[01] Ahmed Abdalla Jaralnabi, AL-Ghad International College for Applied Medical Sciences, Nursing Department, Jeddah, Saudi Arabia. [02] Sami Atawi, AL-Ghad International College for Applied Medical Sciences, Nursing Department, Jeddah, Saudi Arabia. [03] Waleed Idris Sagiron, College of Applied Medical Sciences, Nursing Department, Shaqra University, Shaqra, Saudi Arabia. [04] Nader Alasmari, Department of European Languages, King Abdul-Aziz University, Jeddah, Saudi Arabia. [05] Hussain Alasmari, Department of European Languages, King Abdul-Aziz University, Jeddah, Saudi Arabia.

BACKGROUND: This is triangulation method including experimental approach was done to evaluate the effectiveness of education program on nurses' knowledge, attitudes and intentions towards Myocardial infarction prevention and treatment. The study was conducted in three governmental hospitals OBJECTIVE: This study assessed and examined the Effect of education program on nurses' knowledge, attitudes and intentions towards Myocardial infarction (MI) prevention and treatment. METHODS: Triangulation method including experimental approach using before-after test design and focus group were used. A total of 194 nurses were recruited from three hospitals, Nurses’ knowledge about myocardial infarction was measured by MI knowledge test, while attitudes and intentions were measured by MI survey. Repeated measures, t-test and ANOVA were used to assess and examine the influence of an educational program and the relationship of a set of independent variables on nurses' knowledge, to obtain more in depth information about the topic, focus group method was used, The thematic analysis guided by Krueger steps was used in analysing the qualitative data produced through the focus group. RESULTS: The study results showed that an educational program improves nurses' knowledge, attitudes and intentions towards MI prevention and treatment. The mean scores of nurses' knowledge for the experimental group improved significantly (P<.001) from (10.5) at pre-test to (15.26) at post-test. There were statistically significant improvements in the mean intentions scores from baseline (M = 12.5, SD = 3.8) to post-education (M = 15.1, SD = 2.5). Paired t test showed statistically significant difference between pre and post intention scores of the experimental group (t = -6.7, P = <0.001). Finding from the focus group revealed the following four themes: lack of accurate information about myocardial infarction among nurses, positive nurse values toward MI prevention and treatment, experiences and tradition guiding nursing care, and barriers, short staff, lack of time and materials prevented nurses from implementing MI prevention and treatment. CONCLUSIONS: The educational program conduction improved nurses’ knowledge, attitudes and intentions towards MI prevention and treatment which can lead to improve the nursing quality care and decrease cost and human suffering. The study results indicated that there is a need for conducting updated- programs for all nurses to keep the nurses' knowledge on MI built on evidence and routinely assess to improve patient outcome, also, findings guide hospitals and health care agencies to develop institutional protocols and national guidelines that can improve nurses' care practices.

Myocardial Infarction (MI), Knowledge, Attitudes, Intentions, Prevention and Treatment

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