Evidence-Based Practice Paper

Topics: Myocardial infarction, Symptom, Norm Pages: 8 (2706 words) Published: October 15, 2013


Evidence-Based Practice Paper

Nevada State College

NURS 418: Nursing Research Methods

Description of EBP Guideline
The evidence-based practice guideline that I chose is titled, “Myocardial Infarction,” written by the Finnish Medical Society Duodecim. The intended users for this guideline are health care providers and physicians. The target population is individuals with suspected or known myocardial infarction. The objective of this guideline is to “collect, summarize, and update the core clinical knowledge essential in general practice” and “describe the scientific evidence underlying the given recommendations.” (Finnish Medical Society Duodecim, 2008) Clarity and Researchability of the Study’s Purpose and Question

According to the researchers, the purpose of the study is “to test how teaching format (factual versus storytelling) and restructuring the social norm of caring for others to caring for self affects how women learn to identify and respond to myocardial infarction (MI) symptoms.” (McDonald, Goncalves, Almario, Krajewski, Cervera, Kaeser, et al., 2006, p.216) I feel that the purpose of the study is significant to nursing because nurses need to educate patients about what symptoms to observe for and report to their primary care providers. Also, if this study could determine which teaching format would better assist patients in acknowledging significant symptoms of an MI needed to contact EMS, then nurses could possibly be better able to educate patients about those symptoms. I believe that the study title of “Assisting Women to Learn Myocardial Infarction Symptoms,” is more general than the three research questions listed in the study: (a) “Are women who are taught how to recognize and respond to symptoms of an MI using a storytelling format more likely to be able to identify symptoms and plan to get help than women who are taught the same information using a factual format?”, (b) “Does teaching women to cognitively restructure the ‘caring for others’ social norm to ‘caring for self’ make them more likely to identify symptoms of an MI and plan to call EMS than women who are not taught this form of cognitive restructuring?”, and (c) “Are women who have been taught MI symptoms and response using the storytelling format and who were taught cognitive restructuring of the ‘caring for others’ to ‘caring for self’ social norms more likely to identify symptoms of an MI and plan to call EMS than women who were provided factual information about MI symptoms and response, and who were not offered cognitive restructuring?” (McDonald, et al., 2006, p.217-218) The two independent variables identified in the study are “teaching format (factual vs. storytelling) and social norms (caring for others first vs. caring for self)” and the dependent variable is “the posttest knowledge of MI symptoms.” (McDonald, et al., 2006, p.220)

The American Heart Association (cited in McDonald, et al., 2006, p.216) states that “heart disease remains the leading cause of death for women and kills over 248,000 women each year in the United States.” Mosca, Ferris, Fabunmi, & Robinson (cited in McDonald, et al., 2006, p.216) states that “the majority of women remain unaware that heart disease is the leading cause of death for women, despite a significant increase in awareness since 2000.” While the assumptions of the researchers are not clearly stated, I would assume that the researchers believe that women need to be further educated about the symptoms of MI in order “to avoid disabling or life-ending consequences from MI.” (McDonald, et al., 2006, p.216) Adequacy and Relevance of the Literature Review

I feel that the literature review is relevant to the problem because they discuss the differences in MI symptoms among genders and which symptoms were commonly reported by women. DeVon and Zerwic (cited in McDonald, et al., 2006, p.216-217) “reviewed studies on gender differences in MI symptoms...

References: Finnish Medical Society Duodecim. (2008). Myocardial infarction. Retrieved from the National Guideline
Clearinghouse website. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=12794&nbr=006596&string=myocardial+AND+infarction
LoBiondo-Wood, G., & Haber, J. (2010). Nursing research: Methods and critical appraisal for evidence-
based practice, 7th Ed. St. Louis: Mosby.
McDonald, D. D., Goncalves, P. H., Almario, V. E., Krajewski, A. L., Cervera, P. L., Kaeser, D. M., et al.
(2006). Assisting women to learn myocardial infarction symptoms. Public Health Nursing, 23(3),
216-223. Retrieved from CINAHL Plus with Full Text database.
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