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Exploring the implemented guidelines for dyslipidemia treatment and care among nurses and physicians: A qualitative
Rana Bani Salameh1,2, Ahmed Al-Smadi1,3, Omar Gammoh4
1Department of Adult Nursing Care, Faculty of Nursing, Al al-Bayt University, Al-Mafraq, Jordan.
Insights
Implementation of dyslipidemia management guidelines is limited among Jordanian healthcare professionals due to workload and resource barriers. National, context-specific guidelines are needed to improve care for ischemic heart disease risk factors.
Area of Science:
- Cardiology
- Public Health
- Healthcare Management
Background:
- Dyslipidemia is a significant global risk factor for ischemic heart disease.
- International guidelines (ACC/AHA, ESC/EAS) aim to manage cholesterol and reduce cardiovascular risk.
- Jordan lacks national guidelines, relying on international standards with limited implementation research.
Purpose of the Study:
- To explore the implementation of updated ACC/AHA and ESC/EAS dyslipidemia guidelines.
- To understand current practices among nurses and physicians in Jordan.
- To identify barriers and facilitators for guideline adherence.
Main Methods:
- Semi-structured focus group interviews were conducted.
- Open-ended questions explored current practices and guideline implementation.
- Participants included nurses and physicians in Jordan.
Main Results:
- Healthcare professionals strive to follow guidelines but face significant barriers.
- Key barriers include heavy workload, limited resources, and insufficient institutional support.
- Suggestions for improvement and a need for national guidelines were identified.
Conclusions:
- Dyslipidemia management guideline implementation is limited in Jordanian clinical practice.
- Barriers hinder effective adherence to international guidelines.
- National, context-specific guidance and system-level support are crucial for improving care.
Background:
Dyslipidemia is a major risk factor for ischemic heart disease worldwide. The most recent guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) and the European Society of Cardiology/European Atherosclerosis Society (ESC/EAS) aim to control cholesterol levels and reduce cardiovascular risk. In Jordan, where no national guidelines exist, international guidelines are commonly adopted. However, limited research has examined their implementation in clinical practice. This study aimed to explore the implementation of updated ACC/AHA and ESC/EAS guidelines for the treatment and care of dyslipidemia among nurses and physicians in Jordan.
Methods:
Semi-structured focus group interviews with open-ended questions were conducted to gain a deeper understanding of current practices and guideline implementation among nurses and physicians.
Results:
The focus group discussions revealed that healthcare professionals attempt to follow specific guidelines and achieve optimal treatment goals. However, several barriers, including a heavy workload, limited resources, and a lack of institutional support, hinder effective implementation. Participants also provided several suggestions to improve guideline implementation and expressed the need for national, context-specific dyslipidemia management guidelines in Jordan.
Conclusions:
The study found limited implementation of dyslipidemia management guidelines among Jordanian nurses and physicians in clinical practice. Findings highlight the need for national guidance and system-level support to facilitate better implementation.
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