Effect of Educational Program on Nurses’ Knowledge and Practice Regarding Thrombolytic Therapy among Patients with Acute Myocardial Infarction

Ghonem Elsayed Ghonem^1, , Yosreah Mohamed Mohamed², Samia Hussieny Gaballah¹ and Manal Salah Hassan²

¹Medical Surgical Nursing Department, Faculty of Nursing, Suez Canal University, Egypt

²Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University, Egypt

Cite this paper:
Ghonem Elsayed Ghonem, Yosreah Mohamed Mohamed, Samia Hussieny Gaballah and Manal Salah Hassan. Effect of Educational Program on Nurses’ Knowledge and Practice Regarding Thrombolytic Therapy among Patients with Acute Myocardial Infarction. American Journal of Nursing Research. 2022; 10(2):58-66. doi: 10.12691/ajnr-10-2-3

Abstract

Background: improving nurses’ practice regarding thrombolytic therapy will prevent the complications resulting from error of administration of thrombolytics, which will have a direct impact on patient's progress and decrease hospital stay. Aim of the study: Evaluate the effect of educational program on nurses' knowledge and practice regarding thrombolytic therapy among patients with acute myocardial infarction, Design: Quasi-experimental research design was used in the study. Setting: The present study was carried out at Critical Care Units affiliated to the Suez Canal University Hospital, Subject: A convenient sample of all available staff nurses (40 nurses) who were working at the previously mentioned settings, Tools of data collection: The data were collected using two tools named nurses' knowledge assessment questionnaire and nurses' observational checklist. Results: The majority of studied nurses (92.5%) had satisfactory level of knowledge regarding thrombolytic therapy post intervention of educational program. The post and follow up-intervention mean knowledge score was high 23.425, 21.825 respectively when compared with pre-intervention mean practice score 13.45 with P value < .001. also, the majority of studied nurses (97.5%) had satisfactory level of practice regarding thrombolytic therapy post intervention of educational program. The post and follow up-intervention mean practice score was high 37.95, 36.05 respectively when compared with pre-intervention mean practice score 24.05 with P value < .001. Conclusion: there was statistically significant improvement in the nurses' knowledge and practice mean scores regarding thrombolytic therapy in post and follow up phases compared to pre- program implementation phase. Recommendation, regular Application of educational programs to improve nurse's practice in competent level related to administration of thrombolytic therapy.

Keywords:
myocardial infarction thrombolytic therapy educational program nurses' knowledge and practice

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	World Health Organization (2021): Cardiovascular diseases (CVDs), Available at https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).
[2]	Mansouri A, Tasharoie S, Javidee S, Kargar M, Taghizadeh-ghehi M, Hadjibabaie M, Gholami K. (2014). Streptokinase Adverse Reactions: A Review of Iranian Literature. J Pharm Care. 2(3):120-129.
[3]	Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R., & Lucia, A. (2016). Epidemiology of coronary heart disease and acute coronary syndrome. Annals of translational medicine, 4(13), 256.
[4]	Kumolosasi, E., Wei, W.S., Wee, C.E. (2013). The use of thrombolytic agents in acute myocardial infarction (AMI) patients. Int J Pharm Pharm Sci; 5(2): 63-7.
[5]	Aydin, S., Ugur, K., Aydin, S., Sahin, İ., & Yardim, M. (2019). Biomarkers in acute myocardial infarction: current perspectives. Vascular health and risk management, 15, 1-10.
[6]	Ali, M. R., Salim Hossain, M., Islam, M. A., Saiful Islam Arman, M., Sarwar Raju, G., Dasgupta, P., & Noshin, T. F. (2014). Aspect of thrombolytic therapy: a review. TheScientificWorldJournal, 2014, 586510.
[7]	Baig MU, Bodle J. (2021). Thrombolytic Therapy. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; Pp: 1-10.
[8]	Hanson, A., & Haddad, L. M. (2021). Nursing Rights of Medication Administration. In StatPearls [Internet]. StatPearls Publishing.‏
[9]	Osman, M., Ibrahim, M., & Diab, G. (2019). Relationship between Nurses’ Competencies and Quality of Patient Care at Intensive Care Units. Menoufia Nursing Journal, 4(2), 1-14.‏
[10]	Shaheen, S., Wafa, A., Mokarab, M., Zareef, B., Bendary, A., Abdelhameed, T., Rashwan, A., Seleem, M., Elmasry, M., Abdelhady, Y., Abdelrazik, G., Ibrahim, A., Ghareeb, M., Aly, K., Saraya, M., Wadie, M., & Youssef, M. (2020). Presentation, management, and outcomes of STEMI in Egypt: results from the European Society of Cardiology Registry on ST elevation myocardial infarction. The Egyptian heart journal: (EHJ): official bulletin of the Egyptian Society of Cardiology, 72(1), 35.
[11]	Eweas, A., Ismail, M., &Ali, N. (2016): Coronary care nurses’ knowledge and practice regarding management of thrombolytic therapy among acute myocardial infarction patients, unpublished master thesis, faculty of nursing, Cairo university, Egypt, pp 36-56 & appendix.
[12]	Nascimento B., Brant L., Marino B., Passaglia LG, Ribeiro A. (2019). Implementing myocardial infarction systems of care in low/middle-income countries. Heart., Pubmed; 105(1):20-26.
[13]	El- Sayed, S., El-Senousy, T. & Ameen, D. (2017). Factors Affecting Nurses’ Performance for Patients with Acute Myocardial Infarction within the Golden Hours, faculty of Nursing, AinShams university, Egypt.
[14]	Li, J. Z., Xie, M. Q., Mo, D., Zhao, X. F., Yu, S. Y., Liu, L. J., Wu, C., & Yang, Y. (2016). Picroside II protects myocardium from ischemia/reperfusion-induced injury through inhibition of the inflammatory response. Experimental and therapeutic medicine, 12(6), 3507-3514.
[15]	Mykhaylichenko, V. Y., Kubyshkin, A. V., Samarin, S. A., Fomochkina, I. I., & Anisimova, L. V. (2016). Experimental induction of reparative morphogenesis and adaptive reserves in the ischemic myocardium using multipotent mesenchymal bone marrow-derived stem cells. Pathophysiology: the official journal of the International Society for Pathophysiology, 23(2), 95-104.
[16]	Wu, H., Zhang, W., Ma, H. & Li, L. (2017). Therapeutic Effect of Improved Emergency Nursing Procedure on The Thrombolysis of Acute Myocardial Infarction (AMI) Patients, 28(11).
[17]	Ahamed, S., & Hassan, R. (2017). Effect of a clinical instructional intervention on nurses’ perception and practice toward medication errors. IOSR Journal of Nursing and Health Science (IOSR-JNHS, 6 (6), 59-68.
[18]	Allawy, M. S. A., Sherif, W. I., Abo El – Ata, A. B., Gaballah, S. (2020). Effect of Implementing Guidelines Regarding Administering Inotropic Medications for Critically Ill Patients on Nurses' Knowledge. American Journal of Nursing Research. 8(3), 399-405.
[19]	Hussein, A., & Al-Ganmi, A. (2013). Assessment of Nurses' Knowledge Concerning Cardiogenic Shock for Patients' in Cardiac Care Unit at Baghdad Hospitals, College of Nursing, University of Baghdad, p.p.4-6
[20]	Lamkhede, R. (2014). Effectiveness of planned teaching programme on knowledge of emergency drugs among staff nurses. Sinhgad e Journal of Nursing, 4 (1), 38-41.
[21]	Rodrigues Júnior, O. D. J., & Gasparino, R. C. (2017). Drogas Vasoativas: Conhecimento Da Equipe De Enfermagem. Revista Baiana de Enfermagem, 31(2).
[22]	Ismail, M., Khalil, N., & Sayed, A. (2017). Coronary Care Nurses' Knowledge And Practice Regarding Management of thrombolytic therapy among acute myocardial infarction patients. Oral presentation
[23]	Sallam, G.K. (2016). Cardiac Nurses' performance regarding administration of high alert medication in coronary care units. Unpublished master thesis, Medical Surgical Nursing, Faculty of Nursing, Ain Shams University: Pp.110, 119,125.
[24]	Chun, B., & Heo, H. J. (2018). The effect of flipped learning on academic performance as an innovative method for overcoming ebbinghaus' forgetting curve. Paper presented at the Proceedings of the 6th International Conference on Information and Education Technology. Association for Computing Machinery, Association for Computing Machinery,Osaka-Japan,Pp.50-60.
[25]	Hami, H. B. & Atiyah, H. H. (2020). Effectiveness of an Educational Program on Nurse’s Knowledge Regarding Nursing Management of Thrombolytic Therapy for Patients with Acute Myocardial Infraction at Teaching Hospitals and Cardiac Care Centers in Baghdad City. International Journal of Psychosocial Rehabilitation, 24 (9), 1609-1620.
[26]	D’Souza, M. S. (2015). Effect of Planned Teaching on knowledge and practice regarding the care of patients receiving Anti-Coagulant Therapy among the Nurses in the Intensive Care Unit in a Selected Hospital, Asian J. Nur. Edu. and Research 5(3): July- Sept.2015; Page 351-362.
[27]	Mariani, B., Ross, J. G., Paparella, S., & Allen, L. R. (2017). Medication safety simulation to assess student knowledge and competence. Clinical Simulation in Nursing, 13(5), 210-216.
[28]	Ltheeth, H., & Abbas, S. (2017). Effectiveness of an Educational Program on Nurses' Knowledge Concerning Medication Error at Teaching Hospital in AL-Nasiriyah City. International Journal of Science and Research (IJSR), 6(1).
[29]	Charalampopoulos, D., Karlis, G., Barouxis, D., Syggelou, A., Mikalli, C., Kountouris, D., & Iacovidou, N. (2016). Theoretical knowledge and skill retention 4 months after a European Paediatric Life Support course. European Journal of Emergency Medicine, 23(1), 56-60.
[30]	Sneck, S., Isola, A., Saarnio, R. and Boigu, R. (2015). Medication competency of nurses, according to theoretical and drug calculation online exams: A descriptive correlational study. Nurse Education Today, 36 (2016): 195-201.
[31]	Gorgich, E. A. C., Barfroshan, S., Ghoreishi, G., & Yaghoobi, M. (2016). Investigating the causes of medication errors and strategies to prevention of them from nurses and nursing student viewpoint. Global journal of health science, 8(8), 220.
[32]	Sambu, B. M., Yousif, M. E., & El Mustafa, S.M. (2018). Effect of a Training Program on Nurse's, knowledge, Attitudes and Practice regarding Nursing Care of Acute Myocardial Infarction in Medani Heart Center and Wad Medani Emergency Hospital, Gezira State, Sudan. Puplished Thesis.
[33]	Hessaen, M. H. & Fadlalmola, H. A. (2020). Assessment of Nursing Staff’s Knowledge and Practice Regarding Streptokinase Administration for Myocardial Infraction Patients in Coronary Care Units in Public Hospitals. European Journal of Pharmaceutical and Medical Research, 7(7), 798-808.
[34]	Toppo, M., Dungdung, A. & Bakhla, A. (2019). Effectiveness of Teaching Program Regarding Thrombolytic Drug Therapy in Terms of Knowledge and Practice of Staff Nurses, International Journal of Scientific Research, 8 (4), 51-52 PRINT ISSN No 2277-8179.
[35]	Zakria, A. M., & Mohamed, S. A. (2017). Safety Intervention Educational Program to Reduce Medication Administration Errors and Interruptions. IOSR Journal of Nursing and Health Science (IOSR-JNHS, 6(2), 15-25.
[36]	Slater, P., Edwards, R., & Badat, A., (2018). Evaluation of a staff well-being program in a pediatric oncology, hematology, and palliative care services group. Journal of healthcare leadership, 10, 67.
[37]	Mohammed, R., Shawer, O., Mehany, M. (2019). Effect of Teaching Program on Nurses' Performance Regarding Drugs that Affect Blood Coagulation in Coronary Care Unit. Assiut Scientific Nursing Journal, 7(19), 26-36.