COMPETENCE OF THE NURSE IN THE TRIAGE OF EMERGENCY AHEAD OF THE INTERPRETATION OF AN ECG AND THE ACTIVATION OF AN IAM CODI. QUALITATIVE STUDY.

Identifier:  TFG:1869

Handle: https://hdl.handle.net/20.500.11797/TFG1869

Authors:  Espin Aguade, Pablo

Abstract:
Objective: Nursing professionals are responsible for conducting triage at the hospital emergency services (SUH), which entails the need for specific training on their part to be qualified for the development of this task. For this reason, we found it interesting to analyze the knowledge they have with those professionals, specifically regarding the selection of chest pain and the detection of a SCAEST, as well as to know their perception about them. Methodology: Qualitative study included in the comprehensive-naturalistic-interpretative paradigm. Individual interviews, semi-structured and with open questions, have been conducted to four nursing professionals working in the SUH of different hospitals in the Camp de Tarragona. Results: All the nurses interviewed have specific postgraduate training, since they consider that the training received throughout the university career is too basic and theoretical, making it evident the need for an extension Further training, which should not be provided by the center where they work, must run on their own behalf to attend it. Most agree that they feel abilities to detect a SCAEST in a patient with typical thoracic pain, and therefore, they consider it advisable to carry out modifications in the current protocols that give them more powers, such as activation in this case of an IAM code from the selection query. It should also be noted that all the professionals interviewed believe that it is essential for those who develop the selection to count on years of experience working in the SUH to carry out this task correctly. Conclusions: Analyzing the perception of the nurses interviewed regarding their training to detect a SCAEST in the triage in the SUH, it would be beneficial for modifications to be made to the current protocols regarding thoracic pain. If the nursing competence was recognized to activate an IAM code from the triage, the welfare process would be facilitated for patients with an AMI, thus improving their prognosis given the reduction in exposure time to myocardial ischemia.