Improving Cardiovascular Care for Women: An Evidenced‐Based Practice Project.

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 cardi...

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Publicado en:Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 22; no. 2; pp. 1 - 12
Autor principal: Babeaux, Rosemary T.
Formato: research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: John Wiley & Sons, Inc.
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        atl: Improving Cardiovascular Care for Women: An Evidenced‐Based Practice Project.
      aug:
        au: Babeaux, Rosemary T.
        affil: San Antonio Texas, , USA
      sug:
        subj:
          Implicit Bias Evaluation
          Implicit Bias Education
          Quality Improvement
          Cardiovascular Care
          Professional Practice, Evidence-Based
          Attitude of Health Personnel Evaluation
          Professional Knowledge
          Emergency Service
          Health Care Delivery
          Outcomes of Education
          Women
          Human
          United States
          Adult
          Middle Age
          Conceptual Framework
          Surveys
          Questionnaires
          Patient Preference
          Emergency Nurse Practitioners
          Outcome Assessment
          Electrocardiography
          Sex Factors
          Troponin
          Patient Centered Care
          Program Implementation
          Chi Square Test
          Wilcoxon Signed Rank Test
          Pearson's Correlation Coefficient
          Data Analysis Software
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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