Nursing Team Training to Use a Flowchart to Care for Patients with Chest Pain

Bruna Carolina Lima, R. C. Machado, Anastasia Anna, Rosângela Claudia Novembre, V. Nery, Paulo Lopes, S. F. Sampaio, Camila Bomfim von Jakitsch
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Abstract

Background: Chest pain, of multicausal etiology, associated with a cardiac cause or not, is one of the most frequently presented symptoms by patients in Emergency Care Units. Despite its high prevalence in health services, there is still a deficiency in care standardization, which raises difficulties in acute coronary syndrome diagnosis and delay in treatment. The objective wasto assess the efficiency of professional training of nursing teams in Emergency Care Units on the use of a flowchart to care for patients with chest pain. Methods and Findings: This educational intervention study was conducted with 25 nursing team professionals. It has been developed in four steps: Step 1 referred to prior application of the validated research instrument. Step 2 comprised training to use the flowchart with an expository lesson on care of patients with chest pain and guidance regarding the flowchart to be implemented. Step 3 reapplied the validated instrument after class. Step 4 reapplied the instrument after 2 months of training for flowchart implementation. When comparing the results of the instrument applied to nursing team professionals, post-training and follow-up performance surpassed that of pre-training. It was observed that professionals with less than five years of experience showed better performance. This study had as limitation the small sample of health professionals participating in the offered training. Conclusion: Training was satisfactory and significant, and professionals demonstrated content assimilation, obtaining higher scores than at the beginning of the research. Nursing Team Training to Use a Flowchart to Care for Patients with Chest Pain
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使用流程图护理胸痛患者的护理团队培训
背景:胸痛是多配偶病因,是否与心脏原因有关,是急诊室患者最常见的症状之一。尽管其在卫生服务中的流行率很高,但护理标准化仍然存在不足,这增加了急性冠状动脉综合征诊断的困难和治疗的延迟。目的是评估急诊室护理团队使用流程图护理胸痛患者的专业培训效率。方法与发现:本研究由25名护理团队专业人员进行教育干预研究。它分四个步骤开发:步骤1是指事先应用经过验证的研究仪器。第2步包括使用流程图的培训,以及关于胸痛患者护理的说明性课程和关于要实施的流程图的指导。第3步:课后重新使用经过验证的仪器。步骤4经过2个月的流程图实施培训后,重新应用该仪器。当将该仪器应用于护理团队专业人员的结果进行比较时,培训后和随访表现都超过了培训前。据观察,经验不足五年的专业人员表现更好。这项研究限制了参与所提供培训的卫生专业人员的小样本。结论:培训令人满意且意义重大,专业人员表现出内容同化,获得了比研究开始时更高的分数。使用流程图护理胸痛患者的护理团队培训
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