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Evaluating the Usefulness and Feasibility of a Cardiac Catheterization Screening Tool in an Urban Cardiovascular Clinic
Hutcherson, Morgan
Hutcherson, Morgan
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Abstract
Problem: Diagnostic cardiac catheterization is helpful in evaluating coronary artery disease severity and in guidingappropriate coronary blockage treatment. However, many risks exist with the procedure, as 16% of these patients will experience either bleeding, infection, stroke, myocardial infarction, or less likely, death as a procedural consequence. To mitigate risk, patient eligibility for this invasive procedure should be conducted. A problem exists where practitioners are ordering a diagnostic cardiac catheterization without evaluating patients’ eligibility for the procedure. An evaluation tool was created by the project setting’s research staff in response to this problem.Project Aim: The purpose of this quality improvement project was to assess the usefulness, feasibility, and acceptability of an evaluation tool that determines whether persons with coronary artery disease are appropriate candidates for diagnostic cardiac catheterization. Specific aims for this project included: 1) Evaluating the usefulness and feasibility of the tool among practitioners at an urban midwestern cardiovascular clinic; 2) Examining the clinic’s readiness for change in accepting this tool into daily practice; and 3) Providing recommendations to those in practice regarding the tool’s implementation.Project Method: This project was guided by the Plan, Do, Study, Act (PDSA) Model and utilized a cross-sectional study design. The sample population was cardiovascular practitioners, inclusive of physicians and advanced practice providers. The setting was in one urban hospital-owned cardiovascular clinic located in the Midwestern region of the United States. The project aims were met by utilizing the Usefulness, Satisfaction, and Ease of Use (USE) Questionnaire a modified version of the Organizational Readiness for Implementing Change (ORIC) survey. Both surveys were administered electronically through KUMC’s secure REDCap platform where data was stored.Results: Eleven out of 22 providers responded to the questionnaire and survey. Data was analyzed using descriptive statistics and results were shared with the research team and organizational leadership along with recommendations for applying the evaluation tool into practice. Survey findings indicated the current screening tool is not useful or feasible and is not accepted by providers. Years in practice had no relationship with readiness for practice change.Conclusions: This organization’s current screening tool is not useful, feasible, or accepted into practice by its providers. It was recommended to 1) Allow providers to have input in further tool revision, 2) Ensure provider and organizational stakeholder commitment to participating in continual instrument evaluation to enhance its utilization, and 3) Stress to providers the future financial fallout that will occur by not adhering to set guidelines.
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2022-05-31
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University of Kansas
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This item contains archived web content.
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895487_1.pdf
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Keywords
Nursing, acceptability, cardiac catheterization, feasibility, screening tool, usefulness