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Angina V: Nursing Management

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
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Acute Coronary Syndrome IV: Interprofessional Care

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Related Experiment Video

Updated: Jun 26, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Explicating nurses' cardiac triage decisions.

Cynthia Arslanian-Engoren1

  • 1University of Michigan, Ann Arbor, MI 48109, USA. cmae@umich.edu

The Journal of Cardiovascular Nursing
|December 31, 2008
PubMed
Summary
This summary is machine-generated.

Emergency department nurses use clinical cues, patient history, and personal factors when triaging patients for myocardial infarction (MI). While knowledgeable about sex differences, biases may impact timely cardiac care.

Related Experiment Videos

Last Updated: Jun 26, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

  • Emergency Medicine
  • Cardiology Nursing
  • Qualitative Research

Background:

  • Emergency department (ED) nurses play a critical role in prioritizing patients with symptoms of myocardial infarction (MI).
  • Limited research exists on the specific cardiac triage decision-making processes of ED nurses.
  • This study addresses the gap by examining how ED nurses triage men and women for MI.

Purpose of the Study:

  • To explicate the decision-making processes of emergency department nurses during the triage of patients presenting with symptoms suggestive of myocardial infarction (MI).
  • To inform the development of a quantifiable measure for assessing ED nurses' cardiac triage decisions.

Main Methods:

  • A qualitative, descriptive study utilizing focus group methodology.
  • Discussions were guided by a synthesized conceptual model.
  • Data from 12 participants were audiotape recorded, transcribed, and analyzed using the Krueger content analysis method.

Main Results:

  • ED nurses base MI triage decisions on clinical presentation, patient demographics, medical history, and their own knowledge, beliefs, and experience.
  • Key patient cues include general appearance, vital signs, cardiac history, chest pain, and mode of transportation.
  • Nurses aim to ensure prompt electrocardiogram (ECG) and medical evaluation, acting as patient advocates.

Conclusions:

  • Nurses demonstrate awareness of age and sex variations in MI presentation.
  • Cultural biases and stereotypes among some nurses may impede timely emergency cardiac care.
  • Study findings will contribute to creating a standardized tool to measure ED nurses' cardiac triage decision-making.