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Dr. Mary Mooney
Assistant Professor, School of Nursing & Midwifery

Biography

Dr. Mary Mooney (PhD, MSc, RGN, RM, RNT, MA, Higher. Diploma Cardiovascular Studies) is a lecturer in general nursing and a specialist in cardiovascular nursing in the School of Nursing and Midwifery, Trinity College. Her research areas focus predominantly on cardiac-related aspects of patient care and nurse education. Her research experience encompasses qualitative and quantitative research methods, including randomised controlled trials, cross-sectional studies, longitudinal and cohort studies. Her PhD, which was a randomised controlled trial, comprised delivering an educational intervention to patients with Acute Coronary Syndrome. This HRB funded study was the first RCT in the world to target and successfully reduce patient pre-hospital delay time and its groundbreaking effect has been renowned for its effectiveness in reducing patient delay in the presence of heart attack symptoms. Her work has been used to develop further international research with which she is currently actively engaged. In terms of research funding, Mary has been Principal Investigator or a co-applicant across a range of projects, from a variety of funding sources. She has many National and international collaborates and is the academic lead for the International Winter and Summer School at Trinity College Dublin. Mary maintains a clinical remit in cardiology, in addition to her academic role. She is clinical advisor to an Irish Enterprise, funded by Enterprise Ireland. Prior to this appointment, she was engaged as a consultant for patient education and interventionist training with two international companies. In March 2019 Mary was appointed to the board of an International Steering Committee for a Multi-centre, double blind, randomized,placebo-controlled RCT. She was elected to the committee of the Irish Nurses Cardiovascular association (INCA) in 2019 and is an external examiner (post-graduate)for the National University of Ireland, Galway. As conference chairperson at Trinity College Dublin, Mary has successfully organised the TCD international research conferences over a number of years. She is actively engaged in research, most of which is concerned with cardiovascular or critical care aspects. She has been an invited speaker and presenter across a range of national and international events.

Publications and Further Research Outputs

Peer-Reviewed Publications

Van Velthoven M, Milne-Ives M, de Cock C, Mooney M, Meinert E, Use of apps to promote childhood vaccination: a systematic review protocol, Journal of Medical Internet Research Publications, 9, (2), 2020, pe16929 - e16941 Journal Article, 2020 URL

Kiely Niamh, O'Brien Frances, Mooney M. , Epicardial pacing wires following cardiac surgery: an Irish cross-sectional study., British Journal of Nursing, 2020 Journal Article, 2020

Mooney M,, McKee G,, McDermott E., O'Donnell S., Ryan P., Moser D.,,Brien F., , Knowledge and opinions of ICDs during life, illness and at the time of death, British Journal of Nursing, 28, (7), 2019, p446-451 Journal Article, 2019 URL

Roe A., Prakashini Banka S. & Mooney M. , No time to delay reperfusion: a cross-sectional study of Primary Percutaneous Coronary Intervention times., Journal of Clinical Nursing, 2019 Journal Article, 2019 DOI

Clancy B. & Mooney M, Changed perspectives; patients' insights on life and death following the insertion of an implantable cardioverter defibrillator, Book of abstracts, final programme, Trinity Health and Education International Research Conference. https://theconf2019.exordo.com/programme , Dublin, March 6, 7th 2019, 2019 Oral Presentation, 2019

Mooney M /Irish Nurses Cardiovascular Organisation, 21st Annual Scientific Meeting., March 2nd 2019, In:21st Annual Scientific Meeting. cardiac care in the technological era, 2019, Dublin Meetings /Conferences Organised, 2019

McKee G,, Mooney M, , O'Donnell S., O'Brien F., Biddle M., Moser D., A cohort study examining the factors influencing changes in physical activity levels following an acute coronary syndrome event, European Journal of Cardiovascular Nursing, 18, (1), 2019, p57-66 Journal Article, 2019 URL DOI

Mooney Dr. Mary, Facilitating optimal outcomes and care in acute cardiology; Optimising the link between initial presentation and tertiary care treatment - pre hospital delay., European Society of Cardiologists , Munich, August 25th 2018, 2018, European Society of Cardiologists Invited Talk, 2018

McKee G,, Mooney M, , O'Donnell S., O'Brien F., Biddle M., Moser D., A cluster and inferential analysis of myocardial infarction symptom presentation by age., European Journal of Cardiovascular Nursing, 17, (7), 2018, p637-644 Journal Article, 2018 DOI

N Kiely, V Young, M Mooney, F O'Brien , An investigation into the use, duration and complications of epicardial pacing wires following cardiac surgery: a cross-sectional, Irish study. , Society of Cardiothoracic Surgery for Great Britain & Ireland (SCTS) Annual Meeting, Glasgow SEC, Glasgow, Scotland, United Kingdom., 18-20th March 2018, 2018 Published Abstract, 2018 URL

Kiely N., Mooney M., O' Brien F., The use of epicardial pacing wires following cardiac surgery and its link to delayed discharge. , European Journal of Cardiovascular Nursing, EuorHeart Care. Annual Congress of the Council on Cardiovascular Nursing and Allied Professions, Trinity College Dublin, June 7-9 2018, 2018 Published Abstract, 2018

McDermott E., Mooney M, , O'Donnell S., McKee G,, O'Brien F., Ryan P., An Irish Cross-Sectional survey of patients knowledge of implantable cardioverter defibrillator (ICD) and their deactivation at end of life, European Journal of Cardiovascular Nursing, EUROHEARTCARE, Trinity College Dublin, June 7-9 2018, 17, (1 Supp), Sage, 2018, (P459) Meeting Abstract, 2018 URL DOI

Miller J., Hammash M., Thylen I., Ski C., Cameron J., Lee K., O' Donnell S., Mooney M.,McKee G,, Fitzsimons D., Hwang S., McEvedy S. Moser D., Depression and quality of life in implantable cardioverter defibrillator recipients: a comparative international perspective, European Journal of Cardiovascular Nursing, EuorHeart Care. Annual Congress of the Council on Cardiovascular Nursing and Allied Professions, Trinity College Dublin, June 7-9 2018, 2018 Conference Paper, 2018

Roe Amanda & Mooney M. , A Single Centred Cross-Sectional Study of Coronary Reperfusion Times in Primary Percutaneous Coronary Intervention (PPCI), Irish Nurses Cardiovascular Asssociation, Londonderry, October 5th 2017, edited by M. Mooney , 2017 Poster, 2017

G Mckee, S O'Donnell, F O'Brien, M Mooney, DK Moser, Differences in symptom presentation in MI patients by age, European Journal of Cardiovascular Nursing, Euroheartcare2017, Athens, 15-16 April 2016, 15 ( Supp), Sage , 2016, ppS9 Published Abstract, 2016 URL

Mary Mooney, Frances O' Brien, Gabrielle McKee, Sharon O' Donnell, Debra Moser, Ambulance use in acute coronary syndrome in Ireland: a cross-sectional study, European Journal of Cardiovascular Nursing, 15, (5), 2016, p345-35 Journal Article, 2016 DOI

A Alhurani, G McKee, S O'Donnell, F O'Brien, M Mooney, T Lennie, D Moser, Predisposing factors of persistent symptoms of depression and anxiety among patients with acute coronary syndrome, European Journal of Cardiovascular Nursing, Euroheartcare 2016, Athens, 15-16 April 2016, 15 ( Supp), Sage , 2016, ppS45 Published Abstract, 2016 URL

A core curriculum for the continuing professional development of nurses, June 2015, (2015), 1 - 15p, Cardiovascular nursing and Allied Professionals, [eds.] Journal, 2015

Gabrielle Mckee, Sharon O'Donnell Mary Mooney, Frances O'Brien, Debra K. Moser, Symptom presentation in Myocardial Infarction (MI) patients: a regression model exploring if it is different in the aged , Irish Journal of Medical Science , 62nd Annual and Scientific Meeting of the Irish Gerontological Society , Galway, 9-11october , 183, (Supp 7), 2014, ppS316 Published Abstract, 2014 URL

G. Mckee, M. Mooney, S.O.Donnell, F.O.Brien, D.K. Moser, A regression model examining the main factors that influenced pre-hospital delay time post educational intervention in ACS patients, European heart Journal :Acute Cardiovascular Care , Acute Cardiovascular Care Conference , Geneva , 16th-19th October, 3, (S2), 2014, pp129- Published Abstract, 2014 URL

G. Mckee, M. Mooney, S.O.Donnell, F.O.Brien, D.K. Moser, A randomised control trial to reduce pre-hospital delay time in patients with acute coronary syndrome , Irish Journal of Medical Science, Irish Cardic Society 65th Annual Scientific Meeting , Athlone, Ireland , 16-18th October 2014, 183, (Supp 8), Springer , 2014, ppS434- Published Abstract, 2014

Mary Mooney, Gabrielle Mc Kee, Gerard Fealy, Frances O'Brien, Sharon O'Donnell, Debra Moser, A randomized controlled trial to reduce pre-hospital delay time in patients with acute coronary syndrome (ACS), Journal of Emergency Medicine, 46, (4), 2014, p495-506 Journal Article, 2014 DOI URL

G. Mckee, M. Mooney, S.O.Donnell, F.O.Brien, D.K. Moser, The factors that influence improvements in physical activity in cardiac patients , European Journal of Preventive Cardiology, Euro-prevent , Amsterdam , 8-10 May 2014, 21, (1), 2014, ppS159 Published Abstract, 2014 URL

G. Mckee, M. Mooney, S.O.Donnell, F.O.Brien, D.K. Moser, A regression model examining the main factors that influenced pre-hospital delay time post educational intervention in ACS patients, Irish Cardiac Nurses Association with the Irish Cardiac Society, Athlone, Ireland, 16th October, 2014 Poster, 2014

O'Brien F, McKee G, Mooney M, O'Donnell S, Moser D, Improving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial., Patient education and counseling, 96, (2), 2014, p179-87 Journal Article, 2014 TARA - Full Text DOI

Sharon O'Donnell, Gabrielle Mc Kee, Mary Mooney, Frances O' Brien, Debra Moser, Slow-onset and fast-onset symptom presentations in acute coronary syndrome (ACS): new perspectives on prehospital delay in patients with ACS, The Journal of Emergency Medicine, 46, (4), 2014, p507-515- Journal Article, 2014 URL

G. Mckee, M. Mooney, S.O.Donnell, F.O.Brien, D.K. Moser, Symptom presentation in older Myocardial Infarction (MI) patients , Irish Cardiac Nurses with the Irish Cardiac SocietyScientific Meeting, Athlone, Ireland, 16th October , 2014 Poster, 2014

G McKee, F O'Brien, M Mooney, S O'Donnell & DK. Moser, Use of Ambulance in Acute Coronary syndrome patients, European Journal of Cardiovascular Nursing, EuroHeartCare 2013, Glasgow, 22-23 March 2013, 12, (1), Elsevier, 2013, ppP54- Published Abstract, 2013 URL

Mary Mooney, Are Current Referral Practices To Public Health Nurses Capturing The Frailest Older Adults Living In Our Communities? : A Retrospective Cross Sectional Correlation Study, IPHNC book of abstracts, 3rd International Public Health Nursing Conference, National University of Ireland, Galway, August 25-27, 2013, 2013, pp70 - 70 Meeting Abstract, 2013

O'Brien F, O'Donnell S, McKee G, Mooney M, Moser D. , Knowledge, attitudes, and beliefs about acute coronary syndrome in patients diagnosed with ACS: an Irish cross-sectional study. , European Journal of Cardiovascular Nursing, 12, 2013, p201 - 208 Journal Article, 2013 DOI URL

Gabrielle McKee, Mary Mooney, Sharon O'Donnell, Frances O'Brien, Martha J. Biddle, Debra K. Moser, Multivariate analysis of predictors of pre-hospital delay in acute coronary syndrome, International Journal of Cardiology, 168, (3), 2013, p2706 - 2713 Journal Article, 2013 DOI URL

Ballard J., Mooney M. & Dempsey O, Prevalence of frailty-related risk factors in older adults seen by community nurses, Journal of Advanced Nursing, 69, (3), 2013, p675 - 684 Journal Article, 2013 DOI

Gabrielle McKee, Martha Biddle, Sharon O'Donnell, Mary Mooney, Frances O'Brien, & Debra K. Moser, Cardiac rehabilitation after myocardial infarction: What influences patients' intentions to attend? , Europen Journal of Cardiovascular Nursing, 13, (4), 2013, p329 - 337 Journal Article, 2013 DOI URL

G. McKee, S. O'Donnell, F. O'Brien, M.Mooney, DK. Moser, Do Patients change their intention to attend cardiac rehabilitation and what factors influence any change?, Europen Journal of Preventive Cardiology, Europrevent 2012, Dublin, 3-5 May 2012, 19, (Supp1), 2012, ppS55- Published Abstract, 2012 URL

Mooney, M., McKee, G., O'Brien, F., O'Donnell, S., Moser, D., An intervention to alter help-seeking behaviour and reduce pre-hospital delay time in patients diagnosed with acute coronary syndrome., Heart., British Cardiovascular Society Annual Conference. , Manchester., May 28-30 2012, 98, (1), 2012, ppA69 - A69 Published Abstract, 2012 URL

O'Donnell S, McKee G, O'Brien F, Mooney M, Moser DK , Gendered symptom presentation in acute coronary syndrome: A cross sectional analysis. , International Journal of Nursing Studies , 49, (11), 2012, p1325-1332 Journal Article, 2012 DOI URL

O'Brien, F., Mooney, M., O'Donnell S., McKee, G., Moser, D., Irish patients' perceptions of their risk for a heart attack in the future following the diagnosis of acute coronary syndrome, Heart, British Cardiovascular Society Annual Conference, Manchester, 28-30 May 2012, 98, (1), 2012, ppA69 - A69 Published Abstract, 2012 URL

Mooney, M., McKee, G., O'Donnell, S., O'Brien, F., Moser, D., The impact of an educational intervention on patient behaviour in presenting with acute coronary syndrome: An RCT., European Heart Journal, The European Society of Cardiology Congress., Munich, August 25-29 2012, Abstract Supp. 33, 2012, pp444 - 445 Published Abstract, 2012 URL

Mary Mooney, McKee Gabrielle, Fealy Gerard., O'Brien Frances., O'Donnell Sharon.,Moser Debra, A review of interventions aimed at reducing pre-hospital delay time in acute coronary syndrome: what has worked and why?, European Journal of Cardiovascular Nursing, 11, (4), 2012, p445 - 453 Journal Article, 2012 DOI TARA - Full Text

O'Brien F., Mooney M., O' Donnell S., McKee G. & Moser D, Knowledge of ACS symptoms: an Irish population survey, European Journal of Cardiovascular Nursing , 11th Annual Spring Meeting on Cardiovascular Nursing, Brussels, Belgium, April 1-2 2011, 10, ((Suppl.) 1), 2011, pp35 - 35 Published Abstract, 2011 URL

Mooney M, O'Brien F, McKee G, O' Donnell S. Moser D., Acute Coronary Syndrome Pre hospital delay time in an Irish Population, 4th Annual Multidisciplinary Research, Clinical Audit, and Quality Seminar, Dublin, 19th May 2011, 2011 Poster, 2011

S. O'Donnell, F. O'Brien, M. Mooney, G. McKee, D. Moser., Symptom presentation in women with acute coronary, European Heart Journal, European Society of Cardiology, Paris, 27th - 31st August, 32 (Supp 1), (1), 2011, pp1891 - 1891 Published Abstract, 2011

O'Brien F., Mooney M., O' Donnell S., McKee G. & Moser D, Knowledge of symptoms of acute coronary syndrome in an Irish population, 4th Annual Multi - Disciplinary Research, Clinical Audit & Quality Improvement Seminar, St. James's Hospital, May 19th 2011, 2011 Poster, 2011

Mooney, M., McKee G., O'Brien, F., O'Donnell, S., Moser, D., An RCT to test the effectiveness of an educational intervention on pre-hospital delay time in patients with Acute Coronary Syndrome., Book of Abstracts, 12th Annual Interdisciplinary Research Conference., School of Nursing & Midwifery, Trinity College Dublin , November 9-10 2011, 2011, pp74 - 74 Meeting Abstract, 2011

O'Donnell S, Moser D. Mckee G., O'Brien F. & Mooney M, Gendered presentation in acute coronary syndrome., European Journal of Cardiovascular Nursing, 11th Annual Spring Meeting on Cardiovascular Nursing, Brussels,, April 1-2 2011, 10 , ((Supp) 1), 2011, pp42 - 42 Published Abstract, 2011 URL

McKee G, O'Donnell S, Mooney M, O'Brien F, Moser D, The extent of the physical inactivity problem in Acute Coronary Syndrome patients and some clinical and demographic factors that influence it., European Journal of Cardiovascular Prevention and Rehabilitation, EuroPRevent, Geneva, Switzerland, April 14-16 2011, 18, (S1), 2011, ppS64 Published Abstract, 2011 URL

O'Donnell S, O'Brien F, Mooney M, Mckee G, Moser D, Symptom presentation in women with acute coronary syndrome: a new perspective on help seeking delays, Irish Nurses Cardiovascular Association News, Irish Nurses Cardiovascular Association 14th Scientific Conferance, Tullamore, 25 March, (March), 2011, pp9 Poster, 2011

O'Brien, F. McKee, G., O'Donnell, S., Mooney, M., Moser, D., Improving ACS patients' knowledge, attitudes and, European Heart Journal, European Society of Cardiology, Paris, 27th-31st August , 32 (Supp 1), (1), 2011, pp2337 - 2337 Published Abstract, 2011

Mooney M., O'Brien F., McKee G., Fealy G., O' Donnell S. and Moser D, Irish pre-hospital delay times in acute coronary syndrome: an on-going dilemma, European Journal of Cardiovascular Nursing, 11th Annual Spring Meeting on Cardiovascular Nursing, Brussels, Belgium, April 1-2 2011, 10, ((Suppl.) 1), 2011, pp35 Published Abstract, 2011 URL

Ballard J, Mooney M, Dempsey O., Frailty-related Risk Factors: a prevalence study in older adults seen by community nurses in Dublin, Ireland , Book of Abstracts, American Public Health Association (APHA) annual conference. , Washington D.C., 29 Oct.- 2 Nov 2011, 2011, pp1 Meeting Abstract, 2011

O'Brien F., O'Donnell, S., McKee, G., Mooney, M., Moser, D, The effectiveness of an educational intervention on ACS patients' knowledge, attitudes and beliefs about heart disease: a randomized controlled trial, Book of Abstracts, 12th Annual Interdisciplinary Research Conference, School of Nursing & Midwifery, Trinity College Dublin, November 9-10 2011, 2011, pp82 - 82 Meeting Abstract, 2011

McKee G, Mooney M, O'Donnell S,O'Brien F, BiddleMJ, Moser DK., Major influences on Pre-Hospital Delay in seeking treatment for Acute Coronary Syndrome Symptoms in Ireland., Irish Cardiac Society Annual Conferance, Newcastle, Northern Ireland, 6-8 October 2011, 2011 Poster, 2011

Mckee G, Mooney M, O'Donnell S, O'Brien F, Moser DK., Symptoms, diagnosis and history are important influences of prehospital delay in acute coronary syndrome patietns compared to sociodemographic factors, Irish Nurses Cardiovascular Association News, Irish Nurses Cardiovascular Association 14th Annual Scientific Conferance , Tullamore , 25th March, (March ), 2011, pp14 Poster, 2011

Mc Kee, G., Mooney, M., O'Donnell, S., O'Brien, F., Moser, D., The factors that influence pre hospital delay time in, European Heart Journal, European Society of Cardiology, Paris, 27th -31st August, 32 (Supp 1), (1), 2011, pp1521 - 1521 Published Abstract, 2011

Mooney, M., Mc Kee, G., O'Brien, F., O'Donnell, S., Moser, D. , A randomized controlled trial to test an intervention, European Heart Journal, European Society of Cardiology, Paris, 27th- 31st August, 32 (supp 1), (1), 2011, pp1515 Published Abstract, 2011

S O Donnell, F O Brien, M Mooney, G McKee, DK Mose, Slow onset Myocardial Infarction:an important determinant of patient decision delay, Irish Nurses Cardiovascular Assocaition News , Irish Cardiovascular Nurses Association, 14th Scientific Conferance , Tullamore, March 2011, (25th March 2011), 2011, pp6 Poster, 2011

Gabrielle McKee, Sharon O' Donnell, Mary Mooney, Frances O' Brien, Debra Moser, Physical activity levels in acute coronary syndrome patients, and factors that influence these levels , 11th Annual interdisciplinary Researsh Conference Transforming Healthcare through Research and Education, Dublin, 4-5 November 2010, 2010, pp81 Meeting Abstract, 2010

Gabrielle McKee, Mary Mooney, Frances O'Brien, Sharon O'Donnell, Martha Biddle, Debra K. Moser, MI patients intentions to attend cardiac rehabilitation programmes, a quantitative survey, Europen Journal of Cardiovascular Prevention and Rehabilitation , Europrevent 2010, Praque , 5-7 May 2010, 17, (2), Sage , 2010, ppS83-S87 Published Abstract, 2010 URL

G. McKee, S. O' Donnell, M. Mooney, F. O' Brien, D. Moser, A quantitative survey of the number of patients who do not intent to attend cardiac rehabilitation and the reasons why, Irish Association of Cardiac Rehabilitation , Dublin , Ireland , 16-17th October 2009, 2009 Meeting Abstract, 2009

Gabrielle Mckee, Mary Mooney, frances O'Brien, Sharon O'Donnell, Debra K. Moser , A study of the length of time that patients delay before presentating to accident and emergency with acute coronary syndrome, European Journal of Cardiovascular Nursing , 9th Annual Spring meeting on Cardiovascular nursing, Dublin, Ireland, 24-25 april 2009, edited by Gabrielle McKee , 8, (suppl 1), 2009, ppS9. Published Abstract, 2009

F. O'Brien, G. McKee, D. Moser, S. O'Donnell, M. Mooney , Acute coronary syndrome symptoms in patients presenting in accident and emergency departments in Ireland, European Journal of Cardiovascular Nursing , 9th Annual Spring Meeting on Cardiovascular Nursing , Dublin , Ireland, 24-25 April 2009, 8, (Supp 1), 2009, ppS27 Published Abstract, 2009

Gabrielle McKee, Sharon O'Donnell, Debra Moser, Mary Mooney, Frances O'Brien, ACS Response Time Intervention Trial, Irish Nurses Cardiovascular Association News , Irish Nurses Cardiovascular Association , Dublin, Ireland, 11-12 April 2008, 9, (2), 2008, pp7 Meeting Abstract, 2008

Mary Mooney, Michele Glacken, Frances O' Brien, Choosing Nursing as a Career, Nurse Education Today, 28, 2008, p385 - 392 Journal Article, 2008 DOI

O'Brien F, Mooney M, Glacken M, Impressions of nursing before exposure to the field., Journal of clinical nursing, 17, (14), 2008, p1843-50 Journal Article, 2008 DOI TARA - Full Text

Mooney, M. and Glacken, M. and O'Brien, F., Choosing nursing as a career: A qualitative study, Nurse Education Today, 28, (3), 2008, p385-392 Journal Article, 2008 DOI

Mary Mooney, Professional Socialization-The Key to Survival as a Newly Qualified Nurse, International Journal of Nursing Practice, 13, (2), 2007, p75-80 Journal Article, 2007 TARA - Full Text DOI

Mary Mooney, Newly Qualified Irish Nurses' interpretation of their preparation and experiences of registration, Journal of Clinical Nursing, 16, (5), 2007, p1610-1617 Journal Article, 2007 DOI TARA - Full Text

Mooney, M., Facing registration: The expectations and the unexpected, Nurse Education Today, 27, (8), 2007, p840-847 Journal Article, 2007 DOI

Frances O 'Brien , Michele Glacken, Mary Mooney, Perceptions of Nursing as a Career, Journal of Clinical Nursing, 2007 Journal Article, 2007

Mooney, Mary, FACING REGISTRATION:THE EXPECTATIONS AND THE UNEXPECTED , Nurse Education Today, 27, 2007, p840 - 847 Journal Article, 2007 DOI

Mary Mooney, Managing Cardiac Disease in Pregnancy, British Journal of Midwifery, 15, (2), 2007, p76 - 78 Journal Article, 2007 TARA - Full Text

Audrey Adams, Anne-Marie Corroon, Mary Mooney, Louise Nolan, An Evaluation of an On-Line Learning Support Package for Post-Graduate Nursing Students., 7th Annual Interdisciplinary Research Conference, School of Nursing and Midwifery, Trinity College, Dublin., 8 November 2006, 2006 Meeting Abstract, 2006

Mary Mooney & Louise Nolan, A critique of Freire's perspective on critical social theory in nursing education, Nurse Education Today, 26, 2006, p240 - 244 Journal Article, 2006 DOI

Mooney, M. and O'Brien, F., Developing a plan of care using the Roper, Logan and Tierney model., British journal of nursing (Mark Allen Publishing), 15, (16), 2006, p887-892 Journal Article, 2006 DOI

Mooney M. & O' Brien F., Developing a Plan of Care Using the Roper Logan & Tierney Model of Nursing in the Critical Care Environment: A Care Study., British Journal of Nursing, 15, (16), 2006, p887 - 892 Journal Article, 2006 URL

Mary Mooney, Exploring how newly qualified nurses perceive and experience their role transition from being a supernumerary student to becoming a registered nurse in an Irish acute hospital setting, 25th Annual Nursing and Research Conference, , Royal College of Surgeons in Ireland, St.Stephen's Green, Dublin 2., 22-24 February 2005, 2005 Poster, 2005

Non-Peer-Reviewed Publications

Byrne G., Nash M., Mooney M.O' Brien F. & Prizeman G. , General Nurses' self-assessed educational needs regarding caring for patients with mental health problems in the acute care setting. A report for the Nursing and Midwifery Planning and Development Unit, Ireland. , Dublin, January , 2020, p1 - 93 Report, 2020

Mooney Dr. Mary, A report for Enterprise Ireland on clinicians' evaluation of the usefulness and potential suitability of a vein finder device for cannulation and venepuncture. in the clinical setting. , Dublin, January , 2020, p1 - 18 Report, 2020

Mooney Mary & Jingli Li, Understanding cardiomyopathy through clinical case studies, Diabetes and Cardiology Review, Summer, 2019, p27 - 29 Journal Article, 2019

Mary Mooney, Frances O' Brien, Gabrielle McKee, Sharon O' Donnell, The ACS Response Time Educational Intervention, World of Irish Nursing, 24, (10), 2017, p55 - 57 Journal Article, 2017

Mary Mooney, Frances O' Brien, Gabrielle McKee, Sharon O' Donnell, The ACS Response Time Intervention Trial, Hospital Doctor of Ireland, 22, 2016 Journal Article, 2016

Mooney Mary/TCD conference organizing committee, School's 16th Annual Interdisciplinary Research Conference , Nov. 4th, 5th 2015, In:Health, Wellbeing and Innovation: advancing research, practice and education, 2015, Dublin, Book of abstracts, final programme Meetings /Conferences Organised, 2015

Mary Mooney, Frances O' Brien, Gabrielle McKee, Sharon O' Donnell, Mission Critical: An Irish RCT to target reduction in patient pre-hospital delay time in ACS should pave way for change, Professional Diabetes and Cardiology Review, 1, (3), 2014, p12 - 15 Journal Article, 2014

Mooney M. & Glacken M. , A study to determine whether mode of selection influences attrition rate, academic success, clinical competence, career intentions, perceptions of nursing and professional attitudes of nursing students., Dublin, 2011 Report, 2011

Mooney, M., Report from 11th CCNAP Annual Spring Meeting on Cardiovascular Nursing , Irish Nurses Cardiovascular Association News, Winter 2011-2012, 2011, p6 - 7 Journal Article, 2011 URL

Mooney M., O'Brien F., McKee G., O' Donnell S. & Moser D, Unchanging times: Acute coronary syndrome pre-hospital delay times in an Irish population., 4th Annual Multi - Disciplinary Research, Clinical Audit & Quality Improvement Seminar 2011, St. James's Hospital, Dublin 8, May 19th 2011, 2011 Poster, 2011

Mooney M., O'Brien F., McKee G., Fealy G., O' Donnell S. and Moser D. , From whom do people with ACS symptoms seek advice before going to the emergency department? , Irish Nurses Cardiovascular Association, Sligo,, 7th October 2010, 2010 Poster, 2010

O'Brien F., Mooney M., O' Donnell S., McKee G., and Moser D, Perceptions of vulnerability to ACS recurrence in an Irish population, Irish Nurses Cardiovascular Association, Sligo, 7th October 2010, 2010 Poster, 2010

Cardiology:Cardiology Compilation: Continuing Education Series 2005. World of Irish Nursing: Dublin, MedMedia Publications., (2006), 4 - 25p, Mary Mooney & Lisa Browne, [eds.] Journal, 2006

Mary Mooney & Lisa Browne, ECG recording: basic principles, World of Irish Nursing, 14, (7), 2006, p35 - 36 Journal Article, 2006

Browne L. & Mooney M. , Nurse Specialist's crucial role, Cardiology Professional , 1, (2), 2006, p10 - 11 Journal Article, 2006

Browne L & Mooney M, 12 Lead ECG: Interpreting the waves, World of Irish Nursing, 14, (8), 2006, p43 - 44 Journal Article, 2006

Browne L. & Mooney Mary, Women and Heart Disease, Cardiology Professional, 1, (4), 2006, p17 - 18 Journal Article, 2006

Browne Lisa & Mooney Mary, Implantable Cardiac Devices, Cardiology Professional, 1, (3), 2006, p24 - 25 Journal Article, 2006

Browne L. & Mooney M. , Women and Heart Disease, World of Irish Nursing, 13, (11), 2005, p35 - 36 Journal Article, 2005

Browne L. & Mooney M., Preventing Premature Death from Coronary Heart Disease, World of Irish Nursing, 13, (4), 2005, p35 - 36 Journal Article, 2005

Browne L. & Mooney M., Secondary Prevention, World of Irish Nursing, 13, (5), 2005, p35 - 36 Journal Article, 2005

Mooney M. & Browne L., Pathogenesis of cardiac failure, World of Irish Nursing, 13, (6), 2005, p35 - 36 Journal Article, 2005

Mooney M. & Browne L., Acute Coronary Syndrome, World of Irish Nursing, 13, (1), 2005, p35 - 36 Journal Article, 2005

MooneyM. & Browne L., Management of heart failure, World of Irish Nursing, 13, (6), 2005, p35 - 36 Journal Article, 2005

Browne L. & Mooney M., Heart Attack: ST Elevation MI, World of Irish Nursing, 13, (2), 2005, p35 - 36 Journal Article, 2005

Mooney M. & Browne L., Non ST elevation MI and Unstable angina, World of Irish Nursing, 13, (3), 2005, p35 - 36 Journal Article, 2005

Mooney M. & Browne L. , Implantable cardiac devices, World of Irish Nursing, 13, (10), 2005, p35 - 36 Journal Article, 2005

Mooney M. & Browne L., Understanding Atrial Fibrillation, World of Irish Nursing, 13, (9), 2005, p35 - 36 Journal Article, 2005

Browne L. & Mooney M., Understanding Cardiomyopathy, World of Irish Nursing, 13, (8), 2005, p41 - 42 Journal Article, 2005

Research Expertise

Description

Innovation Critical care - in particular Cardiology related projects. Patient education. Randomised Controlled Trials. Nurse education.

Projects

  • Title
    • Registered General Nurses' self-assessed needs in respect of supporting individuals with mental health problems in the acute care setting: a needs analysis.
  • Summary
    • Introduction: The term holistic care in nursing encompasses complete and comprehensive care requirements of the individual. This includes physical and mental health requirements. To achieve the delivery of mental health care in the acute care setting, nurses need to be adequately skilled to carry out mental health assessments and subsequently deliver appropriate interventions or identify the need for specialist referrals, as appropriate. A study conducted among oncology nurses in Ireland (Nash 2017) demonstrated that a range of mental health problems are encountered in practice. While nurses were equipped to handle some aspects of mental health care requirements, they generally felt that they were in need of additional information particularly in relation to complex conditions that extended beyond anxiety and depression. This question has not been raised among general nurses in the acute setting and therefore a decision was made to assess Registered General Nurses' needs in relation to supporting individuals with mental health problems in the acute care setting. In the United Kingdom, the National Service Framework for Mental Health (Department of Health 2000) recommended standards for planning and delivering mental health services in the UK. This is seen as an important issue for consideration in the Irish population also. Research question. What are the needs of Registered General Nurses in relation to supporting individuals with mental health problems in the acute setting? Study aim: To assess Registered General Nurses' needs in relation to supporting individuals with mental health problems in the acute care setting. Objectives: . To determine whether Registered General Nurses' feel adequately equipped to support individuals with mental health problems in the acute care setting. . If deficits are identified, this study seeks to ascertain the nurses' specific education and training needs that would help in supporting individuals with mental health problems in the acute care setting. . Based on the information collected, a needs analysis will be compiled and from this, a business and education plan will be proposed within the School of Nursing and Midwifery.
  • Funding Agency
    • Nursing Midwifery Planning and Development,
  • Date From
    • January 2019
  • Date To
    • November 2019
  • Title
    • An evaluation of vein finding device as a novel way to enhance operator visibility and limit discomfort among patients for whom venapuncture is challenging. Value :2x Innovation vouchers, value €5,000 each
  • Summary
    • Vein visibility is important for intravenous (IV) access. However, even uncomplicated vein access can challenge inexperienced healthcare workers, while even the most experienced professionals can be challenged by complex cases. Our solution is a portable, non-invasive vein finder device called VeinMark, currently at a stage of first working prototype. The device uses near-infrared imaging technology to accurately locate peripheral veins through the patient's skin at depths of up to about 10mm. In the first implementation, the veins are marked on the patient's skin in a way that does not interfere with the subsequent venepuncture. Because of the innovative design of VeinMark, we expect to achieve higher accuracy of vein location when compared to competing solutions. Furthermore, we intend to focus on making the device intuitive and easy to use, without the need for extensive training.
  • Funding Agency
    • Enterprise Ireland
  • Date From
    • February 2019
  • Date To
    • February 2020
  • Title
    • The role of iron deficiency in patients with impaired ventricular function
  • Summary
    • This study is being supported by two academics from the SNM, TCD since December 6th 2018. The project includes the heart efficiency team in Tallaght University Hospital.
  • Funding Agency
    • Heart Failure Service Integrated Care Project (Tallaght University Hospital).
  • Date From
    • July 2019
  • Date To
    • 2020
  • Title
    • SmartHeart app
  • Summary
    • app developed to allow patients monitor their own symptoms and know when to seek help in the face of ACS symptoms
  • Funding Agency
    • EIT
  • Date From
    • March 2019
  • Date To
    • July 2019
  • Title
    • Establishing gender equality in respect of heart diesase progression and management: an international collaboration.
  • Summary
    • Our project focuses on heart diseases for the following reasons: . Morbidity from ischemic heart disease is almost twice as high as cerebrovascular disease in men, whereas in women, cerebrovascular morbidity is slightly higher than cardio ischemic morbidity. On the other hand, the main cause of hospitalization due to cardiovascular diseases in both sexes corresponds to the rest of cardiovascular diseases, which in many cases present with heart failure. This syndrome is the first cause of hospitalization in people over 65 years. . The clinical and etiological characteristics, the profile of cardiovascular risk factors, the performance of diagnostic tests, the therapeutic measures and the prognosis of ischemic heart disease are different between men and women, revealing, for example, how the precordial pains that accompany to the infarct or precede it irradiate more towards the jaws in the women and not towards the left arm as it happens in the men. . The different pattern of presentation of acute myocardial infarction in men and women could be explained therefore by the different distribution of the main cardiovascular risk factors described in women (hypertension, dyslipidaemia, diabetes and the therapeutic use of hormonal compounds) and in men (smoking, hypertension and diabetes) with infarction, and the different age at onset of exposure to them. To these risk factors should be added psychosocial and living conditions (subjective construction of the disease, labour insertion or management of links, among others), which have been poorly studied, especially from a gender perspective.
  • Funding Agency
    • submitted to H2020 and ERA
  • Date From
    • February 2018
  • Title
    • An exploration of patients' preferences for the content, delivery and timing of teaching to facilitate self-management on discharge from hospital following a Myocardial Infarction.
  • Summary
    • This study sets out to seek information directly from patients who have had a heart attack, about what education they would find most useful to assist them with self-management following discharge from hospital. The study also seeks to identify the most appropriate or beneficial time for patients to receive this education. The study will be a qualitative descriptive design and participation will be voluntary. We will conduct face-to-face interviews with patients who are recovering from a heart attack. The interviews, which will last approximately one-hour each, will be transcribed and analysed thematically. The results will be used towards the development of recommendations for patient education and may contribute towards the development of standardised patient education guidelines, following a heart attack.
  • Funding Agency
    • Submitted to Adelaide Health Foundation
  • Date From
    • November 2018
  • Title
    • Title: Newly qualified nurses' experiences and perceived value of their internship: an all-Ireland cross-sectional study.
  • Summary
    • The rationale for the current study is based on the need to evaluate the current internship programme and in doing so, to address practice requirements and to make recommendations for change, or not. The clinical learning environment enables students to apply theory to practice and to achieve confidence and competence in clinical skills. The internship placement allows students who are facing registration to experience the "real world" as they combine their skills to care for patients independently, alongside their preceptor or clinical supervisor. In this "real world" of nursing, the students experience shift work, night duty and weekend work, all of which have been recognised as valuable experiences for nursing students (Nash et al. 2009). Final year nursing students have high expectations of themselves, as they approach the transition from the internship period to becoming newly qualified nurses (Edwards et al. 2015). They are often anxious about this transition and have reported feeling that they still had a lot to learn (Nash et al. 2009; Edwards et al. 2015). There is evidence to support the link between preceptorship, clinical supervision and the development of competence among nursing students. This link was demonstrated in a study that investigated newly qualified nurses' self-reported levels of competence (Kajander-Unkuri et al. 2014). The participants in this study identified that supervision was vital to their development of competence, and those who had received good quality supervision reported greater levels of competence (Kajander-Unkuri et al. 2014). Registered nurses and pre-registered nurses on internship placement, are under immense pressure to provide high quality care under demanding conditions, including bed shortages, increased patient-nurse ratios and an ageing patient population with complex care needs. Such factors can lead to increased stress levels for staff and students, as they strive to deliver care in challenging environments. It has been well documented that stressful experiences and anxiety can hamper learning at clinical level (Levett-Jones et al. 2007). Newly graduated nurses' experiences and perceived value of the 36-week internship period is important, given the current shortage of nurses in the Irish healthcare system. It is now 15 years since the internship period was initiated, yet the change its introduction has brought to clinical practice has never been evaluated nationally. In conclusion, nurses, as health service providers in Ireland are under increased pressure to deliver quality care with limited resources. For nursing students, the 36-week internship placement is crucial, as this time affords the student opportunities to rehearse the role of staff nurse in the "real world", under the supervision of a preceptor. During this time learning, decision-making skills and competence are further developed. For some nurses, these final weeks of clinical placement can determine their future career decisions, which is important given the shortages currently faces in the Irish healthcare system. This study will explore nursing students' experiences of the internship period and, from it may identify aspects of this programme that are successful and should be continued, while also addressing those aspects that might require reconsideration or alteration to enhance the programme.
  • Funding Agency
    • Meath foundation
  • Date From
    • October 2018
  • Title
    • .Developing and testing an education and support intervention for caregivers with a view to reducing hospital re-admission rates among patients with heart failure
  • Summary
    • The Irish National Cardiac Health Policy (2010-2019) (Department of Health and Children 2010) have noted the need for a caregiver-focused initiative. This policy document advocated that family members and carers warranted consideration and special support as part of the patient rehabilitation process. The recommendations paid particular attention to those whose lives are seriously limited from heart failure, or stroke and the need for caregivers to be supported and trained was fully endorsed. It was acknowledged that caregivers suffer additional stress, depression and psychological problems when unsupported. The provision of practical support and information would enhance independent home living for those individuals with heart failure who are supported by carers in the home (Department of Health and Children 2010). On the international stage, the aim is to shift to community-based and patient-centred paradigms of care for the treatment of chronic diseases, such as cardiovascular disease (World Health Organisation 2005) and, where possible, prevent admission to secondary healthcare facilities. While face-to-face contact with people who can provide education and support is ideal, it is not always feasible. Furthermore, attendance-based interventions can be time-consuming and expensive for the caregiver (Kaltenbaugh et al. 2015, Ravenson et al. 2016). However, telephone communication is widely available and internationally acceptable. The proposed project for this PhD study is focused on the modification of a previously developed education and support intervention. The primary purpose of this study is to develop a culturally-sensitive educational support intervention for caregivers of people with heart failure. The long-term intended outcome would be to implement this intervention and consequently reduce the rate of hospital re-admissions among patients with heart failure in the Republic of Ireland. The study will be modelled on the work of Piamjariyakul et al. (2015), who developed and tested a support and education telephone coaching intervention for caregivers of people with heart failure in the United States. The tested intervention significantly impacted on patient and caregiver outcomes, in terms of reduced patient re-admission rates and improved caregiver confidence and social support, with lower depression scores when compared to a usual care control group (Piamjariyakul et al. 2015). A mixed methods approach will be used to develop and test the intervention in this study. The model for developing complex interventions in nursing (Corry et al. 2013) and best practice guidelines for early phase testing of interventions (Medical Research Council 2006) and the Consort guidelines for pilot testing using the randomised trial design will also be used (Campbell et al. 2016) The aims of the study are to: 1. Develop a culturally sensitive caregiver coaching programme aimed at reducing hospital readmissions among heart failure patients and improving caregiver outcomes. 2. Model the intervention within the Irish health care system and conduct a feasibility study for the delivery and testing of the intervention using a randomised controlled trial, including potential outcome measures. 3. Using a randomised trial design in the Irish health care system, pilot test the intervention for potential effectiveness and other pilot test outcomes, including time taken to recruit and response rates. .
  • Funding Agency
    • Provosts Scholarship award
  • Date From
    • November 2017
  • Date To
    • N/A
  • Title
    • Meeting the needs of patients with cardiovascular disease: a capacity building
  • Funding Agency
    • Health Resarch Board
  • Date From
    • December 2017
  • Date To
    • N/A
  • Title
    • A longitudinal study to determine whether mode of selection influences attrition rate, academic success, clinical competence, career intentions, perceptions of nursing and professional attitudes of nursing students.
  • Summary
    • The aim of the proposed study is to investigate whether mode of selection (interview & CAO) versus CAO only) influences attrition rates, academic success, clinical competencies, career intentions, perceptions of nursing and professional attitudes of nursing students. A longitudinal correlation design will be employed with all selected AMNCH nursing students registering for the BScN at TCD in October 2005 invited to participate This proposed study is relevant to the future of nursing education in Ireland and is pertinent to the maintenance of health and social gain of clients who depend on nursing care, within and beyond our healthcare institutions. The recruitment of general nurses in Ireland has suffered a decline in recent past years (Wells & McElwee 2000). This potential loss of entrants to the nursing profession, combined with increased attrition rates raises concerns for all stakeholders, at a time when the supply of nurses fails to meet demands (Kennedy 1999). The Commission on Nursing - A Blue Print for the Future, reiterated the need to strengthen the planning and policy function of nursing and midwifery. One such requirement was to strengthen the workforce planning functions of the Department of Health and Children. The Commission on Nursing (1998:83) recommended, "that admission to the nursing profession be on the basis of the attainment of a specified leaving certificate standard plus an interview". This recommendation was made based on consultations with members of the profession. T he selection process adhered to by the Adelaide Hospital Society is in line with that made by the Commission on Nursing, and thus ensures best practice. Nursing research is one method of ensuring that best practice is maintained. This proposed research project would enable those members of the Adelaide Hospital Society to identify, through empirical research, whether the methods used in the selection of nurses is effective in terms of the aforementioned measurable outcomes. Should the findings from this study indicate that the combined method of nursing-student recruitment is more effective, this would provide the impetus for change, certainly at a national and perhaps at an international level. The outcome of the study will, in any event, identify the need for implementation of changes to the recruitment process. Several authors have recognised the relevance of and the need to address the issue of attrition among pre-registered nurses (White et al. 1999, Glossop 2002, Deary et al. 2003) and registered nurses (McCarthy et al. 2002).
  • Funding Agency
    • Adelaide Hospital Society: Value €25,000
  • Date From
    • October 2005
  • Date To
    • June 2011
  • Title
    • The ACS Response-Time Intervention Trial: a randomised controlled trial to determine whether an individualised educational intervention affects response-time in patients who have symptoms of acute coronary syndrome
  • Funding Agency
    • Health Research Board €315,000
  • Date From
    • March 2008
  • Date To
    • March 2014
  • Title
    • An Exploration of Recipients Knowledge, Perceptions and Experiences of Living and Dying with an Implantable Cardioverter Defibrillator.
  • Summary
    • This qualitative study will explore patients' experiences of living with an ICD and how they feel about having the device disabled at the end of their life. Approximately twelve patients will participate in in-depth interviews with the researcher.
  • Funding Agency
    • Adelaide Hospital Society €5,000
  • Date From
    • July 2016
  • Date To
    • May 2017
  • Title
    • Newly qualified nurses' experiences and perceived value of their internship: an all-Ireland cross-sectional study.
  • Summary
    • Background: Following the Report on the Commission on Nursing in Ireland in 2002, the undergraduate nursing degree programme was initiated. One component of the newly introduced programme was the undertaking of mandatory clinical practice placements, known as the internship. The intention of the internship is to link theory with practice and to achieve competence in the clinical learning environment. The internship placements provide undergraduate nursing students with the opportunity to work independently, to take responsibility and to receive constructive feedback on the nursing care they provide. The final 36 weeks of the undergraduate nursing degree programme is dedicated to this internship period and is one of the biggest clinical changes in undergraduate nurse education since 2002. However, to date, the impact and value of the internship period has not been evaluated nationally. This proposed piece of doctoral research will seek to evaluate the value of the internship programme in Ireland. Aim: The aim of this study is to evaluate newly qualified nurses' experiences and perceived value of the internship period. Methodology: The study is uses a mixed methods research design. Data will be collected from all newly qualified nurses in Ireland, combined with a series of focus group interviews. The Nursing and Midwifery Board of Ireland (NMBI) will circulate the questionnaire on behalf of the researchers. Nurses will self-select to participate in the focus group interviews.
  • Funding Agency
    • Adelaide Hospital Society €5,000
  • Date From
    • September 2016
  • Date To
    • September 2017
  • Title
    • ICD-recipients' experiences, attitudes and knowledge about ICD-treatment at life's end in Ireland
  • Summary
    • The aim of this study was to find out how patients with an Implantable Cardiac Defibrillator (ICD) felt about having their device replaced in the future and whether or not they have given thought to having it switched off towards the end of their life.
  • Funding Agency
    • N/A
  • Date From
    • September 2016
  • Date To
    • August 2017
  • Title
    • "An investigation into the use, duration and complications of epicardial pacing wires following cardiac surgery.
  • Summary
    • This study will identify how many patients use epicardial pacing wires after they are inserted following cardiac surgery. For those that use the wires, we will ascertain the duration of use, the duration of wire insertion and determine whether there were complications associated with the wires. Objective . To collect tangible data to inform us about pacing wire use and complications with a view to making recommendations for practice in respect of wire insertion and removal.
  • Funding Agency
    • N/A
  • Date From
    • August 2016
  • Date To
    • August 2017
  • Title
    • Personalised Integrated Cardiac Care implementation - PICCI.
  • Funding Agency
    • Cost Action
  • Date From
    • December 2016
  • Date To
    • N/A

Keywords

Cardiac physiology; cardiology, nurse education; Heart Failure and transplantation

Recognition

Representations

Only nurse appointed, together with seven internationally renowned interventional cardiologists to a Steering Committee for a Multi-centre, double blind randomized, placebo-controlled RCT in cardiology, the basis of which is founded on my PhD work. February 2019

Appointed to a working group with the Irish Heart Foundation to develop national guidelines for the HSE for the elective deactivation of ICDs at the end of life. 2019

Clinical advice consultancy for small Irish SME associated with clinical innovations and work on funding applications is on-going. 2018

Elected committee member for Irish Nurses Cardiovascular Association. 2018

Academic lead and coordinator for the International Winter and Summer School at the School of Nursing and Midwifery. 2017

School Ethics Review Committee, School of Nursing and Midwifery, TCD. 2015

Reviewer - Open Heart BMJ - min. 3 annual reviews 2018

Interview Board member for Adelaide Health Foundation 2002

External Examiner NUIG for post-graduate programmes. 2016

Appointed by the Irish Heart Foundation as a committee member for a post critical event support group. The group comprises patients, patient advocacy representatives, consultants from clinical practice and other stakeholders. The first meeting will be in June 2019. 2019

Awards and Honours

Winner of best overall abstract submitted for British Cardiac Society 2016 2016

Winner of best abstract submission in its category (ACS) for British Cardiac Society 2016

Irish Nurses Cardiovascular Association Travel Bursary award winner 2013

Commendation for teaching excellence - Student Union Ireland 2016

Eileen Mansfield scholarship award 1998

Memberships

Irish Nurses Cardiovascular Association 2014 – current

All Ireland Society of Higher Education (AISHE) 2013 – current

Association of Cardiovascular Nursing and Allied Professionals. 2016 – current

Irish Heart Foundation - Certified BLS instructor March 2018 – Current

National Institute for Preventive Cardiology November 2018 – present