Intensive care unit nurses simply need to be aware of monitoring because the intra-aortic balloon pump is a mechanical device that boosts the myocardial oxygen perfusion and cardiac output in cardiac patients. In our country, there were no written guidelines for nurses on how to check the patient properly. Objectives: To check the validity of standardized guidelines in small groups of nurses to provide interventions for preventing possible complications to reduce the length of stay in intensive care units. Methods: A Pilot study was carried out on 10 % of the total number of nurses (10 nurses in the interventional group and 10 in the control group of the implementation of standardized guidelines) who have been working at Punjab institute of cardiology hospital. The pilot study was done to test the applicability, transparency, consequence, and feasibility of the study tool and sequence of quotations to maintain consistency. The necessary modifications were done, and the final form is developed. Results: Reliability of standardized guidelines were excellent after using small group of these guidelines were implemented on large sample size 72 nurses were trained with the help of educational session and booklet made according to guidelines randomized control trail (RCT) according these guidelines nurses provide all care to patient with intra-aortic balloon pump speedy recovery and also reduce the length of stay in cardiac ICU. Conclusion: We concluded that these standardized guidelines should be implemented on a large sample of cardiac intensive care unit nurses.
Health care is an important sector of any country as it is related with public health. This article compares the healthcare delivery systems of two countries, Pakistan and Canada, with the aim of identifying similarities and differences and making recommendations for improvement. The study was conducted using a comparative approach, examining the healthcare systems' structures, policies, processes, and outcomes. The findings suggest that while both countries have strengths and weaknesses in their healthcare delivery systems, Canada's system is more comprehensive, with a higher level of access, quality, and equity. The study highlights the need for Pakistan to improve its healthcare system by increasing the availability of resources, strengthening the healthcare infrastructure, and ensuring the quality of care. The authors also suggest that Canada can improve its system by focusing on reducing healthcare costs, improving the efficiency of its system, and increasing access to care. This article provides valuable insights into the healthcare delivery systems of both countries and serves as a reference for policymakers and healthcare professionals seeking to improve the health outcomes of their populations.
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