Effect of clinical pathway regarding promoting quality nursing care of patients with myocardial infarction exposed to invasive procedures

  • Authors

    • Sheren ELsayed Shrief Professor , Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt
    • Laila Abdelnaby Hamed Lecturer of Medical Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt
    2018-06-14
    https://doi.org/10.14419/ijans.v7i2.12197
  • Clinical Pathway, Quality Nursing Care, Patients, and Myocardial Infarction.
  • Myocardial infarction is the death of myocardial tissue because of extended lack of blood and oxygen. Clinical pathway has emerged as one of the most famous new initiatives alleged to lower costs whilst maintaining or even improving the satisfactory level of patient care.

    Aim: to assess the effect of clinical pathway regarding promoting quality Nursing care of patients with MI exposed to invasive procedures through designing, Implementing, and evaluating the effect of clinical pathway intervention.

    Design: A quasi-experimental research design (pre posttest) changed into applied in this study.

    Setting: The study has been carried out in Beni-suef university Hospital, Zagazig University Hospitals.

    Sample: thirty nurses from the previously mentioned setting and thirty patients with myocardial infarction who are hospitalized and exposed to invasive procedures.

    Tools: Assessment questionnaire (pre/post test) sheet, An Observational Checklist, and Hamilton Anxiety Rating Scale (HAM-A).

    Results: more than fifty percent of a studied sample of nurses their ages ranged from 20-30yrs, the mean age was (29.1±3.4), females (66.9%), and have been trained in nursing college, their work experience ranged from half to one decade. There has been a statistically significant distinction concerning knowledge and practical abilities of studied nurses among pre and post application of clinical pathway. Recommendations: Extra new studies should be done for better assessment of the nurse's abilities and distribute educational booklets, pamphlets, and posters to all nurses with a purpose to enhance their degree of knowledge and skills.

     

     

     

    Keywords: Clinical Pathway, Quality Nursing Care, patients, and Myocardial Infarction.

  • References

      1. [1] Al-Batayneh Z. (2001): Evaluation of Quality of Nursing Care Provided for Patients with Acute Myocardial Infarction in Coronary Care Units. MSc thesis. The University of Baghdad, College of Nursing.

        [2] Al-Yasseri, R. (2008): A study of the cardioprotective effect of Pioglitazone, MgSO4 and Omega-3 fatty acids in rabbits after induction of acute myocardial infarction. MSc thesis. The University of Kufa, College of Medicine.

        [3] Aziz S, Lafi S. (2013): Evaluation of nurse’s practices provided to the patients who undergo open coronary heart surgical operation in Sulaimani center of heart disease (S.C.H.D). Kufa Journal for Nursing Sciences (3):1.

        [4] Borkovec T and Costello E. (1993): Efficacy of applied relaxation and cognitive behavioral therapy in the treatment of generalized anxiety disorder. J Clin Consult Psychol; 61(4):611–19 https://doi.org/10.1037/0022-006X.61.4.611.

        [5] Berseem R. (2005): Evaluation of nursing performance toward patients with cardiogenic shock in the cardiac care unit. Master thesis, University of Baghdad.

        [6] Christoffer, D.(2007): A quasi-experimental study to assess the effectiveness of structured teaching programme on knowledge and skill of cardiopulmonary resuscitation among staff nurses working in selected hospitals, Hassan, Karnataka, Rajiv Gandhi University of health sciences, Karnataka, Master thesis.

        [7] Deakin, C.D., Nolan, J.P., Soar, J., Bottinger, B.W., and Smith, G. (2006): Advanced life support. In: Baskett, P. & Nolan, J. (eds) A Pocket Book of the European Resuscitation Council Guidelines for Resuscitation 2005. Elsevier, London.

        [8] Giraldo G. (2010): Three-Pronged Innovation to Improve Care for Acute Myocardial Infarction Patients in Cuba. MEDICC Rev; 12(3):11-6.

        [9] Hama to. T.f (2015): nurses' knowledge and practice regarding nursing care for myocardial infarction patients in first 24 hours in governmental hospitals in Khartoum state. Master thesis in medical-surgical nursing.

        [10] Hassan S, Hassan H. (2013): Effectiveness of Nursing Education Program on Nurses Practices toward Arrhythmia in Kirkuk’s teaching Hospitals. Kufa Journal for Nursing Sciences:3 (1).

        [11] Kadhim H. (2006): Evaluation of Nurses’ Practices toward Patients who Undergo Percutaneous Coronary Intervention in Iraq. Available from http://www.nursingconsult.com/nursing.

        [12] Klabunde R E (2017): The Path physiology of Myocardial Infarction. Adopted from: www.cvpharmacology.com/.../myocardial%20.

        [13] Liu, S. C. Wang, D. R. Wu et al., (2011): “Establishment and implementation of the evidence-based clinical pathway of Chinese medicine,†/ vol. 31, no. 1, pp. 115–119, 2011.

        [14] Mehta, PK; Wei, J; Wenger, NK (2014): "Ischemic heart disease in women: A focus on risk factors". Trends in Cardiovascular Medicine. 25 (2): 140–151. Adopted from. PMC 4336825 . PMID 25453985. https://doi.org/10.1016/j.tcm.2014.10.005.

        [15] Mekinen, M. (2010): Current care guidelines for cardiopulmonary resuscitation, implementation, skills and attitudes, department of anesthesiology and intensive care medicine, University of Helsinki, Finland.

        [16] Özdemir L, Akdemir N. (2008): Nurses’ knowledge and practice involving patients’ resuming sexual activity following myocardial infarction: implications for training. Australian Journal of Advanced Nursing (26).

        [17] Prkachin, K. M. (1992): The consistency of facial expressions of pain: a comparison across modalities. Pain, 51, 297-306. https://doi.org/10.1016/0304-3959(92)90213-U.

        [18] Qadir D O and Younis Y M (2015): Quality of nursing care for patients with acute myocardial infarction at coronary units of Erbil city hospitals, Zanco J. Med. Sci., Vol. 19, no. (2), available at http://dx.doi.org/10.15218/zjms.2015.0025 775. https://doi.org/10.15218/zjms.2015.0025.

        [19] Refaey A S (2012): Impact of A designed Teaching Protocol about Advanced Cardiac Life Support (ACLS) On Critical Care Nurse’s Knowledge and Practices at Benha University Hospital, Cairo, Egypt. Journal of American Science; 8(10):838-850]. (ISSN: 1545-1003). http://www.jofamericanscience.org. 113

        [20] Seada, A.M. (2003): Effects of a training program on staff nurses performance and empowerment in the emergency unit at El manual university hospital, A thesis submitted for the doctorate degree in medical-surgical nursing, faculty of nursing, Cairo University, pp (121-123).

        [21] Shamoun M, Gorges S. (2007): Construction of an Initial Assessment Documentation Tool for Nursing Recording System in Coronary Care Units; 78-89. Available from http://www.iasj.net/iasj? func=fulltext&aId=35313. /

        [22] Sheta, H.A. (2006): Effect of an educational program on the performance of nurses working with cardiac patients, thesis submitted for partial fulfillment of the requirements of the Doctorate Degree in Nursing Science, Faculty of Nursing, Benha University.

        [23] Tuipulotu, M. (2011): Acute Myocardial Infarction. Available from http://www.aci.health.nsw.gov.au/ networks/ intensive care/community/patient conditions/acute myocardial infarction.

        [24] Wang, M. Z. Zhang, G. Yang et al., (2011): “Establishment and testing practice of an integrative medical pathway for the clinical management of acute myocardial infarction,†/, vol. 31, no. 1, pp. 7–10.

  • Downloads

  • How to Cite

    ELsayed Shrief, S., & Abdelnaby Hamed, L. (2018). Effect of clinical pathway regarding promoting quality nursing care of patients with myocardial infarction exposed to invasive procedures. International Journal of Advanced Nursing Studies, 7(2), 77-84. https://doi.org/10.14419/ijans.v7i2.12197