THE DEVELOPMENT OF SCREENING NURSING PRACTICE FOR PATIENTS WITH ACUTE MYOCARDIAL INFARCTION AT KHAM MUANG HOSPITAL, KALASIN PROVINCE, THAILAND

Abstract

     This study was research and development project. The objective is to study the development and results of nursing guidelines for screening patients with acute myocardial infarction. Kham Muang Hospital Kalasin Province Study with a model (R&D) applying the 3C-PDSA quality development process. In this study, 3 development cycles were rotated. Data were collected from medical records. Data were analyzed using frequency distribution. percentage and average.
     The investigation disclosed that the implementation of guidelines has significantly enhanced the efficacy of chest pain screening for nurses. Pre- and post-guideline development comparisons demonstrated a noteworthy reduction in the duration needed   to receive electrocardiograms and physician reports, decreasing from 9.60±0.65 minutes to 5.58±0.38 minutes. This represents the initial instance in a decade where the proportion of expeditiously screened patients for chest pain escalated to 98.00%. The clinical protocol for screening patients with acute myocardial infarction, cultivated through the application   of 3C-PDSA methodologies, has evidenced favorable patient outcomes. The average score for each practice is 4.83±0.21, attaining a success rate of 98.25%.