Nursing Assignment: Cardiac Care and Evidence Based Practices

This report presents a nursing assignment focusing on the care process for a patient with myocardial infarction in a cardiac ward. The assignment explores evidence-based practices, specifically the use of cardiac catheterization and electrocardiograms as diagnostic methods, referencing relevant research and guidelines. The report also addresses a PICOT question to assess the effectiveness of these diagnostic measures. Furthermore, it identifies potential barriers to implementing these evidence-based practices within a healthcare facility, such as hospital policies and a lack of information. The report concludes by suggesting strategies to overcome these barriers, emphasizing the importance of educating healthcare professionals about the benefits of these diagnostic methods and incorporating them into patient care. References are provided to support the discussed evidence and practices.

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student
Name of the University
Author note

1NURSING ASSIGNMENT
This clinical experience was about the care process which was conducted for a patient in
the cardiac ward suffering from myocardial infarction (Melnyk et al., 2012). All the measures
and interventions which were used in the process was related to the recent evidences such as
while the diagnostic measures of the cardiac arrest, cardiac catheterization and electrocardiogram
was used as per the research of Galiè et al. (2015), as these diagnostic measures are appropriate
and useful in identifying the reason for cardiac arrest.
In this aspect I looked for evidences using a PICOT questions, which was
Problem Intervention Comparative Outcome Time
Myocardial
infarction
diagnosis
cardiac
catheterization
and
electrocardiogra
m as diagnosis
method
Than other
diagnostic
methods
Does faster
diagnosis
Within 24-hour
“Can cardiac catheterization and electrocardiogram are able to diagnose the reason
for myocardial infarction in the patients compared to other diagnostic methods within a
day?” However, in this situation it should be mentioned that in there are few policies and
procedure which can hinder the application of these evidence based practices within the
healthcare facility (Majid et al., 2011). Such as, application of formatted diagnostic measures and
medication for the benefit of patient and healthcare facility. Further there are several barriers in
the application of this EBP in the care process of the patient. Such as rules and regulation of the

2NURSING ASSIGNMENT
hospital about the care interventions, less information about the recent EBPs within the care
facility and so on (Melnyk et al., 2012). This could one of the major reason due to which the
healthcare facility does not allow the application of EBP in care process. Hence, to overcome the
barriers, all the core physician teams and senior management should be provided with evidences
and supporting document about the recent and fast diagnostic process so that they can understand
its effectiveness and apply in the process (Majid et al., 2011).

3NURSING ASSIGNMENT
References
Galiè, N., Humbert, M., Vachiery, J. L., Gibbs, S., Lang, I., Torbicki, A., ... & Ghofrani, A.
(2015). 2015 ESC/ERS guidelines for the diagnosis and treatment of pulmonary
hypertension: the joint task force for the diagnosis and treatment of pulmonary
hypertension of the European Society of Cardiology (ESC) and the European Respiratory
Society (ERS): endorsed by: Association for European Paediatric and Congenital
Cardiology (AEPC), International Society for Heart and Lung Transplantation
(ISHLT). European heart journal, 37(1), 67-119.
Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y. L., Chang, Y. K., & Mokhtar, I. A. (2011).
Adopting evidence-based practice in clinical decision making: nurses' perceptions,
knowledge, and barriers. Journal of the Medical Library Association: JMLA, 99(3), 229.
Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The state of
evidence-based practice in US nurses: critical implications for nurse leaders and
educators. Journal of Nursing Administration, 42(9), 410-417.