Effect of Educational Guidelines Implementation on Nurses' Performance Regarding Thrombolytic Therapy Management among Patients with Acute Myocardial Infarction

Document Type : Original Article

Authors

1 Assistant Professor of Medical-Surgical Nursing Department, Faculty of Nursing, Port Said University

2 Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt

3 Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Sohag University

4 Critical Care and Emergency Nursing, Faculty of Nursing, Beni Suef University, Egypt.

5 Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Egypt

Abstract

A well-established treatment for acute myocardial infarction, thrombolytic therapy has time-dependent advantages. When patients are admitted to the hospital with a suspected myocardial infarction, nurses are frequently the first medical personnel to evaluate them. There are various procedures for prompt evaluation and treatment. Aim: to determine the effect of educational guidelines implementation on nurses' performance regarding thrombolytic therapy management among patients with acute myocardial infarction. Subject and Methods: Quasi-Experimental research design was utilized to achieve the aim of the study. A sample of convenience of 50 nurses working in the coronary care unit. Data was collected at a coronary care unit affiliated with Sohag University Hospital. Three tools were utilized; included: (I) Personal data, (II) a Thrombolytic knowledge questionnaire, and (III) a Thrombolytic management observational checklist. Results: There was a statistically significant improvement in the nurses' knowledge and practice mean scores regarding thrombolytic therapy management post-educational guidelines implementation compared to pre-educational guidelines implementation. A highly statistically significant correlation was found between the overall performance before and after a month of implementing educational guidelines. Conclusion: Educational guidelines implementation has a positive effect on improving nurses' performance regarding thrombolytic therapy management among patients with acute myocardial infarction. Recommendations: The study suggested providing upgrading courses equipped with evidence-based recommendations based on nurses' need to enhance their performance in administering thrombolytic therapy. Furthermore, it is advised to monitor nurses' practices regarding the delivery of thrombolytic therapy.

Keywords

Egyptian Journal of Health Care
Volume 15, Issue 4
December 2024
Pages 718-732

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