The Needs Of Care Quality Improvement For Acute Coronary Syndrome Patients In Emergency Department: Nurse Perspective

Abstract

Background: The inadequacy in providing care for patients with the acute coronary syndrome is still a problem in an emergency department. The high rate of morbidity and mortality of ACS patients in Indonesia, which are not balanced with standardized care needs will give effect to nurses in implementing the health care system. Re-evaluation needs to be done by hospital management related to the requirements that must be given by nurse thus it will not have an impact on the decreasing quality of care service. The aim of this study to explore the need to improve the quality of nursing for acute coronary syndrome (ACS) patients in an emergency department. Methods: This is a qualitative phenomenological study with purposive sampling techniques at 8 emergency nurses and semi-structured interviews. Thematic analysis was used to analyze the data. Result: This research generates two themes: first, the basic needs of nurses that have not been fulfilled and, second, the needs of care planning. The theme of the nurses' basic needs includes rewards and performance recognition while the care planning consists of nurse personnel needs, equipment improvement, and the update of ACS management SOP (Standard Operational Procedure). Conclusion: The importance of identifying service needs includes basic needs and careful planning. It is expected that the stakeholders of the hospital should pay more attention to the nurses’needs when doing the service as an effort to improve patient satisfaction.