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Adherence to a guideline on cardiovascular prevention: a comparison between general practitioners and practice nurses

Helene R Voogdt-Pruis1, Jan W Van Ree, Anton P M Gorgels

  • 1Department of Integrated Care, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, The Netherlands. hrvoogdt@gmail.com

International Journal of Nursing Studies
|December 24, 2010
PubMed

Insights

Practice nurses demonstrated better adherence to cardiovascular prevention guidelines than general practitioners, providing more lifestyle interventions. Patient compliance with treatment did not differ between groups, highlighting a need for improved caregiver adherence to guidelines.

Area of Science:

  • Cardiovascular disease prevention
  • Primary healthcare research
  • Clinical guideline adherence

Background:

  • Patient non-compliance and caregiver non-adherence to guidelines hinder cardiovascular prevention success.
  • Differences in guideline application between general practitioners and practice nurses are not well understood.
  • Patient treatment compliance may vary based on the type of healthcare provider.

Purpose of the Study:

  • To compare the adherence of practice nurses and general practitioners to cardiovascular prevention guidelines.
  • To evaluate differences in the delivery of cardiovascular care between nurses and doctors.

Main Methods:

  • A randomized trial involving 701 high-risk patients across six primary healthcare centers in the Netherlands.
  • Patients received care from either general practitioners or practice nurses, following the Dutch guideline on cardiovascular prevention.
  • Data were collected via patient questionnaires and practice databases.

Main Results:

  • Practice nurses achieved higher intervention rates (77%) compared to general practitioners (57%).
  • Practice nurses delivered more lifestyle interventions (46%) than general practitioners (13%).
  • Patients under practice nurse care were more likely to use cardiovascular drugs after one year.

Conclusions:

  • Practice nurses showed superior adherence to cardiovascular prevention guidelines compared to general practitioners.
  • Practice nurses were more effective in providing lifestyle intervention advice.
  • Both healthcare providers should regularly assess patient adherence to medical treatment.
Abstract

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