Evaluation of the ACT intervention to improve nurses' cardiac triage decisions

Western Journal of Nursing Research
Cynthia Arslanian-EngorenKim A Eagle

Abstract

Emergency department (ED) nurses are in a key position to initiate life-saving recommendations for myocardial infarction, which include a physician-read electrocardiogram (ECG) within 10 min of ED arrival. Using a quasi-experimental, one-group pretest-posttest design, the authors evaluated the preliminary effectiveness of the Aid to Cardiac Triage (ACT) intervention to improve ED nurses' cardiac triage decisions. Charts of all women who received an ED ECG 3 months before ( n = 171) and after (n = 184) the intervention and who were at least 18 years of age were reviewed. A 1-hr educational session was conducted to improve nurses' (n = 23) cardiac triage decisions. Postintervention, the proportion of women receiving an ECG within 10 min of ED arrival improved, as did the odds of women receiving a timely ECG. Preliminary evaluation of the ACT intervention indicates its effectiveness at improving ED nurses' cardiac triage decisions and obtaining a 10-min physician-read ECG.

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Citations

Feb 19, 2013·The Journal of Cardiovascular Nursing·Jonathan K M Ho, Lorna K P Suen
Mar 30, 2016·Heart & Lung : the Journal of Critical Care·Cynthia Arslanian-Engoren, Linda D Scott
Jun 5, 2013·Western Journal of Nursing Research·Vicki S Conn
Sep 10, 2010·Western Journal of Nursing Research·Vicki S Conn
Aug 8, 2013·Research and Theory for Nursing Practice·Cynthia Arslanian-Engoren, Bonnie M Hagerty
Dec 24, 2015·The Journal of Cardiovascular Nursing·Polly W C Li, Doris S F Yu

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