Are Emergency Department Triage Nurses Knowledgeable about Acute Coronary Syndromes Recognition?

2.50
Hdl Handle:
http://hdl.handle.net/10675.1/620164
Title:
Are Emergency Department Triage Nurses Knowledgeable about Acute Coronary Syndromes Recognition?
Authors:
Weeks, Jennifer C.
Abstract:
Acute coronary syndrome (ACS) has been the leading cause of death since 1921 and the volume of ED patients with a chest pain chief complaint equates to six million visits annually. Though a common ED patient presentation, triage accuracy rates are low and time delays in patient care are high despite extensive ACS presentation research and published practice guidelines. Objective: Triage nurses must have adequate ACS knowledge to perform prompt recognition and medical response, thereby reducing patient mortality and morbidity. Using the Synergy Model for Patient Care, this study sought to determine if triage nurses within the emergency department have the knowledge to accurately identify patients at risk for ACS. Methods: After pilot testing the instrument, an anonymous electronic survey of 12 closed-ended questions was administered to nurses who met sample criteria at two EDs. Results: Correct answers ranged from 3 (25.00%) to 10 (83.30%) with a mean, median, and mode of 7 (58.30%) and a confidence interval (α) of ±0.04 (6.96, 7.04). The SD for the study is 0.13. No study participants achieved a passing score of 84% or greater accuracy. The independent t-test found significance in the participants years of ED experience with their survey results (P = 0.0056). Simple linear regression determined the slope of this relationship to be 1.191 ± 0.4520. Conclusions: This research facilitates bridging the gap between existing research and practice guidelines through the provision of improved training for ED triage nurses to enhance ACS recognition and medical response which is essential to optimal outcomes for ACS patients.
Issue Date:
2017
URI:
http://hdl.handle.net/10675.1/620164
Type:
Thesis
Language:
en_US
Description:
Jennifer Weeks currently serves as the EMS Liaison and Cardiovascular Coordinator at University Health Care System in Augusta, Georgia. She has been is best known for using her experience in both EMC and nursing to bridge the gap between prehospital care and the emergency department. Jennifer Weeks wishes to impact patient care on a grand level and feels that education is key to improving the care at the bedside and in the boardroom. She attends Albany State University in the Family Nurse Practioner Program and remains involved in her community both in health prevention and through volunteering. She is also an active member of the Local Emergency Response Team. Jennifer is an instructor in several specialty courses. Her unique leadership background in hospital education, community education, and school education has been recognized nationally by select as the 2015 EHAC Person of the Year by the American College of Cardiology/Society of Cardiovascular Patient Care, by the state of Georgia as the 2016 as the recipient of the Joe Lane Cox Excellence in EMS Award by the Georgia EMS Association, and on a local level by the Sigma Theta Tau International Honor of Society of Nursing as a recipient of a Excellence in Practice Award. In her spare time, Jennifer enjoys spending time with her husband, mother, and four children.
Sponsors:
Linda Amankwaa, Ph.D, RN, FAAN, Thesis Coordinator
Appears in Collections:
Master's Thesis Nursing

Full metadata record

DC FieldValue Language
dc.contributor.authorWeeks, Jennifer C.en
dc.date.accessioned2018-03-21T18:08:44Z-
dc.date.available2018-03-21T18:08:44Z-
dc.date.issued2017-
dc.identifier.urihttp://hdl.handle.net/10675.1/620164-
dc.descriptionJennifer Weeks currently serves as the EMS Liaison and Cardiovascular Coordinator at University Health Care System in Augusta, Georgia. She has been is best known for using her experience in both EMC and nursing to bridge the gap between prehospital care and the emergency department. Jennifer Weeks wishes to impact patient care on a grand level and feels that education is key to improving the care at the bedside and in the boardroom. She attends Albany State University in the Family Nurse Practioner Program and remains involved in her community both in health prevention and through volunteering. She is also an active member of the Local Emergency Response Team. Jennifer is an instructor in several specialty courses. Her unique leadership background in hospital education, community education, and school education has been recognized nationally by select as the 2015 EHAC Person of the Year by the American College of Cardiology/Society of Cardiovascular Patient Care, by the state of Georgia as the 2016 as the recipient of the Joe Lane Cox Excellence in EMS Award by the Georgia EMS Association, and on a local level by the Sigma Theta Tau International Honor of Society of Nursing as a recipient of a Excellence in Practice Award. In her spare time, Jennifer enjoys spending time with her husband, mother, and four children.en
dc.description.abstractAcute coronary syndrome (ACS) has been the leading cause of death since 1921 and the volume of ED patients with a chest pain chief complaint equates to six million visits annually. Though a common ED patient presentation, triage accuracy rates are low and time delays in patient care are high despite extensive ACS presentation research and published practice guidelines. Objective: Triage nurses must have adequate ACS knowledge to perform prompt recognition and medical response, thereby reducing patient mortality and morbidity. Using the Synergy Model for Patient Care, this study sought to determine if triage nurses within the emergency department have the knowledge to accurately identify patients at risk for ACS. Methods: After pilot testing the instrument, an anonymous electronic survey of 12 closed-ended questions was administered to nurses who met sample criteria at two EDs. Results: Correct answers ranged from 3 (25.00%) to 10 (83.30%) with a mean, median, and mode of 7 (58.30%) and a confidence interval (α) of ±0.04 (6.96, 7.04). The SD for the study is 0.13. No study participants achieved a passing score of 84% or greater accuracy. The independent t-test found significance in the participants years of ED experience with their survey results (P = 0.0056). Simple linear regression determined the slope of this relationship to be 1.191 ± 0.4520. Conclusions: This research facilitates bridging the gap between existing research and practice guidelines through the provision of improved training for ED triage nurses to enhance ACS recognition and medical response which is essential to optimal outcomes for ACS patients.en
dc.description.sponsorshipLinda Amankwaa, Ph.D, RN, FAAN, Thesis Coordinatoren
dc.language.isoen_USen
dc.subjecttriage nursesen
dc.subjectacute coronary syndromesen
dc.subjectCollege of Sciences and Health Professionsen
dc.subjectAmankwaa, Lindaen
dc.subjectemergency departmenten
dc.titleAre Emergency Department Triage Nurses Knowledgeable about Acute Coronary Syndromes Recognition?en
dc.typeThesisen
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