Development of Practice Guideline for Patient with ST Elevation Myocardial Infarction during the critical period, Emergency Department.

Abstract

The Action Research aimed to develop and analyze clinical practice guideline care for patient with ST Elevation Myocardial Infarction during the critical period in the Emergency department, Chaopraya yommaraj Hospital, Suphanburi Province. Steps for this study consist of 4 steps follow by The Action Research Spiral (Kemmis & McTaggart, 1988). The 4 steps consist of plan action observe and reflect. The measurements for data collecting were patient’ documents, interviews base on questionnaires, observational forms, and semi-structured for focus group discussion. Qualitative data were analyzed by content analysis. Quantitative data were analyze by descriptive statistic such as percentage, mean, standard deviation and comparing by analytical statistic use Independent t-test statistical. The results were found that participation and creative action between multidisciplinary teams have a guideline for patients with ST-Elevation Myocardial Infarction during the critical period care in the Emergency department, Chaopraya yommaraj Hospital, Suphanburi Province. The results of the implementation of the clinical practice guidelines used were found that nurses who care for patients with ST-Elevation Myocardial Infarction during the critical period overall level completeness. The numbers of patients who have received coagulant drugs (door to needle time) in 30 minutes were statistically different from before the guideline was applied at p-value < .05.