Knowledge and satisfaction in acute myocardial infarction management

Abstract

Acute Myocardial Infarction (AMI) remains a leading cause of mortality globally, necessitating timely and proficient clinical management. This study assesses the knowledge, clinical skills, and decision-making capabilities of internship doctors and registered nurses at Jordan University Hospital, aiming to identify gaps in AMI management and opportunities for improvement. A quantitative research design was employed, utilizing convenience sampling of 309 healthcare professionals. Data were collected through a structured questionnaire included both open- and close-ended items. Analytical methods included descriptive statistics, frequency tables, ANOVA tests, factor analysis, and t-tests. Further hypothesis testing was conducted using Pearson’s correlation, regression analysis, and t-tests on the selected sample. A pilot study was conducted to ensure the clarity and validity of the instrument, which was subsequently validated using Exploratory Factor Analysis (EFA) and assessed for reliability through Cronbach’s alpha test. Descriptive findings indicated that over 90% of participants demonstrated adequate knowledge of AMI management. Both internship doctors and registered nurses reported moderate satisfaction with the current cardiac courses (mean satisfaction score: 0.6796), although significant variations were observed between the two groups, indicating the need for role-specific educational strategies. This study identified ECG interpretation, emergency interventions, and simulation-based training as key areas for improvement in AMI management. Hypothesis testing identified statistically significant differences in AMI management competencies among occupational groups (p < 0.05). Additionally, a strong majority (94.5%) of participants endorsed the necessity of a structured educational package to enhance AMI management. The study concludes that continuous, role-specific training initiatives are essential to bridge existing knowledge and clinical competencies gaps in AMI care. Customized educational strategies and targeted support can improve interprofessional collaboration and clinical preparedness, ultimately leading to more effective and coordinated AMI management and improved patient outcomes. UNIVERSITI KEBANGSAAN MALAYSIA