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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Published on: April 19, 2019

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

Ritin S Fernandez1, Patricia Davidson, Rhonda Griffiths

  • 1South Western Sydney Centre for Applied Nursing Research, New South Wales, Australia. ritin.fernandez@sswahs.nsw.gov.au

The Journal of Cardiovascular Nursing
|August 30, 2008
PubMed

Insights

Cardiac rehabilitation coordinators identified patient barriers to guideline implementation after heart events. Key challenges include diagnosis acceptance, behavior change difficulties, and financial costs, impacting care delivery.

Area of Science:

  • Cardiology
  • Public Health
  • Nursing

Background:

  • Coronary heart disease (CHD) is a primary global cause of mortality and morbidity.
  • Evidence-based guidelines are crucial for secondary prevention after acute cardiac events.
  • Barriers to implementing these guidelines are well-documented, necessitating further investigation.

Purpose of the Study:

  • To explore cardiac rehabilitation (CR) coordinators' perspectives on patient-related barriers to guideline implementation post-acute cardiac event.
  • To identify specific patient-related obstacles hindering adherence to evidence-based cardiac care.

Main Methods:

  • A qualitative study involving 20 CR coordinators from New South Wales, Australia.
  • Semistructured interviews using open-ended questions to gather coordinator insights.
  • Content analysis of transcribed interviews to identify recurring themes.

Main Results:

  • Patient-related barriers frequently cited include difficulty accepting a heart disease diagnosis.
  • Challenges in modifying lifestyle behaviors and the financial burden of heart disease were prominent.
  • Other personal patient factors also emerged as significant obstacles.

Conclusions:

  • CR coordinators face patient-related barriers that impede guideline implementation despite positive attitudes.
  • Addressing these barriers is vital for enhancing CR participation and patient commitment to behavior change.
  • Policy adjustments and targeted nursing interventions are recommended to improve evidence-based care delivery for CHD patients.
Abstract

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