Knowledge of Patient Safety and Post–Cardiac Catheterization Care among Nurses in Jordan: A Cross-Sectional Study

Abstract

Background: Cardiovascular disease remains the leading cause of morbidity and mortality worldwide and represents a growing public health concern in Jordan. After the catheterization, the patient is under the nurses’ monitoring and it is the nurses who have to take care of the patient in order to protect his safety and to manage his post-procedural care. Unfortunately, there is a lack of evidence regarding the level of knowledge of the Jordanian nurses regarding patients’ safety and post-procedural care of their patients who underwent catheterization.

Aim: To assess nurses’ knowledge regarding patient safety and post-cardiac catheterization care and identify demographic and professional factors associated with knowledge levels.

Methods: A descriptive cross-sectional study was conducted on a sample of 96 nurses from the critical care and cardiac units of a three hospitals in Amman, Jordan. The data were collected using a structured questionnaire that measured the knowledge across three domains: patient safety principles, post-cardiac catheterization care, and identification and management of complications. The data were analyzed using descriptive statistics and multiple linear regression.

Results: The overall mean knowledge score was 7.60 ± 1.91 out of 10. Good knowledge was demonstrated by 64.6% of participants, while 22.9% and 12.5% demonstrated moderate and poor knowledge, respectively. The highest performance was observed in the post-cardiac catheterization care domain (3.44 ± 0.82), whereas the lowest score was recorded for identification and management of complications (1.45 ± 0.56). Regression analysis indicated that gender (β = 0.09, p = .41), previous training (β = 0.15, p = .12), and educational qualification (β = −0.03, p = .77) were not significant predictors of knowledge. The overall model was not statistically significant, F(3,92) = 1.25, p = .297, explaining only 4% of the variance in knowledge scores (R² = .04).

Conclusion: Most nurses demonstrated adequate knowledge regarding patient safety and post-cardiac catheterization care. There are a few areas of recognition and management of complications where there are knowledge/skill deficits. Using a competency based education model, including the use of simulation, and supporting on going professional development will prepare nurses to provide the best care to patients and families in cardiac care settings across Jordan.