Assessment of Nurses' Knowledge Concerning Cardiogenic Shock for Patients' in Cardiac Care Unit at Baghdad Hospitals

Abstract

Background: The contemporary in hospital mortality rate for cardiogenic shock remains extremely high. Cardiogenic Shock can occur as a result of a wide variety of cardiac disorders, Including ACS, valvular disease, myocardial and pericardial disease, congenital lesions, and mechanical injuries to the heart.

Objective(s): The study objectives are to assess of nurses' knowledge concerning cardiogenic shock for patients in the Cardiac Care Unit at public teaching hospitals and to finding out the relationship between the nurse's Knowledge and the demographic characteristics that includes (age, gender, level of education, years of experience, and training session).

Methodology: A descriptive study which was using the quantitative design. The study was conducted at the Medical City/ Baghdad Teaching Hospital; In-Alnafes Teaching Hospital, and Ibn-Albettar Teaching Hospital starting in November 15th 2012 up to the March 30th 2013. To achieve the objectives of the study, A non-probability (purposive) samples of (50) a nurse who was consisted of all nurses who provide nursing care for patients which suffering from various cardiac diseases including cardiogenic shock and according to special criteria. Data were collected by an application of direct interview as a means of data collection. Nurses were interviewed while they are working in the cardiac care unit during the day. Instrument validity was determined through content validity, by a panel of experts. Reliability of the instrument was determined through detected of Cronbach's alpha via split half technique on sample of (10) nurses, which was (0.74). Analysis of data was performed through the application of descriptive statistics (frequency, percentage, mean of score, Relative sufficiency) and inferential statistics, significance and correlation coefficient.

Results: The results of the study indicated the evaluation of the mean of scores and relative sufficiency for nurse's knowledge regarding cardiogenic shock for patients in the cardiac care unit was out of comparison and there is no significant association between training session of sample and nurses' knowledge. While there is high significant association between ages, gender, level of education, years of experience in cardiac care unit and nurses' knowledge.

Conclusion: The study concluded most of nurses that work in cardiac care unit have high knowledge about cardiogenic shock in some questions.

Recommendations: The study emphasize that hospitals and health organizations should be applying flexible and responsible steps to facilitate passages for better level for junior nurses and those who need high graduated level to improve their skills and knowledge towards nursing care of patients with cardiogenic shock, as well as the nature of cardiogenic shock.