Have a personal or library account? Click to login
Is the care performance of critical care unit nurses in angina management consistent with evidence-based guidelines? An observational study Cover

Is the care performance of critical care unit nurses in angina management consistent with evidence-based guidelines? An observational study

Open Access
|Jun 2025

Figures & Tables

Demographic and job-related characteristics of nurses_

VariableNumber/average*Percent/standard deviation**
Age (year)33.87*7.14**
Gender
  Female1014.5
  Male5985.5
Education
  Bachelor’s6087.0
  Master’s1413.0
Employment status
  Permanent4464.7
  Contractual1217.6
  Conscripted1217.6
Shift status
  Fixed1420.3
  Rotational5579.9
Education on angina pectoris management
  Yes5884.1
  No1115.9

The average score of care performance at different levels of nurses’ demographic and occupational variables_

VariableAverageStandard deviationStatisticsThe significance level
Gender t = –0.1270.899
  Female20.607.20
  Male20.824.79
Education Z = –1.686*0.092
  Bachelor’s21.274.64
  Master’s or higher17.637.27
Employment status X2 = 0.230**0.631
  Permanent20.195.40
  Contractual20.582.48
  Conscripted22.535.72
Shift status Z = –0.037*0.970
  Fixed20.026.62
  Rotational20.994.75
Education about angina management T = 1.1790.243
  Yes21.115.46
  No19.122.57
Age33.877.14r = –0.265***0.031

Care performance (and its domains) based on angina management guidelines_

VariableThe range of attainable scoresMeanStandard deviationAverage out of 100Standard deviation from 100
Assessment0–1712.513.3173.6019.45
Implementation0–75.021.4571.7820.67
Reevaluation0–53.181.4163.5128.27
Total score0–2920.715.6071.4219.31

Sociodemographic details of patients_

VariableNumber/average*Percent/standard deviation**
Age (year)55.16*10.67**
Gender (187)
  Male10053.5
  Female8746.5
Marital status (186)
  Single158.1
  Married16086.0
  Widow115.9
Educational level (186)
  Elementary3217.2
  Middle School6836.6
  Diploma4524.2
  Associate Degree94.8
  Bachelor’s Degree and Higher1117.2
History of hospitalization (183)
  Yes8445.9
  No9954.1

Distribution of the frequency of performing a care function based on EBGs in the management of angina_

ItemPerformed
FrequencyPercent
Checking the intensity of pain10350.2
Checking the time of pain onset18891.7
Examining the pain site19997.1
Assessing the spread of pain to other organs16781.5
Checking the duration of pain14369.8
Checking pain continuity or interruption10350.2
Examining pain aggravating factors15374.6
Reviewing pain relief symptoms16982.4
Examining pain-related symptoms18389.3
Examining pain improvement with position change13163.9
Examining pain quality (burning, pressing, sharp, etc.)11857.6
Examining cardiac biomarkers such as troponin19193.2
Checking the status of the oxygen supply18690.7
Checking vital signs19595.1
Examining the patient’s ECG in terms of ischemic changes19092.7
Auscultating the patient’s lungs (to see if there is shortness of breath)4823.4
Examining the patient’s anxiety level (restlessness, frowning, etc.)9847.8
Placing the patient in a comfortable position (preferably Fowler’s position)15575.6
Absolute rest (CBR) for the patient20298.5
NPO until pain control and symptom stabilization17786.3
Pain relief as prescribed by the physician19796.1
Teaching the patient how to use the nurse call button4823.4
Assessing the reduction or resolution of the patient’s pain16882.0
Education about angina pectoris and its care to the patient9747.3
Education about pain notification to the nurse15475.1
Leg pain monitoring every 2 h14570.7
Checking the duration of pain every 2 h8240.0
Checking the patient’s vital signs every minute until it stabilizes16882.0
Examining the patient’s non-verbal reactions8842.9
DOI: https://doi.org/10.2478/fon-2025-0026 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 245 - 253
Submitted on: Apr 25, 2024
Accepted on: Aug 4, 2024
Published on: Jun 11, 2025
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Amin Jafari, Shahnaz Pouladi, Razieh Bagherzadeh, Hakimeh Vahedparast, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.