <scp>P<\/scp>atient <scp>E<\/scp>ducation <scp>P<\/scp>rotocol \u2013 implementing theory into practice"],"prefix":"10.1111","volume":"25","author":[{"given":"Margaret","family":"Lau\u2010Walker","sequence":"first","affiliation":[{"name":"Florence Nightingale Faculty of Nursing and Midwifery King's College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Landy","sequence":"additional","affiliation":[{"name":"Kings College Hospital NHS Foundation Trust London 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