Nursing Competence in Thrombolytic Therapy for Myocardial Infarction in among Nurses in the Coronary Care Unit of the Cardiac Center, Hail, Saudi Arabia

HRMARS - Introduction: Thrombolytic therapy is widely used to treat acute myocardial infarction (AMI). Nurses in coronary care units are frequently the first to evaluate patients, monitor their condition, and deliver prescription thrombolytic medication. Few research has looked at nurses' competence and proficiency in the Coronary Care Unit on thrombolytic therapy in myocardial infarction patients in Cardiac Center at Hail, Hail, Saudi Arabia. Aim: The general aim of this study is to evaluate nurses' competence and practice regarding thrombolytic therapy in myocardial infarction patients in the Coronary Care Unit of the Cardiac Center in Hail, Saudi Arabia. Objectives: This study aims to evaluate the knowledge and proficiency of nurses in managing thrombolytic therapy for myocardial infarction. Methodology: The study used a descriptive, correlational, cross-sectional approach to examine nurses' knowledge and practice of thrombolytic treatment. Registered professional nurses (n=100) working in coronary care unit (CCU) were invited to participate. A structured, pre-validated questionnaire was used for data collection. The study received approval from the institutional review board and ethics committee. Data were analyzed with the Statistical Package for the Social Sciences (SPSS). Setting: The study was conducted in the Coronary Care Unit of the Cardiac Center, Hail, Saudi Arabia. Subjects: A convenience sample of 100 nurses working in the Coronary Care Unit participated in the study. Results: A total of 100 nurses took part in the study. The mean knowledge score was 1.18 (SD = 0.36), and the mean practice score was 1.29 (SD = 0.39), demonstrating good levels of knowledge and practice related thrombolytic treatment. There were no statistically significant variations in nurses' knowledge ratings according to gender (t = 0.423, p = 0.140), age (F = 1.48, p = 0.231), or years of experience (F = 2.77, p > 0.05). There were no significant variations in practice scores according to age (F = 4.39, p > 0.05) or gender (t = 0.223, p = 0.710). However, there was a statistically significant difference in practice ratings based on years of experience (F = 4.77, p = 0.004), showing that nurses with more experience displayed stronger levels of practice competence. Linear regression analysis showed that nurses' knowledge of thrombolytic treatment was a significant predictor of their practice level (B = 1.093, t = 6.73, p 0.001), indicating that increasing knowledge leads to enhanced clinical practice. Conclusion: The study revealed that nurses at the Coronary Care Unit of the Cardiac Centre in Hail, Saudi Arabia, displayed adequate knowledge and practice in thrombolytic therapy for patients with acute myocardial infarctions. While demographic characteristics had no significant influence on knowledge, years of experience had a substantial impact on practice. Additionally, nurses' knowledge was shown to be a substantial predictor of their clinical practice.