Frontline barriers to effective paramedic and emergency nursing STEMI management: clinician perspectives.

Background: Factors that hinder the pivotal role frontline clinicians play in STEMI management are under-reported. We aimed to explore perceived barriers to effective STEMI management by addressing the following questions: 1. What are the most commonly occurring barriers to timely STEMI management for paramedics and emergency nurses? 2.

The process of implementing a nurse-coordinated multidisciplinary pulmonary rehabilitation program in Melbourne.

In March 2002 The Northern Clinical Research Centre, Epping implemented a six week outpatient based pulmonary rehabilitation program for people with COPD. This paper outlines the establishment, underlying philosophy, marketing, coordination and personnel necessary for a successful program, as identified by the research centre. Barriers to program participation were identified and steps to minimize these were implemented.