Design of guidelines evidence-based nursing care in patients with angina pectoris

Evidence-based clinical guidelines effectively guide medical teams and nurses to increase the quality of clinical work. Designing evidence-based guidelines in critical care units, especially in cardiac care unit is much more needed. Therefore, this study was conducted to design evidence-based nursing care guidelines for patients with angina pectoris. This descriptive-comparative study was conducted in two cardiac care units in Baqiyatallah Hospital in Tehran in 1390. First, the quality of 30 available care guidelines was investigated via a checklist designed by the researcher in three levels: good, average and poor. Then nursing care guidelines were designed based on Stetler model with an evidence-based approach and their quality was re-investigated. Finally, the collected data was analyzed by the help of descriptive statistics and using SPSS 17 software. Quality of 26.7 % of the available guidelines was found out to be poor and 73.3 % was proven to be average. After designing the guidelines, this number increased to 100 %. Finally, an eight evidence-based nursing care guideline was designed for patients with angina pectoris. Since the available guidelines are of low quality, designing evidence-based care guidelines can improve nursing care.