A Sequential Mixed Method Study on the Effectiveness of the Cardiac Enhancement Program Applied to Nursing Students

Authors

  • Jordan Llego College of Nursing, University of Luzon, Dagupan City, Philippines Author
  • Kristine Grace Bustillo College of Nursing, University of Luzon, Dagupan City, Philippines Author

Keywords:

Cardiac enhancement program, Cardiovascular disease, Mixed method design, Nursing education, Nursing students

Abstract

Aim: To assess the Cardiac Enhancement Program effectiveness in improving nursing students' knowledge and skills in cardiovascular emergency management.

Methods: A sequential mixed-methods design was employed with 24 Level IV nursing students. Data were gathered through pre- and post-tests (30-item questionnaire) and semi-structured interviews. Quantitative data were analyzed using paired t-tests and Cohen's d, while qualitative responses underwent thematic analysis.

Results: The pretest mean scores, indicating poor knowledge (10.50 ± 1.38), saw a significant improvement post-intervention (18.37 ± 2.16, p < 0.001, d = 3.81). The thematic analysis underscored a notable increase in competence, confidence, and awareness of emergency protocols, although there were persistent gaps in advanced and pediatric scenarios.

Conclusion: The Cardiac Enhancement Program's effectiveness in boosting nursing students' knowledge and skills for managing cardiovascular emergencies, increasing confidence and preparedness. Despite success, the need for more realistic simulations and follow-up sessions to ensure knowledge retention and cover specialized scenarios is recommended for further improvement.

References

[1]Philippine Statistics Authority. Causes of Deaths in the Philippines (Preliminary): January to December 2020. Retrieved from https://psa.gov.ph/content/causes-deaths-philippines-preliminary-january-december-2020-0

[2]Pikula A, Gulati M, Bonnet JP, Ibrahim S, Chamoun S, et al. Promise of Lifestyle Medicine for Heart Disease, Diabetes Mellitus, and Cerebrovascular Diseases. Mayo Clinic Proceedings. Innovations, Quality & Outcomes. 2024, 8(2), 151-165. DOI: 10.1016/j.mayocpiqo.2023.11.005

[3]Cacciata MC, Alvarado I, Jose MM, Evangelista LS. Health determinants and risk factors for coronary artery disease among older Filipinos in rural communities. European Journal of Cardiovascular Nursing. 2021, 20(6), 565-571. DOI: 10.1093/eurjcn/zvaa039

[4]Rodgers JL, Jones J, Bolleddu SI, Vanthenapalli S, Rodgers LE, et al. Cardiovascular Risks Associated with Gender and Aging. Journal of Cardiovascular Development and Disease. 2019, 6(2), 19. DOI: 10.3390/jcdd6020019

[5]Gizaw Z, Astale T, Kassie GM. What improves access to primary healthcare services in rural communities? A systematic review. BMC Primary Care. 2022, 23(1), 313. DOI: 10.1186/s12875-022-01919-0

[6]Mostafa R, El-Atawi K. Strategies to Measure and Improve Emergency Department Performance: A Review. Cureus. 2024, 16(1), e52879. DOI: 10.7759/cureus.52879

[7]So KY, Ko HF, Tsui CSY, Yeung CY, Chu YC, et al. Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study. BMJ Open. 2020, 10(10), e040469. DOI: 10.1136/bmjopen-2020-040469

[8]Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, et al. Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012, 141(2 Suppl), e152S-e184S. DOI: 10.1378/chest.11-2295

[9]Tolu-Akinnawo O, Ray DN, Awosanya T, Nzerue C, Okafor H. Telemedicine in Cardiology: Enhancing Access to Care and Improving Patient Outcomes. Cureus. 2024, 16(6), e62852. DOI: 10.7759/cureus.62852

[10]Kavakli O, Konukbay D. How simulation training for nursing students in emergency internships affects triage decision-making and anxiety: A quasi-experimental study. Heliyon. 2024, 10(15), e35626. DOI: 10.1016/j.heliyon.2024.e35626

[11]Takei Y, Toyama G, Takahashi T, Omatsu K. Optimal duration and timing of basic-life-support-only intervention for patients with out-of-hospital cardiac arrest. Scientific Reports. 2024, 14(1), 6071. DOI: 10.1038/s41598-024-56487-3

[12]Dokoohaki R, Rambod M, Pasyar N, Parviniannasab AM, Shaygan M, et al. Comparison of professional competency and anxiety of nursing students trained based on two internship models: a comparative study. BMC Medical Education. 2024, 24(1), 968. DOI: 10.1186/s12909-024-05956-4

[13]Moon H, Hyun HS. Nursing students' knowledge, attitude, self-efficacy in blended learning of cardiopulmonary resuscitation: a randomized controlled trial. BMC Medical Education. 2019, 19(1), 414. DOI: 10.1186/s12909-019-1848-8

[14]Dick-Smith F, Power T, Martinez-Maldonado R, Elliott D. Basic Life Support Training for undergraduate nursing students: An integrative review. Nurse Education in Practice. 2021, 50, 102957. DOI: 10.1016/j.nepr.2020.102957

[15]Llego J, Villar J. Guide to Writing Nursing Research: From Conceptualization to Publication. University of Luzon. 2024.

[16]Acquah ISK, Naude MJ, Soni S. How the dimensions of culture influence supply chain collaboration: an explanatory sequential mixed-methods investigation. Revista De Gestão. 2021, 28(3), 241–262. DOI: 10.1108/rege-11-2020-0105

[17]Grove SK, Cipher D. Statistics for Nursing Research, 3rd Edition. Elsevier. 2019.

[18]Sekhavatizadeh SS, Afrasiabi F, Montaseri Z. The Effect of Cardiopulmonary Resuscitation and Cardiac Chest Pain Management Training on Perceived Control, Depression, Stress and Anxiety in the Spouses of the Patients with Myocardial Infarction: A Randomized Controlled Trial. International Journal of Community-based Nursing and midwifery. 2020, 8(2), 116-126. DOI: 10.30476/IJCBNM.2020.81315.0

[19]Lourenço LBA, Meszaros MJ, Silva MFN, São-João TM. Nursing Training for Early Clinical Deterioration Risk Assessment: Protocol for an Implementation Study. JMIR Research Protocols. 2023, 12, e47293. DOI: 10.2196/47293

[20]Awawdeh M, Alanzi AM, Alhasoun M, Babtain A, Alshahrani N, et al. A Cross-Sectional Study Investigating the Knowledge and Attitude of Health Professions Students in Saudi Arabia: Are They Ready for Cardiopulmonary Resuscitation? Cureus. 2023, 15(8), e43048. DOI: 10.7759/cureus.43048

[21]Gutiérrez-Puertas L, Márquez-Hernández VV, Gutiérrez-Puertas V, Rodríguez-García MC, García-Viola A, et al. Are You Prepared to Save a Life? Nursing Students' Experience in Advanced Life Support Practice. International Journal of Environmental Research and Public Health. 2021, 18(3), 1273. DOI: 10.3390/ijerph18031273

[22]Brekke IJ, Puntervoll LH, Pedersen PB, Kellett J, Brabrand M. The value of vital sign trends in predicting and monitoring clinical deterioration: A systematic review. PloS One. 2019, 14(1), e0210875. DOI: 10.1371/journal.pone.0210875

[23]Wu EM, Costello MC, Abdelsalam A, Starke RM, Morcos JJ. Examining the average scores of nursing teamwork subscales in an acute private medical ward. BMC Nursing. 2021, 20(1), 84. DOI: 10.1186/s12912-021-00609-z

[24]Rafati F, Nouhi E, Sabzevari S, Dehghan-Nayeri N. Coping strategies of nursing students for dealing with stress in clinical setting: A qualitative study. Electronic Physician. 2017, 9(12), 6120-6128. DOI: 10.19082/6120

[25]Aljohani MS, Tubaishat A, Shaban I. The effect of simulation experience on Saudi nursing students’ advance cardiac life support knowledge. International Journal of Africa Nursing Sciences. 2019, 11(9), 100172. DOI: 10.1016/j.ijans.2019.100172

[26]Kassabry MF. The effect of simulation-based advanced cardiac life support training on nursing students’ self-efficacy, attitudes, and anxiety in Palestine: a quasi-experimental study. BMC Nursing. 2023, 22(1), 420. DOI: 10.1186/s12912-023-01588-z

[27]Fantinelli S, Cortini M, Di Fiore T, Iervese S, Galanti T. Bridging the Gap between Theoretical Learning and Practical Application: A Qualitative Study in the Italian Educational Context. Education Sciences. 2024, 14(2), 198. DOI:10.3390/educsci14020198

[28]Elendu C, Babawale EA, Babarinde FO, Babatunde OD, Chukwu C, et al. The impact of simulation-based training in medical education: A review. Medicine. 2024, 103(27), e38813. DOI: 10.1097/MD.0000000000038813

[29]Al Thobaity A. Overcoming challenges in nursing disaster preparedness and response: an umbrella review. BMC Nursing. 2024, 23(1), 562. DOI: 10.1186/s12912-024-02226-y

[30]Liu S, Phelps G. Does Teacher Learning Last? Understanding How Much Teachers Retain Their Knowledge After Professional Development. Journal of Teacher Education.2019, 71(5), 537-550. DOI: 10.1177/0022487119886290

[31]Tokuç B, Varol G. Medical Education in the Era of Advancing Technology. Balkan Medical Journal. 2023, 40(6), 395-399. DOI: 10.4274/balkanmedj.galenos.2023.2023-7-79

[32]HIRAID Research Group. The implementation of an emergency nursing framework (HIRAID) reduces patient deterioration: A multi-centre quasi-experimental study. International Emergency Nursing. 2021, 56, 100976. DOI: 10.1016/j.ienj.2021.100976

[33]Huang Y, Wang S. How to motivate student engagement in emergency online learning? Evidence from the COVID-19 situation. Higher Education. 2023, 85(5), 1101-1123. DOI: 10.1007/s10734-022-00880-2

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Published

2025-03-25

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