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318367

Effect of Implementing a Developed Clinical Pathway on the Outcomes of Acute Myocardial Infarction Patients

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Last updated: 28 Dec 2024

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Abstract

Background: Acute Myocardial Infarction (AMI) was a prevalent and potentially fatal emergency problem that encounters critically ill patients and still a serious medical condition that occurs when there is a lack of blood flow to the myocardial muscle resulting in permanent damage or even death if not treated quickly. Critical care nurses play a crucial role in the implementation of   clinical pathway which is a standard of care through recognizing the importance of early and timely management as rapid resuscitation and early PCI that associated with better outcomes. Objective: This is an interventional study aimed to determine the effect of implementing a developed clinical pathway on the outcomes of acute myocardial infarction patients. Settings: This study was conducted in the Coronary Care Unit at Alexandria Main University Hospital, Egypt. Subjects: A convenience sample of 60 newly admitted adult patients with AMI were included in the study. Patients were assigned into two equal groups (30 patients each). Tools: Acute myocardial infarction patients' assessment; Acute Myocardial Infarction Patients' State-Trait Anxiety Inventory; Satisfaction Scale for Acute Myocardial Infarction Patients; and Clinical Pathway Patients' Variance Checklist were the four tools used to collect the data of this study. Results: There was a statistically significant difference between the study and control groups in relation to Acute Myocardial Infarction Patients' outcomes concerning their vital signs, ability to rest, activity without significant pain, physiological & psychological factors, anxiety level, satisfaction for provided care. Conclusion: implementation of the clinical pathway for acute myocardial infarction patients can lead to improvement of their management and outcomes. Recommendations: Critical care nurses should collaborate with other health team members in the implementation of the clinical pathway for acute myocardial infarction patients of care; hospital administration should conduct educational training programs to health care team members about the use of the clinical pathway for acute myocardial infarction patients and its importance in improving patients' outcomes.

DOI

10.21608/asalexu.2023.318367

Keywords

patient outcomes, Clinical Pathway, myocardial infarction

Authors

First Name

Mohamed

Last Name

Abdelgawad

MiddleName

Ezzelregal

Affiliation

Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University

Email

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City

-

Orcid

-

First Name

Samah

Last Name

Mohamed

MiddleName

Anwar

Affiliation

Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University

Email

-

City

-

Orcid

-

First Name

Basma

Last Name

Abd El Wahed

MiddleName

Shaddad

Affiliation

Critical Care and Emergency Nursing, Faculty of Nursing, Damanhour University

Email

-

City

-

Orcid

-

First Name

Nagwa

Last Name

Reda

MiddleName

Ahmed

Affiliation

Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Sanhoury

MiddleName

Ibrahim

Affiliation

Cardiovascular Department, Faculty of medicine, Alexandria University

Email

-

City

-

Orcid

-

First Name

Alaa

Last Name

Mohamad

MiddleName

Mostafa

Affiliation

Critical Care and Emergency Nursing, Faculty of Nursing, Damanhour University

Email

-

City

-

Orcid

-

Volume

25

Article Issue

3

Related Issue

43600

Issue Date

2023-09-01

Receive Date

2023-09-22

Publish Date

2023-09-01

Page Start

205

Page End

218

Print ISSN

1687-3858

Article File

ASALEXU_Volume 25_Issue 3_Pages 205-218.pdf

PDF . 415.9kB

Link

https://asalexu.journals.ekb.eg/article_318367.html

Detail API

https://asalexu.journals.ekb.eg/service?article_code=318367

Order

318,367

Type

Research articles

Type Code

2,129

Publication Type

Journal

Publication Title

Alexandria Scientific Nursing Journal

Publication Link

https://asalexu.journals.ekb.eg/

MainTitle

Effect of Implementing a Developed Clinical Pathway on the Outcomes of Acute Myocardial Infarction Patients

Details

Type

Article

Created At

28 Dec 2024