American Journal of Environmental and Occupational Health
Articles Information
American Journal of Environmental and Occupational Health, Vol.2, No.2, Mar. 2017, Pub. Date: Aug. 1, 2017
Effect of Education Program on Nurses’ Knowledge, Attitudes, and Intentions Towards Myocardial Infarction Prevention and Treatment
Pages: 7-14 Views: 1212 Downloads: 590
[01] Ahmed Abdalla Jaralnabi, AL-Ghad International College for Applied Medical Sciences, Nursing Department, Jeddah, Saudi Arabia.
[02] Sami Atawi, AL-Ghad International College for Applied Medical Sciences, Nursing Department, Jeddah, Saudi Arabia.
[03] Waleed Idris Sagiron, College of Applied Medical Sciences, Nursing Department, Shaqra University, Shaqra, Saudi Arabia.
[04] Nader Alasmari, Department of European Languages, King Abdul-Aziz University, Jeddah, Saudi Arabia.
[05] Hussain Alasmari, Department of European Languages, King Abdul-Aziz University, Jeddah, Saudi Arabia.
BACKGROUND: This is triangulation method including experimental approach was done to evaluate the effectiveness of education program on nurses' knowledge, attitudes and intentions towards Myocardial infarction prevention and treatment. The study was conducted in three governmental hospitals OBJECTIVE: This study assessed and examined the Effect of education program on nurses' knowledge, attitudes and intentions towards Myocardial infarction (MI) prevention and treatment. METHODS: Triangulation method including experimental approach using before-after test design and focus group were used. A total of 194 nurses were recruited from three hospitals, Nurses’ knowledge about myocardial infarction was measured by MI knowledge test, while attitudes and intentions were measured by MI survey. Repeated measures, t-test and ANOVA were used to assess and examine the influence of an educational program and the relationship of a set of independent variables on nurses' knowledge, to obtain more in depth information about the topic, focus group method was used, The thematic analysis guided by Krueger steps was used in analysing the qualitative data produced through the focus group. RESULTS: The study results showed that an educational program improves nurses' knowledge, attitudes and intentions towards MI prevention and treatment. The mean scores of nurses' knowledge for the experimental group improved significantly (P<.001) from (10.5) at pre-test to (15.26) at post-test. There were statistically significant improvements in the mean intentions scores from baseline (M = 12.5, SD = 3.8) to post-education (M = 15.1, SD = 2.5). Paired t test showed statistically significant difference between pre and post intention scores of the experimental group (t = -6.7, P = <0.001). Finding from the focus group revealed the following four themes: lack of accurate information about myocardial infarction among nurses, positive nurse values toward MI prevention and treatment, experiences and tradition guiding nursing care, and barriers, short staff, lack of time and materials prevented nurses from implementing MI prevention and treatment. CONCLUSIONS: The educational program conduction improved nurses’ knowledge, attitudes and intentions towards MI prevention and treatment which can lead to improve the nursing quality care and decrease cost and human suffering. The study results indicated that there is a need for conducting updated- programs for all nurses to keep the nurses' knowledge on MI built on evidence and routinely assess to improve patient outcome, also, findings guide hospitals and health care agencies to develop institutional protocols and national guidelines that can improve nurses' care practices.
Myocardial Infarction (MI), Knowledge, Attitudes, Intentions, Prevention and Treatment
[01] A Maziar Zafari MD, “myocardial infarction medicine Medscape.” (155919): available from http/www. (2011).
[02] Kulick. MD. FACC. FSCAI D. Heart Attack (Myocardial Infarction). Heart attack articles. (2011).
[03] Lloyd-Jones D, Adams RJ, Brown TM. Heart disease and stroke statistics,update: a report from the American Heart Association. Circulation;121(7): 46–215.(1) (2010).
[04] Nayera Mohamed Tantaewy AMS, Wafaa Ismail Shereif, Soheir M: Effect of Cardiac Rehabilitation Program on Lifestyle Pattern of Patients with Myocardial Infraction. (2013).
[05] White HD, Chew DP; Chew. "Acute myocardial infarction". Lancet. 372 (9638): 570–84. (August 2008).
[06] O'Gara PT, Kushner FG, Ascheim DD, Casey DE, et al: "guideline for the management of ST-elevation myocardial infarction: report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.” (Jan 29, 2013).
[07] Karras C, Donlan S, Aitchison R, Aitchison P, Wang E, Kharasch M. Acute coronary syndromes. Disease a Month. 2013.
[08] World Health Organization. The Global Burden of Disease: (2004) Update. Geneva: World Health Organization. (2008). ISBN 92-4-156371-0.
[09] Mozaffarian. D, Benjamin. EJ, Go, AS; Arnett, DK; Blaha, et al: “American Heart Association Statistics Committee and Stroke Statistics, Subcommittee (27 January 2015).
[10] ME Farah OM SM, MOEH Gadour, ME Alkhalifa, Mohammad Alizadeh S.. Incidence of ventricular arrhythmias and sudden cardiac death. Sudan journal of medical science. 2008.
[11] McPherson K, et al. "Prevention of cardiovascular disease – NICE public health guidance 25". London: National Institute for Health and Care Excellence. (June 2010).
[12] Kivimaki M, Nyberg ST, Batty GD, Fransson EI, et al: "Job strain as a risk factor for coronary heart disease: a collaborative meta-analysis of individual participant data". (31 August 2012).
[13] Lee IM, Shiroma EJ, Lobelo F, Puska P, et al: "Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy" (1 July 2012).
[14] Purabuli B. AFM, MASM. Knowledge and attitude of nurses towards sexual activity and training patients with myocardial infarction and their spouses. Iranian Journal of Critical Care Nursing. (2010).
[15] Suliman. A “The state of heart disease in Sudan, cardiovascular journal of africa”. 2011 Jul-Aug.
[16] Faul. F, Erdfelder. E., Lang. A. G., Buchner. A, G A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. (2007).
[17] Brown. A. L, Mann. N. C, Daya, M. Goldberg, R., Meischke: Demographic, belief, and situational factors influencing the decision to utilize emergency medical services among chest pain patients. (2000).
[18] Williams MV, Baker DW. “Relationship of functional health literacy to patient’s knowledge of their chronic disease”. A study of patients with hypertension and diabetes. (1998 Jan 26); 158 (2): 166-72.
[19] Mahajan. H, Kazi Y, Sharma B, Velhal GD. “Assessment of KAP, Risk Factors and Associated Co-Morbidities in Hypertensive Patients”. (Sep-Oct. 2012).
[20] Buckley. T, McKinley. S, Gallagher. R, Dracup. K, Moser. DK, Aitken LM. “The effect of education and counselling on knowledge, attitudes and beliefs about responses to acute myocardial infarction symptoms.” (2007).
[21] McKinley S, Dracup K, Moser DK, Riegel B, Doering LV, Meischke H, et al. The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease. (2009).
[22] Krueger, R. A., and Casey, M. A. Focus Group--A Practical Guide for Applied Research. Thousand Oaks, CA: Sage. (2000).
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