Measuring Ambulance Nurses' Adherence to Chest Pain Guidelines
Author Information
Author(s): Hansen Michael Ulrich, Zdravkovic Slobodan, Jakobsson Ulf, Vejzovic Vedrana, Axelsson Malin
Primary Institution: Malmö University
Hypothesis
This study aimed to develop and psychometrically evaluate an instrument measuring ambulance nurses’ adherence to and attitudes towards acute chest pain guidelines.
Conclusion
The psychometric properties of the Adherence Instrument were satisfactory and will be useful in prehospital emergency care to measure attitudes and adherence towards acute chest pain guidelines.
Supporting Evidence
- The Adherence Instrument was refined to 18 items and showed strong validity and reliability.
- Principal component analysis identified five components that accounted for 64.5% of the total variance.
- The study involved 261 participants who completed the survey, indicating a good response rate.
Takeaway
This study created a tool to help ambulance nurses follow guidelines for treating chest pain better, which can lead to better care for patients.
Methodology
A multistep methodological approach was used, including cognitive interviews, expert reviews, and a test-retest method to validate the instruments.
Limitations
The study's findings may not be generalizable to ambulance services outside of Sweden due to structural and occupational differences.
Participant Demographics
Participants included ambulance nurses and physicians from 18 ambulance stations in southern Sweden, with a mix of genders and varying years of experience.
Statistical Information
P-Value
p<0.001
Confidence Interval
95% CI: 77.8–82.0
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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