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"Background: Hispanic women may have an increased risk of developing significant heart disease at a younger age. The problem of increased cardiovascular risk is compounded by an overall lack of early screening. Purpose: To develop a nurse practitioner (NP) driven heart disease screening educational program based on existing American Heart Association (AHA) guidelines, and to instruct a community of emergency medical service (EMS) providers who could implement it in a large Hispanic community to reduce risk of CVD in Hispanic women Theoretical Framework: Kolb\u2019s theory of experiential learning. Methods: The project was divided into three phases: (Phase 1) development of course content and objectives; (Phase 2) implementation of the course and pre/post evaluation of EMS providers\u2019 knowledge/ability to screen for coronary heart disease (CHD) based on an existing CHD knowledge tool; and (Phase 3) conducting focus group interviews of select participants and data analysis. Results: Findings from Phase 2 revealed that after the NP driven educational curriculum was implemented, a statistically significant improvement was identified in both the Coronary Heart Disease in Women Knowledge posttest and Framingham risk assessment posttest scores. The significance value in both instances was .000, this data supports providing heart disease prevention education to EMS providers who can subsequently screen for CVD in the community. Focus group data collected in Phase 3 revealed commonalities among participants that encouraged further implementation of the NP-driven educational program, while identifying potential barriers in the actualization of the community screening and provided suggestions for future implementation and on-going research of the program. Conclusion: The Nurse Practitioner Implemented Curriculum for Heart Disease Screening and Prevention in Hispanic Women can be used as a framework for community healthcare providers aimed to improve healthcare delivery to Hispanic women."
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