Cardiac rehabilitation coordinators' perceptions of patient-related barriers to implementing cardiac evidence-based guidelines

The Journal of Cardiovascular Nursing
Ritin S FernandezRhonda Griffiths

Abstract

Coronary heart disease remains the leading cardiovascular cause of mortality and morbidity globally. Implementing evidence-based guidelines after a coronary event is vital to prevent recurrence of an acute episode. However, various barriers to guideline implementation have been identified. This article presents the perspective of cardiac rehabilitation (CR) coordinators regarding patient-related barriers to implementing the evidence-based guidelines after an acute cardiac event. Twenty CR coordinators from 4 geographic regions of New South Wales, Australia, participated in the study. A semistructured interview using open-ended questions was used to obtain the CR coordinator's perspectives of the patient-related barriers to guideline implementation. Interviews were transcribed, and content analysis was undertaken. The most frequently identified patient-related barriers were (a) coming to terms with a diagnosis of heart disease, (b) challenges in changing behavior, (c) having heart disease is costly, and (d) other personal barriers. Despite CR coordinators having positive attitudes toward implementing evidence-based guidelines, several patient-related barriers were identified that obstructed the implementation process. The findin...Continue Reading

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Citations

Aug 17, 2011·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Regine WoltersRolf Kreienberg
Feb 2, 2010·The Breast : Official Journal of the European Society of Mastology·Achim WöckelDominic Varga
Dec 1, 2009·Heart & Lung : the Journal of Critical Care·Ritin Santiago FernandezYenna Salamonson
Dec 17, 2008·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Ritin S FernandezYenna Salamonson
Feb 3, 2015·Journal of Advanced Nursing·Jan E AngusAlexander M Clark
Jul 3, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Ritin S FernandezYenna Salamonson
May 28, 2016·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Sheeba R NadarajahAnn Berger
May 11, 2016·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Núria SantaulariaTiny Jaarsma

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