Development and Evaluation of an Evidence-Informed Protocol for the Nursing Care of Post-Cardiac Catheterization Patients
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Before the cardiac catheterization laboratory opened at Niagara Falls Memorial Medical Center (NFMMC), nurses designated to care for post-catheterization patients received little training. The purpose of this capstone project was to develop and test an evidence-informed, postcatheterization protocol. Post-procedural complications are serious and costly; timely recognition and treatment can lessen their burden. A mixed-methods design with guidance provided by the IOWA model was used. The protocol was developed based on literature and expert input. Acceptability and usability testing was conducted through survey analysis and participant comments. Twenty-eight Registered Nurses at NFMMC were invited to participate. A sample of 25 participants completed two surveys, measuring their perceived confidence/preparedness, current resources, and their perceptions regarding the protocol. The results show moderate, negative relationships comparing experience with acceptability and usability (Pearson’s r = - 0.466 and -0.428, respectively, p < 0.05), suggesting those with less experience find the protocol more useful. All participants agreed they would use the protocol. Twelve provided comments, three suggesting flowsheets for documentation. The results show the protocol is an acceptable and usable tool for nurses at NFMMC and may be especially useful for orientation and training purposes. Future projects should include protocol refinement, along with implementation and further testing.