Nurse-led group visits support shared decision making in stable coronary artery disease

J Cardiovasc Nurs. 2013 May-Jun;28(3):269-76. doi: 10.1097/JCN.0b013e31824dca51.


Objective: The aim of this study was to develop and evaluate a nurse-led educational group visit (GV) as part of a multifaceted intervention, shared decision making (SDM) guidance reminders in practice, to prompt SDM in primary care about angiography in stable coronary artery disease.

Methods: A process evaluation designed to test the feasibility of a nurse-led educational GV was conducted. The evaluation used retrospective pre-post surveys.

Results: Nurse-led GV was well received and logistically feasible. Patients gained knowledge of options and confidence in doing SDM with providers. However, recruitment at the point of the educational GV was below the threshold of 12 patients per group that would support sustaining this approach in fee-for-service clinical practice.

Conclusions: Nurse-led GV can produce gains in knowledge and confidence required for patients to participate in SDM. However, the constraints of time and personnel required to bring groups of patients together require new approaches. Future development will focus on adapting the content of the GV for SDM as an electronic teaching module associated with integrated personal health records.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Coronary Disease / nursing*
  • Feasibility Studies
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Midwestern United States
  • Nurse Practitioners
  • Outcome and Process Assessment, Health Care*
  • Patient Education as Topic / methods*
  • Patient Satisfaction
  • Pilot Projects
  • Practice Patterns, Nurses'*
  • Primary Health Care
  • Retrospective Studies
  • Self-Help Groups*