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ABSTRACT

The objective of this quantitative study was to elicit the impact that two cardiac modules had on students� clinical practice. There has been critical discussion in the nursing literature on the impact that higher education has on nursing practice.
The impetus driving the need for these cardiac modules was due to the National Service Framework (NSF) in coronary artery disease in 2000. The School of Nursing and Midwifery at City University has developed two cardiac modules as a response to the NSF, as requested by the Clinical Effectiveness Group in East London. Key components of these modules included relevant anatomy & physiology; evidence based theory on Coronary Heart Disease and Heart Failure; clinical workshops; formative feedback and the students� development of action plans to enable them to apply theory to practice.
The methodology involved using a questionnaire to ascertain whether the students� were applying the theoretical content of the cardiac modules to their clinical area and in addition if they were implementing their action plans that were developed during the final module. A convenience sample of 17 qualified nurses, who had undertaken both modules, was used.
This study�s objective was achieved, although the findings cannot be generalised because of the small sample. Therefore, the results must be treated with caution. However, the results demonstrated that the majority of respondents� were implementing their action plans; that clinical roles had changed and that the completion of the two cardiac modules had led to respondents� having increased confidence in their practice area in applying theory and newly acquired clinical skills.
Further research using qualitative methodologies to investigate students� attitudes to clinical role development would be recommended following this study.

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