Nurse-Led Rapid Access Chest Pain Clinic

An Exploratory Study of a Nurse-Led Rapid Access Chest Pain Clinic, From the Patients' Perspectives

This study aims to ascertain the lived experiences of 6 patients attending a nurse-led chest pain clinic via an interview, and to understand the demographics of referred patients.

Study Overview

• Status: Completed
• Conditions: Chest Pain

Detailed Description

A qualitative analysis of a nurse-led chest pain clinic will be undertaken to improve understanding of patient experience. Patients who have used this service will be invited to take part in an interview. Patients will be split in to two groups: those reassured and discharged after first attendance, and those who went on to have further diagnostic testing. The aim is to interview three patients from each group to compare experiences and perceptions of a service which previously would have been undertaken by physicians, but is now completely nurse-led.

• Study Type: Observational
• Enrollment (Actual): 1

Contacts and Locations

Study Locations

• United Kingdom
  • West Midlands
    • Wolverhampton, West Midlands, United Kingdom, WV10 0QP
      • New Cross Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

The population targeted will be patients referred to the rapid access chest pain clinic undertaken once a week by the researcher or one colleague on alternate weeks.

Description

Inclusion Criteria:

• Patients who have attended the chest pain clinic in the last four month months
• Eighteen years-of-age and older
• Able to give valid consent
• English speaking

Exclusion Criteria:

• Non-English speaking patients
• Patients under 18 years of age
• Patients with any cognitive impairment.
• Any vulnerable patients (defined by the mental health act 2005 as anyone lacking capacity to make decisions, ie, someone with severe impairment in the functioning of the brain).
• Offenders in the care of prison services (for logistical reasons)

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Reassured and discharged; patients who are reassured and discharged after first attendance
Further diagnostic testing; Patients who went on to have further diagnostic testing

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Explore the lived experiences through interview	Explore the lived experiences of patients attending a nurse-led rapid access chest pain clinic through interview of participants	1 hour

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Outcome of the consultation Effects through interview	Understand if these experiences are affected in any way by the outcome of the consultation through interview of participants	1 hour

Collaborators and Investigators

• Sponsor: The Royal Wolverhampton Hospitals NHS Trust
• Investigators: Principal Investigator: Justin Lewis, The Royal Wolverhampton NHS Trust

Study record dates

Study Major Dates

• Study Start (Actual): December 21, 2017
• Primary Completion (Actual): December 1, 2018
• Study Completion (Actual): December 1, 2018

Study Registration Dates

• First Submitted: October 29, 2018
• First Submitted That Met QC Criteria: November 5, 2018
• First Posted (Actual): November 6, 2018

Study Record Updates

• Last Update Posted (Actual): October 2, 2019
• Last Update Submitted That Met QC Criteria: October 1, 2019
• Last Verified: October 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Chest Pain
• Other Study ID Numbers: 2017CAR95

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No