{"title":"Improving Cardiovascular Care for Women: An Evidenced-Based Practice Project.","authors":"Rosemary T Babeaux","doi":"10.1111/wvn.70018","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Female patients with an acute cardiovascular event face a care disparity due to implicit bias (IB) by clinical providers in the emergency department (ED).</p><p><strong>Objective: </strong>The objective of this study is to evaluate and compare the effects of IB training on clinical practice change in the cardiac care of men versus women through education on IB, comparing attitudes of clinicians pre- and post-education. The implementation of the evidence-based practice project included 30 days after education. Attitudes and perceptions of the IB training were measured with a 10-item survey and open-ended feedback on the education for future use.</p><p><strong>Outcomes: </strong>The Wilcoxon signed-rank test demonstrated significant increases in staff knowledge post-education. Pearson chi-square tests used to evaluate educational effects for before and after education showed that younger female patients (under 50 years of age) had evidence of pre/post differences in frequency of electrocardiogram tests and desired changes in troponin lab assessments. Before the education, evidence of gender difference disparities, except for EKG testing and troponin labs for older patients, existed. Post-education, evidence of gender differences in medications used for younger patients was also revealed.</p><p><strong>Implications for practice: </strong>Education on IB creates awareness potentially altering cardiovascular care positively.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"22 2","pages":"e70018"},"PeriodicalIF":3.4000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Worldviews on Evidence-Based Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/wvn.70018","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Female patients with an acute cardiovascular event face a care disparity due to implicit bias (IB) by clinical providers in the emergency department (ED).
Objective: The objective of this study is to evaluate and compare the effects of IB training on clinical practice change in the cardiac care of men versus women through education on IB, comparing attitudes of clinicians pre- and post-education. The implementation of the evidence-based practice project included 30 days after education. Attitudes and perceptions of the IB training were measured with a 10-item survey and open-ended feedback on the education for future use.
Outcomes: The Wilcoxon signed-rank test demonstrated significant increases in staff knowledge post-education. Pearson chi-square tests used to evaluate educational effects for before and after education showed that younger female patients (under 50 years of age) had evidence of pre/post differences in frequency of electrocardiogram tests and desired changes in troponin lab assessments. Before the education, evidence of gender difference disparities, except for EKG testing and troponin labs for older patients, existed. Post-education, evidence of gender differences in medications used for younger patients was also revealed.
Implications for practice: Education on IB creates awareness potentially altering cardiovascular care positively.
期刊介绍：
The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings.
Worldviews on Evidence-Based Nursing is written especially for:
Clinicians
Researchers
Nurse leaders
Managers
Administrators
Educators
Policymakers
Worldviews on Evidence-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring:
Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings
Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare
Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership
Commentaries about current evidence-based practice issues and developments
A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing
Reviews of the latest publications and resources on evidence-based nursing and healthcare
News about professional organizations, conferences and other activities around the world related to evidence-based nursing
Links to other global evidence-based nursing resources and organizations.
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