Opening the black box: methodological considerations in the design and evaluation of nurse-led clinics...Alzhanova A, Schadewaldt V, Hendriks JM, et al. Effectiveness of nurse-led clinics for patients with coronary heart disease: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing. 2026 Jun 16;25(3):443-457.

This commentary focuses on the effectiveness and evaluation of nurse-led clinics for patients with coronary heart disease (CHD), based on a systematic review by Alzhanova et al. Nurse-led models involve registered and advanced practice nurses delivering comprehensive, evidence-based care that includ...

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Detalles Bibliográficos
Publicado en:European Journal of Cardiovascular Nursing Vol. 25; no. 3; pp. 458 - 461
Autores principales: Davidson, Patricia M, Lin, Jialing
Formato: commentary letter questions and answers tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2026
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:This commentary focuses on the effectiveness and evaluation of nurse-led clinics for patients with coronary heart disease (CHD), based on a systematic review by Alzhanova et al. Nurse-led models involve registered and advanced practice nurses delivering comprehensive, evidence-based care that includes clinical management, care coordination, behavior change support, and equity-driven, person-centered approaches. The article emphasizes the importance of clearly defining nurses’ scope of practice, selecting relevant patient-centered and health system outcomes beyond mortality, and thoroughly describing usual care comparators in research. It also highlights challenges in intervention design, reporting, and implementation, advocating for innovative trial methodologies and incorporation of implementation science to better understand how nurse-led interventions work and can be scaled sustainably within health systems.