The development of a self-directed learning resource for coronary care nurses caring for adult patients with cardiogenic shock

Neil, Susan J. (2023) The development of a self-directed learning resource for coronary care nurses caring for adult patients with cardiogenic shock. Practicum Report. Memorial University of Newfounland. (Unpublished)

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Abstract

Background: Coronary care nurses require specialized nursing skills and knowledge to care for critically ill cardiovascular patients with cardiogenic shock (CS). Informal discussions with an intentional sample of coronary care nurses outlined a need for more education and resources related to the nursing care of adult patients at risk for and who develop CS. Purpose: The purpose of the practicum project was to develop a self-directed learning resource for nurses providing direct care to adult patients with CS in the coronary care unit at the Health Sciences Centre, Eastern Health (EH). Methods: 1) a literature review, 2) an environmental scan, 3) consultations with nurse educators and nurses, and 4) the development of a self-directed learning resource. Results: The literature review findings supported the belief that nurses have knowledge gaps related to CS nursing care and that a self-directed learning resource is an effective educational strategy for nurses. The environmental scan revealed a variety of learning resources related to CS, but a lack of comprehensive learning resources targeting coronary care nurses was also identified. Consultations supported the development of the resource and informed relevant content for inclusion within the resource. The findings were utilized to develop the self-directed learning resource consisting of four modules: 1) an overview of CS, 2) hemodynamic monitoring and the nursing care of a pulmonary artery catheter, 3) vasoactive medications, and 4) the intra-aortic balloon pump. Conclusion: The self-directed learning resource was developed in a paper format with an implementation plan to create a computer-based resource available on the Learning Management System at EH. The aim is for coronary care nurses to complete the self-directed learning resource to meet their individualized learning needs related to caring for adult patients at risk for and who develop CS.

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