Thrombolytic therapy in acute myocardial infarction -  the specific barriers related to `time' delays in the door to needle time at the Al Ain hospital

Pillay, Vathaniagee

dc.contributor.advisor	Heyns, T.	en
dc.contributor.advisor	Hattingh, S.P.	en
dc.contributor.author	Pillay, Vathaniagee	en
dc.date.accessioned	2009-08-25T10:45:31Z
dc.date.available	2009-08-25T10:45:31Z
dc.date.issued	2009-08
dc.date.submitted	2005-03-31	en
dc.identifier.citation	Pillay, Vathaniagee (2009) Thrombolytic therapy in acute myocardial infarction - the specific barriers related to `time' delays in the door to needle time at the Al Ain hospital, University of South Africa, Pretoria, <http://hdl.handle.net/10500/651>	en
dc.identifier.uri	http://hdl.handle.net/10500/651
dc.description.abstract	This study addresses the specific barriers related to time delays in the treatment of patients who suffered acute myocardial infarction at the Al Ain Hospital accident and emergency unit in the United Arab Emirates. A comprehensive background of the UAE is given for the benefit of students who have limited access to the background and challenges facing medical and nursing personnel in providing thrombolythic therapy to patients who suffered from acute myocardial infarction. The study will contribute to the continuous quality management and improvement of overall nursing and medical care of the AMI patient who is eligible for thrombolysis. An extensive literature review addresses the clinical manifestations and treatment of the patient suffering from AMI as well as the adverse effects of time delays in treatment during the acute phase of the disease. The researcher selected a quantitative, non-experimental descriptive and retrospective study. Data was collected by a structured instrument to gather the desired responses from the files of 457 selected patients admitted to the Al Ain Hospital. This study emphasizes the need to improve patient care by all health care personnel in an accident and emergency unit to prevent the delays in treatment in life threatening conditions such as myocardial infarction ensuring optimal and prompt time to thrombolyse. The improvement of awareness and commitment by health care providers such as nurses, doctors and ambulance personnel, can be achieved through education and training, commitment and dedication, absolute cooperation, collaboration and constant update on performance. Regular audits are essential with regard to door-to-needle time and performance of all health care providers. This study ultimately show that time constrains in attending to patients presenting with myocardial infarction should be addressed in utmost urgency.	en
dc.format.extent	1 online resource (x, 148 leaves)
dc.language.iso	en	en
dc.subject	Time delays in myocardial infarction	en
dc.subject	United Arab Emirates	en
dc.subject	National Heart Attack Alert Program	en
dc.subject	'Door-to-needle time'	en
dc.subject	Myocardial infarction	en
dc.subject	Thrombolysis	en
dc.subject	Thrombolythic therapy	en
dc.subject.ddc	616.12370095357
dc.subject.lcsh	Thrombolytic therapy -- United Arab Emirates
dc.subject.lcsh	Myocardial infarction -- United Arab Emirates
dc.subject.lcsh	Hospital patients -- Services for -- United Arab Emirates
dc.subject.lcsh	Emergency nursing -- United Arab Emirates
dc.title	Thrombolytic therapy in acute myocardial infarction - the specific barriers related to `time' delays in the door to needle time at the Al Ain hospital	en
dc.type	Dissertation	en
dc.description.department	Health Studies	en
dc.description.degree	M. A. (Health Studies)	en