Dr. Karen Smith

Nurse consultant cardiology/ Clinical research fellow

Address:

School of Nursing & Midwifery
11 Airlie Place,
Dundee,
DD1 4HJ

Phone Number:

+(44) 01382 388534

Email Address:

k.m.smith@dundee.ac.uk

Research

Interests

The research interests include the exploration of patients' and carers' experiences of illness and care delivery in cardiovascular care, and to develop and evaluate nursing interventions to improve quality of life and quality of care. Core aspects of this include the understanding of patients' and carers' perceptions and experiences of illness and care: how these affect quality of life, and the development of nursing roles which enhance quality of life and promote self management of long term conditions and rehabilitation.

Recent studies in cardiovascular care have included experiences of nurse led programmes of education and support for patients before and after cardiac surgery, evaluating outcomes of cardiac rehabilitation programmes and in short and longer term , investigating knowledge, health status and quality of life in patients with heart failure, evaluating the 6 month outcomes of patients discharged form the chest pain service, an evaluation of a self-help cognitive behavioural programme, the Angina Plan (AP), in patients (and their partners) admitted to hospital with angina.

Exploration of the partners experiences of living with heart failure, exploring the effects of illness beliefs and misconceptions in people with coronary heart disease and their role in recovery, and participating in the international development of a valid and reliable core HRQL instrument for use in patients with cardiac disease involvement in Enhancing Self-Care recognises the importance of patients and their carers in taking action to maintain health, prevent illness, seek and adhere to treatment, manage symptoms and side effects, accomplish recovery and rehabilitation and cope with chronic illness and disability associated with cardiac disease.

Studies will focus on examining the ways in which service users, carers and NMAHPs can act in partnership to enhance these self-care processes and improve health outcomes for cardiac patients.

Investigation of cardiac care provision throughout Europe has developed through the UNITE collaboration of the ESC -(Undertaking nursing interventions throughout Europe) and has investigated knowledge and skills of nurse in areas of prevention and risk, CPR , the provision of services for heart failure patients and those with grown up congenital heart disease as well as under investigated areas such as intractable pain in cardiac patients.

Current

Randomised controlled trial comparing a self-help cognitive behavioural programme with standard care for angina patients admitted to hospital. CSO funded 2006.

Does it matter what people think? Exploring the effects of beliefs in people with coronary heart disease. (DOH 2007) in collaboration with Dr Gill Furze and Bob Lewin (York), Karen Dunderdale (North Lincolnshire and Goole NHS Trust) Dr Morag Osbourne (Greater Glasgow NHS Board) Paul Smith (Carmarthenshire NHS Trust).

Co-investigators: Professor J. Weinman, Professor of Psychology Applied to Medicine, Kings College, London. Professor RJP Lewin, Professor of Rehabilitation and Director, BHF Care and Education Research Group, University of York.

Wider professional activities

Lead Clinician for the Managed Clinical network in Coronary Heart Disease. Member of the European society of Cardiology working group on cardiovascular nursing (Held the position as chair from 2000-2002 and Vice Chair 1998-2000). Nurse Fellow of the ESC. Member of the British Association of Nurses in Cardiac Care. Current chair of Tayside region of the British Association of Critical Care Nurses. Member of Cardiac rehabilitation Interest Group Scotland (CRIGS).

National and international advisory groups SE short life working group - cardiology services Workforce paper focusing on the contribution of NMAHPS Lead clinician subgroup of the national CHD advisory committee ESC advisory board for nursing research, education and practice Advisory groups for conduct and implementation of research such as REACH results implications for practice, SIGN implementation of SIGN 93, steering group for EUROACTION a multi centered international study completed for the European society of cardiology (ESC).

Ongoing profile in national CHD advisory committees within the Scottish executive and other national bodies - e.g. cardiovascular subgroup of acute services review, CHD and stroke Task force report, CHD and stroke strategy implementation groups Scottish needs assessment programme , NHS Education Scotland - for CHD competencies Reviewer of university curriculum developments relevant to cardiovascular disease (for example Abertay & Queen Margaret Universities) Review of national submissions for NOF projects ( now Big lottery funds) related to cardiovascular disease Invited to develop and deliver educational conferences/courses for nurses in cardiac care at local, regional and national level.

Member of the editorial board for the European journal of cardiovascular nursing.

External examiner for higher degrees - Southbank University, London & Glasgow University.

Teaching

Post registration curriculum. Co-lead 2 modules currently care of the cardiac patients in acute settings and the health related behaviour change. Have recently developed a module on cardiovascular risk to be launched 8 September.

Publications

Herber, O. R., Jones, M. C., Smith, K. & Johnston, D. W. (2012) Assessing acute coronary syndrome patients' cardiac-related beliefs, motivation and mood over time to predict non-attendance at cardiac rehabilitation Journal of Advanced Nursing.
68, 12, p. 2778-2788 11 p.

Zetta, S., Smith, K., Jones, M., Allcoat, P. & Sullivan, F. (2011) Evaluating the angina plan in the patients admitted to hospital with angina: a randomised control trial Cardiovascular Therapeutics. 29, 2, p. 112-124 13 p.

Berben, L., Bogert, L., Leventhal, M. E., Fridlund, B., Jaarsma, T., Norekval, T. M., Smith, K., Stromberg, A., Thompson, D. R. & De Geest, S. (2011) Which interventions are used by health care professionals to enhance medication adherence in cardiovascular patients? A survey of current clinical practice European Journal of Cardiovascular Nursing. 10, 1, p. 14-21 8 p.

Axelsson, A. B., Fridlund, B., Moons, P., Martensson, J., Scholte op Reimer, W., Smith, K., Stromberg, A., Thompson, D. R. & Norekval, T. M. (2010) European cardiovascular nurses' experiences of and attitudes towards having family members present in the resuscitation room European Journal of Cardiovascular Nursing. 9, 1, p. 15-23 9 p.

Jaarsma, T., Stromberg, A., Fridlund, B., De Geest, S., Martensson, J., Moons, P., Norekval, T. M., Smith, K., Steinke, E. & Thompson, D. R. (2010) Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence European Journal of Cardiovascular Nursing. 9, 1, p. 24-29 6 p.

Axelsson, A. B., Thoren, A. B., Aune, S., Fridlund, B., Moons, P., Martensson, J., Smith, K., Stromberg, A., Thompson, D. R. & Norekval, T. M. (2009) European cardiovascular nurses and allied professions' practical skills in cardiopulmonary resuscitation European Journal of Cardiovascular Nursing. 8, Supplement 1, p. S1-S1

Moons, P., Fleck, D., Jaarsma, T., Norekval, T. M., Smith, K., Stromberg, A., Thompson, D. R. & Budts, W. (2009) What do cardiovascular nurses know about the hematological management of patients with Eisenmenger syndrome? European Journal of Cardiovascular Nursing. 8, 4, p. 246-250 5 p.

Jaarsma, T., Strömberg, A., De Geest, S., Fridlund, B., Heikkila, J., Martenssen, J., Moons, P., Scholte op Reimer, W., Smith, K., Stewart, S. & Thompson, D. R. (2006) Heart failure management programmes in Europe. European Journal of Cardiovascular Nursing. 5, 3, p. 197-205 9 p.

Lenzen, M., Scholte op Reimer, W., Norekval, T. M., De Geest, S., Fridlund, B., Heikkila, J., Jaarsma, T., Martensson, J., Moons, P., Smith, K., Stewart, S., Stromberg, A., Thompson, D. R. & Wijns, W. (2006) Pharmacological treatment and perceived health status during 1-year follow up in patients diagnosed with coronary artery disease, but ineligible for revascularization: results from the Euro Heart Survey on Coronary Revascularization European Journal of Cardiovascular Nursing. 5, 2, p. 115-121 7 p.

Moons, P., Scholte op Reimer, W., De Geest, S., Fridlund, B., Heikkila, J., Jaarsma, T., Martensson, J., Smith, K., Stewart, S., Stromberg, A. & Thompson, D. R. (2006) Nurse specialists in adult congenital heart disease: the current status in Europe European Journal of Cardiovascular Nursing. 5, 1, p. 60-67 8 p.

Jones, M. C., Smith, K. & Johnston, D. W. (2005) Exploring the Michigan model: the relationship of personality, managerial support and organizational structure with health outcomes in entrants to the healthcare environment Work & Stress. 19, 1, p. 1-22 22 p.

Jaarsma, T., Stewart, S., De Geest, S., Fridlund, B., Heikkila, J., Martensson, J., Moons, P., Scholte op Reimer, W., Smith, K., Stromberg, A. & Thompson, D. R. (2004) A survey of coronary risk factors and B-type natriuretic peptide concentrations in cardiac nurses from Europe: do nurses still practice what they preach? European Journal of Cardiovascular Nursing. 3, 1, p. 3-6 4 p.

Smith, K (2002). Increasing Roles for Nurses. European Journal of Cardiovascular Nursing, 1,1.

Smith, K.M. SWANSTON, M. AND STAINES, H., (2002). Patient Controlled Analgesia (PCA) Versus Nurse Controlled Analgesia (NCA) for Chest Pain Following Myocardial Infarction: A randomised controlled trial. Pain.

Smith, K.M. (2001). Preliminary investigation of the 6-month health outcomes of angina patients discharged from a chest pain service. European Heart Journal, Vol 22, Abstr. Suppl. September 2001, pp.623.

Chapters in Books

Thompson, D. R., Smith. K M. and Stewart, S. (2004). A new role for primary and secondary prevention in the 21st Century: preventing heart failure.