Development of a Cardiac Catheterization Laboratory Nursing Program Targeting Patients Undergoing Percutaneous...

Area of Science:

• Cardiovascular Nursing
• Interventional Cardiology
• Healthcare Program Development

Background:

• Acute myocardial infarction (AMI) necessitates specialized nursing care during percutaneous coronary intervention (PCI).
• Existing nursing programs may lack comprehensive scientific and practical guidance for cardiac catheterization laboratory settings.
• Standardized nursing protocols are crucial for patient safety and optimal outcomes in interventional cardiology.

Purpose of the Study:

• To construct a nursing program for cardiac catheterization laboratory nurses managing patients with AMI undergoing PCI.
• To provide nurses with evidence-based scientific and practical behavioral guidance.
• To enhance the quality of care and patient safety in the cardiac intervention laboratory.

Main Methods:

• A literature review and group discussions were used to draft the initial nursing program.
• Two rounds of expert consultations with 15 specialists refined the program content.
• Program validity was assessed using expert positivity, authority coefficients, Kendall's coefficient of concordance, and opinion concentration.

Main Results:

• The final program comprises 30 items across three phases, achieving a 100% expert response rate.
• High expert authority coefficients (0.983, 0.980) and significant Kendall's W (P < 0.001) indicated strong consensus.
• The program demonstrated high importance scores (4.13-5.00) and acceptable variation coefficients, confirming expert agreement.

Conclusions:

• The developed nursing program is scientifically sound, reliable, and practical for cardiac catheterization laboratory settings.
• It offers specialized characteristics to ensure patient safety during PCI for AMI.
• Implementation of this program is expected to improve the overall quality of nursing care in interventional cardiology.