title: The feasibility and utility of the aid to cardiac triage intervention to improve nurses' cardiac triage decisions.
abstract: BACKGROUND
  Despite the benefits of prompt treatment of myocardial infarction, gender disparities exist in emergency department (ED) nurses' cardiac triage decisions.
  
  
  OBJECTIVE
  To determine the feasibility and utility of the aid to cardiac triage (ACT) intervention designed to improve ED nurses' cardiac triage decisions for women with myocardial infarction.
  
  
  METHODS
  A prospective, exploratory design was used. To determine feasibility, we evaluated the 1-hour time allocated for the intervention and ED nurses' participation rates. Twenty-three participants completed a utility questionnaire at the completion of the 1-hour intervention, and 18 participants completed the questionnaire 3 months post-intervention.
  
  
  RESULTS
  The ACT intervention was delivered within 30 to 40 minutes, allowing 20 minutes for questions and discussion. ED nurses viewed the ACT intervention as a useful, helpful, and practical tool for improving their cardiac triage decisions at both intervention completion and 3 months later.
  
  
  CONCLUSIONS
  The evaluation supports the feasibility and utility of the ACT intervention.
authors.affiliation: University of Michigan, School of Nursing, Ann Arbor, Michigan 48109, USA. cmae@umich.edu
authors.forename: Cynthia
authors.initials: C
authors.lastname: Arslanian-Engoren
authors.forename: Bonnie
authors.initials: B
authors.lastname: Hagerty
authors.forename: Cathy L
authors.initials: CL
authors.lastname: Antonakos
authors.forename: Kim A
authors.initials: KA
authors.lastname: Eagle
mesh_terms: D000328:Adult; D000572:American Heart Association; D002637:Chest Pain; D003661:Decision Support Techniques; D016529:Emergency Nursing / Q000458:organization & administration*; D004636:Emergency Service, Hospital; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008824:Michigan; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000451:nursing* / Q000503:physiopathology; D009726:Nurses / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014218:Triage; D014481:United States