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Adult nursing
Current state of knowledge around nurse-led cardioversion: a launchpad for future projects
  1. Jennifer Fournier
  1. School of Nursing, Laurentian University, Sudbury, Ontario, Canada
  1. Correspondence to Jennifer Fournier, School of Nursing, Laurentian University, Sudbury, ON P3E 2C6, Canada; JL_fournier{at}

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Commentary on: Manoj S, Moore Z, Patton D, et al. The impact of a nurse-led elective direct current cardioversion in atrial fibrillation on patient outcomes: a systematic review. J Clin Nurs 2019;28:3374–85. doi: 10.1111/jocn.14852.

Implications for research and practice

  • Nurse-led cardioversion clinics demonstrate promising potential in terms of patient safety, reducing wait times, decreasing costs and increasing patient satisfaction.

  • The review suggests the need for further quantitative, outcomes focused studies on nurse and nurse practitioner led cardioversion clinics.


Direct current cardioversion is an electrical cardiac treatment used to reset heart rhythms in some patients with atrial fibrillation.1 While direct current cardioversion had historically been medically led, increased demand for the treatment has led to the development of nurse-led services.2 Nurse and nurse practitioner led cardioversion clinics will be seen more often as our populations age. It is important to develop a body of research around efficacy and best practices related to nurse-led cardioversion clinics going …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.