Quality of nursing care for patients with acute myocardial infarction at coronary units of Erbil city hospitals
Background and objective: Acute myocardial infarction is the death of myocardial tissue as a result of prolonged lack of blood and oxygen. The aim of this study was to assess the quality of nursing care for patients with acute myocardial infarction in the coronary units in Erbil city hospitals.
Methods: This descriptive study was conducted on a non probability, purposive sample of 70 nurses selected from coronary care units of four hospitals (Hawler Teaching Hospital, Rizgari Teaching Hospital, Cardiac Centre and Rojhalat Emergency Hospital) in Erbil City. A questionnaire containing two parts was used for data collection. Part I of the questionnaire included demographic characteristics and part II contained three observational checklists: immediate nursing care for patients with acute myocardial infarction, nursing care for patients during coronary care units and teaching the patient and family before discharge. The number of items of the assessment sheet was 78.
Results: The mean age of the participants was 30 years. Majority of the samples were male, graduated from nursing institute, having 1-8 years of nursing experience, having 1-5 years experience in coronary care units and have not participated in previous trainings. The highest percentage (75.7%) of nurses provided fair levels of quality of nursing care. Age group 22-28 years, male gender, nursing experience from1-8 years and nursing experience in coronary care unit from 1-5 years were significantly associated with provision of high quality of nursing care. Highly significant factors associated with provision of high quality of nursing care included the higher levels of education, and participation in training regarding nursing care in coronary care unit.
Conclusion: Concerning the levels of quality of nursing care, the study shows that the majority of nurses provided fair levels of quality of nursing care
Wedro B. Heart Disease: Coronary Artery Disease. Medicine Net 2013. Available from http://www.medicinenet.com/heart disease coronary artery disease/article.htm. (Accessed at 20th Feb 2014).
Williams L, Hopper D. Understanding Medical-Surgical Nursing. 2nded. Philadelphia: F. A. Davis Company 2003: 281-7.
Al-Yasseri, R. A study of the cardio-protective effect of Pioglitazone,MgSO4 and Omega-3 fatty acids in rabbits after induction of acute myocardial infarction. MSc thesis. University of Kufa, College of Medicine 2008.
Morton P, Fontaine D. Critical Care Nursing: A Holistic Approach, 9th ed. Lippincott Williams & Wilkins 2009: 467 –90.
Tuipulotu, M. Acute Myocardial Infarction 2011(1). Available from http://www.aci.health.nsw.gov.au/networks/intensivecare/community/patient conditions/acute myocardial infarction. (Accessed at 2nd March 2014 ).
Sadamuddin M. A study To Assess The Knowledge Of Staff Nurses Regarding First 24 Hours Care Of Patients With Myocardial Infarction Admitted to ICU In Selected Hospital Of Raichur With a View To Develop self InstructionModul 2008.
Al-Ftlawy D. Determination of Nurse’s Knowledge Toward Care Provided to Patients with acute Myocardial Infarction in Al-Najaf City 2011. Available from www.iasj.net/iasj. ( Accessed at 1st March 2014 ).
Gardi Y. Evaluation of Nurse’s practices for Patients with Angina pectoris in Coronary Care Units. MSc thesis. University of Salahaddin, College of Nursing 2005.
Al-Ma’amary A. Improving Quality of Nursing Care for Patients with Acute Myocardial Infarction. MSc thesis. University of Mosul, College of Nursing 2004.
Kadhim H. Evaluation of Nurses’ Practices toward Patients who Undergo Percutaneous Coronary Intervention in Iraq 2006. Available from http://www.nursingconsult.com/nursing. (Accessed at 7th May 2013 ).
HassanS, Hassan H. Effectiveness of Nursing Education Program on Nurses Practices toward Arrhythmia in Kirkuk’s Teaching Hospitals. Kufa Journal for Nursing Sciences2013:3 (1).
Özdemir L, Akdemir N. Nurses’ knowledge and practice involving patients’ resuming sexual activity following myocardial infarction: implications for training. Australian Journal of Advanced Nursing 2008 (26).
Shamoun M, Gorges S. Construction of an Initial Assessment Documentation Tool for Nursing Recording System in Coronary Care Units 2007; 78-89. Available from http://www.iasj.net/iasj?func=fulltext&aId=35313. (Accessed at 24th May 2013).
Breseem R. Evaluation of nursing performance toward patients with cardiogenic shock in cardiac care unit. Master thesis, University of Baghdad 2005.
Al-Batayneh Z. Evaluation of Quality of Nursing Care Provided for Patients with Acute Myocardial Infarction in Coronary Care Units. MSc thesis. University of Baghdad, College of Nursing 2001.
Aziz S, Lafi S. Evaluation of nurse’s practices provided to the patients who undergo open heart surgery in Sulaimani center of heart disease (S.C.H.D). Kufa Journal for Nursing Sciences 2013 (3):1.
Bolooki H, Askari A. Acute Myocardial Infarction, The Cleveland Clinic Foundation. All Rights Reserved. Center for Continuing Education. 9500 Euclid Avenue, Cleveland 2010.Available from http:// www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/cardiology/acute-myocardial-infarction/ .(Accessed at 1st march 2014).
Lewis S M, Heitkemper M M, Dirksen S R. Medical-Surgical Nursing, assessment and management of clinical problems. 6th ed. Mosby Elsevier, USA. 2004; 799- 831.
Carpenter C, Origgs R, Benjamin I. Cecil Essential of Medicine. 7th ed. Saunders Elsevier, Canada 2007: 97- 9.
Giraldo G. Three-Pronged Innovation to Improve Care for Acute Myocardial Infarction Patients in Cuba. MEDICC Rev2010;12( 3 ):11-6.
Kasper D, Braunwald E, Fauci A, Hauser S, Longo D, Jameson J. Harrison’s principle of internal medicine. 16th ed. McGraw- Hill Company, London 2005: 1450.
The copyright on any article published in Zanco J Med Sci is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).