Influence of Clinician-Related Factors on Adherence to the American Heart Association Guidelines for Acute Coronary Syndrome among Clinicians at Kenya Ports Authority clinics in Mombasa, Kenya.
(1) Mount Kenya University
(2) Mount Kenya University
(*) Corresponding Author
Abstract
Acute Coronary Syndrome encompasses a spectrum of coronary artery diseases, including Unstable Angina, ST-segment-Elevation Myocardial infarction, and Non-ST Elevation Myocardial Infarction. Standard clinical guidelines like Advanced Cardiac Life Support by American Heart Association are put in place to guide the clinicians in the management of the Acute Coronary Syndrome to improve the outcomes among the patients. The main purpose of the study was to assess influence of clinician-related factors on adherence to the American Heart Association guidelines for Acute Coronary Syndrome among clinicians at Kenya Ports Authority clinics in Mombasa, Kenya. A descriptive cross-sectional study involving quantitative methods of data collection was adopted. The target population was 106 clinicians attending to patients who present with Acute Coronary Syndrome at the KPA clinics in Mombasa. Data analysis was done using Statistical Package for Social Sciences version 25 and presented via graphs, charts, and tables. The study recommends that the KPA management should increase the medical budget to ensure availability of adequate resources for ACS patient management. These resources include adequate staffing, medication, equipment, and staff training costs. The Clinic management should ensure that medications such as aspirin, morphine and nitroglycerine are readily available and accessible at patients care points. The KPA Clinic management to formulate a simple algorithm that outlines the steps to be taken when managing ACS patients. The study further recommends random assessments and post care audits to assess the adherence to ACS guidelines among clinicians.
Keywords
References
Abass, N. I., & Soliman, M. T. (2020). Effect of Implementing Advanced Cardiovascular Life Support (ACLS) Guidelines 2016 on Nurse’s Knowledge and Performance. American Journal of Nursing Research, Vol. 8, 2020, Pages 534-542, 8(5), 534–542. https://doi.org/10.12691/AJNR-8-5-6
Alhabib KF, Kinsara AJ, Alghamdi S, Al-Murayeh M, Hussein GA, AlSaif S, et al. The first survey of the Saudi Acute Myocardial Infarction Registry Program: Main results and long-term outcomes (STARS-1 Program). PloS one. 2019;14(5):e0216551.
Anderson, B. R. (2017). Improving health care by embracing systems theory. Journal of Thoracic and Cardiovascular Surgery, 152(2), 593–594. https://doi.org/10.1016/J.JTCVS.2016.03.029
Apple, F. S., Collinson, P. O., Kavsak, P. A., Body, R., Ordóñez-Llanos, J., Saenger, A. K.,... & IFCC Committee on Clinical Applications of Cardiac Bio-Markers. (2021). Getting cardiac troponin right: appraisal of the 2020 European Society of Cardiology guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation by the International Federation of Clinical Chemistry and Laboratory Medicine Committee on Clinical Applications of Cardiac Bio-Markers. Clinical Chemistry, 67(5), 730–735.
Bahiru, E., Temu, T., Gitura, B., Farquhar, C., Huffman, M. D., & Bukachi, F. (2018). Presentation, management and outcomes of acute coronary syndrome: a registry study from Kenyatta National Hospital in Nairobi, Kenya. Cardiovascular journal of Africa, 29(4), 225–230.
Barth, J. H., Langlois, M. R., Twomey, P. J., Misra, S., Aakre, K. M., Watine, J., & Oosterhuis, W. P. (2016). Mini Review Why are clinical practice guidelines not followed? Clin Chem Lab Med, 54(7), 1133–1139. https://doi.org/10.1515/cclm-2015-0871
Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., ... & Muntner, P. (2018). Heart disease and stroke statistics—2018 update: a report from the American Heart Association. circulation, 137(12), e67–e492.
Doroodchi, H., Abdolrasulnia, M., Foster, J. A., Foster, E., Turakhia, M. P., Skelding, K. A., ... & Casebeer, L. L. (2008). Knowledge and attitudes of primary care physicians in the management of patients at risk for cardiovascular events. BMC family practice, 9(1), 1–9.
Engel, J., L Damen, N., van der Wulp, I., C de Bruijne, M., & Wagner, C. (2017). Adherence to cardiac practice guidelines in the management of non-ST-elevation acute coronary syndromes: a systematic literature review. Current cardiology reviews, 13(1), 3-27.
Erlikh, A. D., Kharchenko, M. S., Barbarash, O. L., Kashtalap, V. V., Zykov, M. V., Pecherina, T. B.,... & Gratsianski, N. A. (2017).
Adherence to guidelines on management of acute coronary syndrome in Russian hospitals and outcomes of hospitalization (data from the RECORD-2 Registry). Kardiologiia, 53(1), 14–22.
Fischer, F., Lange, K., Klose, K., Greiner, W., & Kraemer, A. (2016). Barriers and Strategies in Guideline Implementation—A Scoping Review. Healthcare 2016, Vol. 4, Page 36, 4(3), 36. https://doi.org/10.3390/HEALTHCARE4030036
Francke, A. L., Smit, M. C., De Veer, A. J. E., & Mistiaen, P. (2008). Factors influencing the implementation of clinical guidelines for health care professionals: A systematic meta-review. BMC Medical Informatics and Decision Making, 8. https://doi.org/10.1186/1472-6947-8-38
Fürthauer, J., Flamm, M., & Sönnichsen, A. (2013). Patient and physician-related factors of adherence to evidence-based guidelines in diabetes mellitus type 2 and cardiovascular disease and prevention: a cross-sectional study. BMC Family Practice, 14, 47. https://doi.org/10.1186/1471-2296-14-47
Galaviz, K. I., Colasanti, J. A., Kalokhe, A. S., Ali, M. K., Ofotokun, I., & Fernandez, A. (2022). Factors associated with adherence to guideline-recommended cardiovascular disease prevention among HIV clinicians. Translational behavioral medicine, 12(1), ibab125.
Guo, J. J., Chen, Y., Du, W., Peng, H., Wang, R., Xia, Y., ... & Papadimitropoulos, E. A. (2016). Antithrombotic Therapy and Direct Medical Costs in Patients with Acute Coronary Syndrome in Shanghai, China. Value in health regional issues, 9, 93–98.
Healthcare 2.8 (2020): 77–86
Hertz, J. T., Kweka, G. L., Manavalan, P., Watt, M. H., & Sakita, F. M. (2020). Provider-perceived barriers to diagnosis and treatment of acute coronary syndrome in Tanzania: a qualitative study. International health, 12(2), 148–154.
Indira. (1989). General systems theory. Narayana Nursing Journal, 28(3), 36–40. https://doi.org/10.4324/9781849771917-7
Jiang, V., Marshall Brooks, E., Tong, S. T., Heintzman, J., & Krist, A. H. (2020). Factors Influencing Uptake of Changes to Clinical Preventive Guidelines. Journal of the American Board of Family Medicine : JABFM, 33(2), 271. https://doi.org/10.3122/JABFM.2020.02.190146
Jones, J. A., & Reeve, C. A. (2018). Factors influencing the use of clinical guidelines by general practitioners working in a setting of complex multimorbidity: a case study by interviews. BMC Family Practice, 19(1), 157. https://doi.org/10.1186/S12875-018-0834-2
Kakou-Guikahue, M., N’Guetta, R., Anzouan-Kacou, J. B., Kramoh, E., N’Dori, R., Ba, S. A., ... & Monsuez, J. J. (2016). Optimizing the management of acute coronary syndromes in sub-Saharan Africa: A statement from the AFRICARDIO 2015 Consensus Team. Archives of cardiovascular diseases, 109(6-7), 376-383.
Luz Omaira Gómez Tovar., et al. “Factors Affecting Treatment Adherence of Patients in a Cardiac Care Unit”. EC Nursing and
Luz Omaira Gómez Tovar., et al. “Factors Affecting Treatment Adherence of Patients in a Cardiac Care Unit”. EC Nursing and
Luz, O., Lina, A., Maria, A., & Wilmar, M. (2020): Factors Affecting Treatment Adherence of Patients in a Cardiac Care Unit”. EC Nursing and Healthcare (2), 8; 77–86.
Maher, D., Ford, N., & Unwin, N. (2018). Priorities for developing countries in the global response to non-communicable diseases. Globalization and health, 8(1), 1–8.
McGinty, J., & Anderson, G. (2008). Predictors of physician adherence with American Heart Association guidelines for acute myocardial infarction. Critical Care Nursing Quarterly, 31(2), 161–172.
Members, W. C., Gulati, M., Levy, P. D., Mukherjee, D., Amsterdam, E., Bhatt, D. L., ... & Shaw, L. J. (2021). 2021
AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology, 78(22), 2218-2261.
Ministry of Health, Kenya (2018). Kenya National Guidelines for Cardiovascular Diseases Management. Division of Non-Communicable Diseases.
Mozaffarian, D. (2016). Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: a comprehensive review. Circulation, 133(2), 187–225.
National Institute for Health and Care Excellence. (2020). Acute coronary syndromes (NICE Guideline 185).
Pallangyo, P., Millinga, J., Bhalia, S., Mkojera, Z., Misidai, N., Swai, H. J.,... & Janabi, M. (2020). Medication adherence and survival among hospitalized heart failure patients in a tertiary hospital in Tanzania: a prospective cohort study. BMC research notes, 13(1), 1–8.
Rajesh, D. (2019). Adherence to the Standard Guidelines for Management of Acute Coronary Syndrome—Tertiary Care Center Study. International Journal of Contemporary Medical Research, (6), 12, 13–18.
Ralapanawa, U., & Sivakanesan, R. (2021). Epidemiology and the magnitude of coronary artery disease and acute coronary syndrome: A narrative review. Journal of Epidemiology and Global Health, 11(2), 169.
Sasaki, N., Yamaguchi, N., Okumura, A., Yoshida, M., Sugawara, H., Shin, J. Ho, Kunisawa, S., & Imanaka, Y. (2020). Factors affecting the use of clinical practice guidelines by hospital physicians: the interplay of IT infrastructure and physician attitudes. Implementation Science, 15(1), 1–10. https://doi.org/10.1186/S13012-020-01056-1/TABLES/4
Schiavone, M., Gobbi, C., Biondi-Zoccai, G., D’Ascenzo, F., Palazzuoli, A., Gasperetti, A.,... & Forleo, G. B. (2020). Acute coronary syndromes and COVID-19: exploring the uncertainties. Journal of Clinical Medicine, 9(6), 1683.
Shavadia, J., Yonga, G., & Otieno, H. (2015). A prospective review of acute coronary syndromes in an urban hospital in sub-Saharan Africa: cardiovascular topics. Cardiovascular Journal of Africa, 23(6), 318–321.
Sorato, M. M., Davari, M., Kebriaeezadeh, A., Sarrafzadegan, N., Shibru, T., & Fatemi, B. (2021). Reasons for poor blood pressure control in eastern sub-Saharan Africa: looking into 4P’s (primary care, professional, patient, and public health policy) for improving blood pressure control: a scoping review. BMC cardiovascular disorders, 21(1), 1–15.
Tolassi, A. (2022). Associations between treatment-seeking delay and clinical course of patients with suspected acute coronary syndrome at initial emergency department encounters (Doctoral dissertation, University of Pittsburgh).
Weston, S. J., Graham, E. K., Turiano, N. A., Aschwanden, D., Booth, T., Harrison, F.,... & Mroczek, D. K. (2017). Is healthy neuroticism associated with chronic conditions? coordinated integrative data analysis. Collabra: Psychology, 6(1).
WHO. (2016). Technical package for cardiovascular disease management in primary health care. Report.
World Health Organization (2020). The Global Health Observatory (GHO). [Online] 2020. https://www.who.int/data/gho/.
World Health Organization (2020). The top 10 causes of death [Internet]. Available at: https://www.who.int/news‐room/fact‐sheets/detail/the‐top‐10‐causes‐of‐death. Accessed July 7, 2020.
World Health Organization. (2018). Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. Geneva, Switzerland: WHO, 2010.
Article Metrics
Abstract view : 17 timesRefbacks
- There are currently no refbacks.
Copyright (c) 2024 Mary Kavinya Mailu, Ruth Mbugua
This work is licensed under a Creative Commons Attribution 4.0 International License.
Universitas Muhammadiyah Semarang
Kedungmundu Raya Street No. 18 Semarang, NRC Building Universitas Muhammadiyah Semarang
Phone: 02476740287
Fax: 02476740287
Email: [email protected]