Effect of a construction educational protocol on nurses’ knowledge, performance and its effect on patient satisfaction undergoing cardiac catheterization

  • Abstract
  • Keywords
  • References
  • PDF
  • Abstract

    Cardiac Catheterization is a life-threatening health problem, which needs standardized intervention policies, as well as it requires health provider to be skillful and high qualify to attain highest effect of management. This study aimed to investigate the effect of a construction educational protocol on nurses' knowledge, performance and its effect on patient satisfaction undergoing cardiac catheterization.

    Methods: This quasi-experimental study was conducting in catheterization, intensive care and cardiac care unit at general Port Said hospital in Port Said city – Egypt including all nurses were worked at those units (51) and all patients admitted to cardiac catheterization unit within 6 month. Data was collected through Socio -Demographic data sheet, structured questionnaire to assess knowledge, observational checklist to assess nurses' performance and tools to assess patient sociodemographic data and patient satisfaction.

    Results: There was increase nurses knowledge and performance in the post educational protocol in all domains of care regarding cardiac catheterization. While, majority of patients were satisfied for the nursing care before, during and post cardiac catheterization procedure that rendered by nurses that have educational protocol. Also, strong positive correlation between nurses’ knowledge and patient satisfaction at post educational protocol with statistical significant differences.

    Recommendation: updating knowledge and performance of nurses through implementation continuing educational protocol about cardiac catheterization; strict observation of nurses' performance when caring for cardiac catheterization patients and provision of guidance to improve of satisfaction.



  • Keywords

    Educational Protocol; Knowledge; Performance; Satisfaction; Cardiac Catheterization.

  • References

      [1] Abd Elgaphar SM (2015 ): The Effect of Protocol of Nursing Intervention on Quality of Care in Minor Injuries Unit IOSR Journal of Nursing a nd Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 4, Issue 6 Ver. V (Nov. - Dec.), PP 12-18 www.iosrjournals.org.

      [2] Abdel HalimME, (2006): Evaluation of nurses practices toward patients who undergo cardiac catheterization,Sci .J. Nursing, Vol.19 No. 2, P.P1-10.

      [3] Abdelmowla R A, Sayed SY and Abo Elmagd NS (2017): Lumbar Puncture: Nurses` Knowledge, Performanceand Patients’ Satisfaction with Nursing Care. American Journal of Nursing Science. Vol. 6, No. 5, pp. 433-439. https://doi.org/10.11648/j.ajns.20170605.18.

      [4] Ahmed Mohamed I. (2015): Predictors of Post -Cardiac Catheterization Femoral Artery Hematoma and Bleeding. Journal of American Science; 11(3):16-22. http://www.jofamericanscience.org

      [5] Akhtari-Zavare M, Abdullah MY, Hassan ST, Said SB, Kamali M. (2010): "Patient satisfaction: evaluating nursing care for patients hospitalized with cancer in Tehran Teaching Hospitals, Iran." Global journal of health Science. Apr 1; two (1): P. 117.

      [6] Al Sharif BF. (2008): "Patients' satisfaction with hospital services at Nablus District, West bank, Palestine." Master of public health, Faculty of Graduate Studies, at An-Najah.

      [7] Arendts, G., MacKenzie, J. and Lee, J (2006) Discharge planning and patient satisfaction in an emergency short-stay unit. Emergency Medicine Australasia, 18(1), 7-14. https://doi.org/10.1111/j.1742-6723.2006.00798.x.

      [8] Arendts, G., MacKenzie, J. and Lee, J. (2006), Discharge planning and patient satisfaction in an emergency short-stay unit. Emergency Medicine Australasia, 18(1), 7-14. https://doi.org/10.1111/j.1742-6723.2006.00798.x.

      [9] Ayral X., Gicquere C.Duhalde a Boucheny D and Dougados M (2002): Effects of video information on preoperative anxiety level and tolerability of joint lavage in knee osteoarthritis. Arthritis and Rheumatism, 47 (4): 380-382. https://doi.org/10.1002/art.10559.

      [10] Bastable SB, (2003): Nurse as Educator: Principles of Teaching and Learning for Nursing Practice. Boston: Jones and Bartlett.

      [11] BASUNY S (2009) The effect of positioning changing post coronary angiography on patient, outcomes, Master thesis, Faculty of Nursing, Alexandria University .

      [12] CHAIR S. Y., LI K.M. and WONG S.W (2004): Factors that affect back pain among Hong Kong Chinese patients after cardiac catheterization. European Journal of Cardiovascular Nursing, 3: 279-285. https://doi.org/10.1016/j.ejcnurse.2004.10.001.

      [13] Dakheel, F. I. Smko, and R. & Negrat, K. (2011): Using Data Mining Techniques for Finding Cardiac Outlier Patients. Engineering and Technology, Vol. 73, pp. 442-447.

      [14] Dayasiri MB, Lekamge EL. (2010): "Predictors of patient satisfaction with quality of health care in Asian hospitals." Australasian Medical Journal. Nov 1 3 (11): p. 739-44.

      [15] El said H. (2010): Developing nursing care guidelines for patients undergoing to cardiac catheterization based on their needs. Master Thesis, Faculty of Nursing, Alexandria University.

      [16] ElewaA, Elshahed B and ElkattanA(2017): Effect of an Educational Educational protocol on Improving Quality of Nursing Care of Patients with Thalassemia Major as Regards Blood Transfusion. American Journal of Nursing Research Vol. 5, No. 1, pp 13-21. https://doi.org/10.12691/ajnr-5-1-2.

      [17] Feroze M*, Afzal M , Sarwar H , Galani A and Afshan S ( 2017): Knowledge and Performanceof Registered Nurses about Patient Safety after Cardiac Catheterization in Punjab Institute of Cardiology Hospital in Lahore, Pakistan. International Journal of Musculoskeletal Pain prevention Volume 2, Number 2, spring.

      [18] Feroze M, Afzal M, Sarwar H, Galani A, Afshan S.(2017): Knowledge and Practice of Registered Nurses about Patient Safety after Cardiac Catheterization in Punjab Institute of Cardiology Hospital in Lahore, Pakistan. IJMPP. 2 (2):233-238.

      [19] Habich M, Wilson D, Thielk D, Melles GL, Crumlett HS, Masterton J, et al (2012): Evaluating the effectiveness of pediatric pain management guidelines. J Pediatric Nurs.27 (4): 336-345. https://doi.org/10.1016/j.pedn.2011.06.002.

      [20] Hassan NK. In addition, AburaghifLA (2016): Effectiveness of an Educational Educational protocol on Nurse's knowledge concerning Complications of Cardiac Catheterization among Children at Al-Nassirhya Heart Center. KUFA JOURNAL FOR NURSING SCIENCES Vol. 6 No. 3 Sep. through Dec.

      [21] Jamshidi N, Abbaszadeh A. and Kalyani M.N. (2009): Effects of video information on anxiety, stress and depres-sion of patients undergoing coronary amigo.

      [22] JUNG U., TORREJON C. and TIGH A. (1992): N-3 fatty acids and cardiovascular diseease: Mechanism underling beneficial effects. The American J. of Clinical Nutrition, 87: -1499, 2009.

      [23] Keifi S, Shahriari M, Baghersad Z, Sheibani- Tehrani D and Rejalian F (2016): Effects of Patient Education Educational protocol on the Quality of Nursing Care and Inpatient Satisfaction in Surgical Wards of Selected Hospitals in Isfahan, Iran. Hosp Pract Res. Dec 1(4):129-134 https://doi.org/10.21859/hpr-0104129.

      [24] Kern MJ. (2011): The cardiac catheterization handbook. Fifth edition. Printed in China: saunders Elsevier;: P.P. 1-4.

      [25] Mahdi M. and Mohammad S. (2016): Cardiac Catheterization Patients Satisfaction towards Health Care Services Provided At Cardiac Center in AL-Najaf AL-Ashraf Governorate. International Journal of Scientific and Research Publications, Volume 6, Issue 9, September: 518- 529 www.ijsrp.org.

      [26] Mahgoub A Mohamed W, Mohamed M Abelaziz M, and Kishk Y (2013) Impact of Knowledge about Early Ambulation on Patients' Satisfaction Post Percutaneous Coronary Intervention, at Assiut University Hospital Med. J. Cairo Univ., Vol. 81, No. 2, December: 97-104, www.medicaljournalofcairouniversity.net.

      [27] Maville, J., & Huerta, C. (2012): Health Promotion in Nursing: Cengage Learning, 223.

      [28] Mehta RH, Montoye CK, Faul J, Nagle DJ, Kure J, Raj E, Fattal P, Sharrif S, Amlani M, Changezi HU, Skorcz S. (2004): "Enhancing quality of care for acute myocardial infarction: shifting the focus of improvement from key indicators to process of care and tool use: the American College of Cardiology Acute Myocardial Infarction Guidelines Applied in PerformanceProject in Michigan: Flint and Saginaw Expansion." Journal of the American College of Cardiology. (Third Ed). Jun 16 43 (12): P.P. 2166-73.

      [29] Mohammed G1. Mohammed Z, Al-Araby H (2016) :Impact Of Designed Nursing Educational Protocol On Health Promotion For Patients Undergoing Coronary Artery Stent Outcome IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 5, Issue 2 Ver. VI (Mar. - Apr.), PP 54-63 www.iosrjournals.org.

      [30] Mohammed. H Said H and Salah M (2013): Determining Best Nursing Practice: Effectiveness of Three Groin Compression Methods Following Cardiac Catheterization. Journal of American Science 9(6): 274- 285. http://www.jofamericanscience.org.

      [31] Moradi T, Adib-Hajbaghery M. (2015): The Effect of a Multi-Modal Preparation Package on Anxiety in Patients Undergoing Coronary Angiography. International Cardivascular Research Journal. Jan; 9 (1): p.p. 10-16.

      [32] Mosby DL , Manierre MJ , Martin SS , Kolm P , Abuzaid AS , Jurkovitz CT , Elliott DJ , Weintraub WS,(2018): Patient Satisfaction with Care After Coronary Revascularization.Apr;11(2):217-223. doi: 10.1007/s40271-017-0274-4. National University, Nablus, Palestine. AL- Najaf National University, 2008: P. 1.

      [33] Oliveira-Filho AD, Barreto-Filho JA, Neves SJ, Lyra Junior DP (2012): "Association between the 8-item Morisky Medication Adherence Scale (MMAS-8) and blood pressure control." Arquivosbrasileiros de cardiologia. Jul 99 (1): P.P. 649-58.

      [34] Philipe E., Meney M. , Larrazet F., Ben –AB – Derrazak F., Dibie A., Mezianet aaaaaaat., et al ., ( 2006): Effects of video information in patients undergoing coronary angiography. Archives des Maladies du Coeur ET des Vaisseaux, 99 (2): 95-101.

      [35] Rastogi T, Reddy KS, Vaz M, Spiegelman D, Prabhakaran D, Willett WC, Stampfer MJ, Ascherio A. (2004): "Diet and risk of ischemic heart disease in India. The American journal of clinical nutrition." Apr 1 79 (4): P.P. 582-92. https://doi.org/10.1093/ajcn/79.4.582.

      [36] Reed FS, Blake G, & Ohno-Machado L. (2008) vascular closure devices and the risk of vascular complications after percutaneous coronary intervention in patients receiving glycoprotein IIb-IIIa inhibitors. Am J Cardiol; 88:493–496

      [37] Ruffinengo C. Versino E and Renga G (2009): Effectiveness of an informative video on reducing anxiety levels in patients undergoing elective coronarography: An RCT. European Journal of Cardiovascular Nursing, 8: 57-61. https://doi.org/10.1016/j.ejcnurse.2008.04.002.

      [38] Rushdy T I, Morsy W Y and Elfeky H A (2016) Nurses' knowledge and performance regarding care of patients connected to intra- aortic balloon pump at Cairo university hospitals .Egyptian nursing journal. elmagla.egy2010@yahoo.com.

      [39] Safwat, A., El-Sherbiny, M., and El-Senousy, T.; (1993): Assessment of Knowledge and Performance of Nurses Working with Patients undergoing Cardiac Catheterization in Ain Shams University Hospitals.

      [40] Sahib MM and Mohammad SJ (2016 ):Health Care Services Provided At Cardiac Center in ALNajaf AL-Ashraf Governorate., International Journal of Scientific and Research Publications, Volume 6, Issue 9, September 526 ISSN 2250-3153.

      [41] Saleem F, Hassali MA, Shafie AA, Awad AG, Bashir S. (2011): "Association between knowledge and drug adherence in patients with hypertension in Quetta, Pakistan." Tropical Journal of Pharmaceutical Research. Apr 1 10 (2): P.P. 125-132. https://doi.org/10.4314/tjpr.v10i2.66552.

      [42] Samira E. Aboalizm, Nahid F. El Gahsh, Samah E. Masry (2016)Effect of Early Nursing Preparation on Anxiety Among Patients Undergoing Cardiac Catheterization. American Journal of Nursing Science. 5(5): 222-231 https://doi.org/10.11648/j.ajns.20160505.17.

      [43] Sherstha R (2013): Impact of educational intervention on nurses' knowledge regarding care of patients with cental venous line. .journal of kathmandu medical college vol, 2, No, 1, Issue3 Jan-march.

      [44] Shinde M, Kapurkar K. (2014): "Patient’s Satisfaction with Nursing Care Provided in Selected Areas of Tertiary Care Hospital." International Journal of Science and Research. Feb 3 (2): P. 150-151-152-161.

      [45] Shini S L, Laly Paul, Smitha P V (2018): Effectiveness of nursing care protocol on knowledge and performanceamong staff nurses regarding management of patients undergoing coronary angioplasty .GJRA – journal for research analysis. Volume 7, issue 1 , January , issue N , 2277-81-60

      [46] Steffemimo G., Viada E., Marwngo and Ca-nale R (2007): Effectiveness of video-based patient information before percutaneous cardiac interventions. Journal of Cardiovascular Medicine, 8 (5): 20-33.

      [47] Wenger N.K (1992): Patient and family education and counsel ing: A requisite component of cardiac rehabilitation. In Mathes P., Halhuber M.J., editors. Controversies in car diac rehabilitation. Berlin: Springer-Verlag.

      [48] WHO Cardiovascular disease. World Health Organization; (2013). [Cited accessed August 28, Available from: http: //www.who. int/cardiovasculardiseases/en/index.html.

      [49] WHO. (2017): Cardiovascular disease. World Health Organization.; Available from: http://www.who.int/cardiovascular_diseases/en/.

      [50] Zaki S.M , (2010): Evaluation of Nurses’ Practices toward Children undergoing Cardiac Catheterization,Iraqi Scientific Nursing Journal, , Vol. 23, No(2), P.P 83-90.




Article ID: 13365
DOI: 10.14419/ijans.v7i2.13365

Copyright © 2012-2015 Science Publishing Corporation Inc. All rights reserved.