Critique of the Evidence-Based Practice in Pre-Hospital Delay

Table of Contents


The objective of this article is that of demonstrating several reasons for the extended pre-hospital delay in patients suffering from myocardial infarction. The authors have illustrated to a certain degree that various linked factors like the medical cover, availability of witnesses (relatives or family members at the time of attack), marital status overall health condition, the existence of any methodical illness, and alleged prejudice do play an incredibly significant role in extending the duration between the start of the health complication and hospitalization. On the other hand, additional research is needed to offer more complete and more reliable data about such factors.

Problem statement

The study was carried out with a view of determining the factors linked to an extended pre-hospital delay in patients suffering from severe myocardial infarction. It was found that death because of cardiovascular complications was significantly greater in patients hospitalized in local hospitals than those in fully equipped health centers. The problem presentation was linked to the title and appeared to be of academic importance. However, the problem was unclearly evident to the average reader, and it needed various readings to understand why the authors felt such kind of research to be performed. The study was restricted to the authors’ competencies and resources.

Significance of the problem to nursing practice

Severe myocardial infarction is among the key causes of death in people living in developed countries. Deaths because of cardiovascular complications are higher in patients admitted in local hospitals than those in fully equipped hospitals. The result following severe myocardial infarction differs with the speediness at which reperfusion treatment is given. In such a therapeutic intervention, the blood supply to the heart is reinstated back to normal. An agent that physically dissolves thrombi or expands blood vessels (vasodilator) is administered. Any delay to provide therapy may play a significant role in escalating the death levels of severe myocardial infarction and, therefore, ways of lowering delay durations can be put in place in both local and fully equipped hospitals.

Overall analysis and critique

The authors quoted an unclear literature review; however, various suitable references were utilized in the opening paragraphs. Such citations contributed to the general comprehension of the title and the objective of the study. The authors’ objective was well stated, and they decided to achieve it by interviewing patients in their institution. However, there was an obvious need for an in-depth appraisal of literature for developing the setting.

Regarding study design, the two-step random treatment was utilized to assign groups and therapy. The methodology utilized for gathering the information for this paper was vividly described. The tools and design were described, and the dependability constants of all potential outcomes were provided. The population utilized was sufficient. No explanation of the study tools was provided in the study design section.

Overall observations

This was an exceedingly in-depth study, especially for an evidence-based practice paper. For the most part, the article was well designed and well planned. There was an obvious need for an in-depth appraisal of literature for developing the setting. The paper did appear a bit complex in the reporting of findings because of the complex statistical processes applied. Further studies are required in other healthcare environments to see if similar results about myocardial infarction are obtained. Generally, it was an exceedingly remarkable and important contribution to the area of study.


Sarı, I., Acar, Z., Özer, O., Erer, B., Tekbaş, E., Üçer, E., M.D., Genç, A., Davutoğlu, V., & Aksoy, M. (2008). Factors associated with prolonged pre-hospital delay in patients with acute myocardial infarction. Arch Turk Soc Cardiol, 36(3), 156-162. Web.

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