Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive study
Background: Acute phase cardiac rehabilitation has become integral to acute coronary syndrome hospitalization standard of care. However, its implementation may face barriers, and acute-phase cardiac rehabilitation practices among nurses in Egypt have yet to be evaluated. Aim and objective: To explor...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-01-01
|
| Series: | International Journal of Africa Nursing Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214139122000361 |
| _version_ | 1811254880709378048 |
|---|---|
| author | Fatma Refaat Ahmed Rawia Gamil Abdelhamid Azza Hamdi El-Soussi Mohannad Eid AbuRuz Muhammad Arsyed Subu Jacqueline Maria Dias Mohamed Ibrahim Sanhoury |
| author_facet | Fatma Refaat Ahmed Rawia Gamil Abdelhamid Azza Hamdi El-Soussi Mohannad Eid AbuRuz Muhammad Arsyed Subu Jacqueline Maria Dias Mohamed Ibrahim Sanhoury |
| author_sort | Fatma Refaat Ahmed |
| collection | DOAJ |
| description | Background: Acute phase cardiac rehabilitation has become integral to acute coronary syndrome hospitalization standard of care. However, its implementation may face barriers, and acute-phase cardiac rehabilitation practices among nurses in Egypt have yet to be evaluated. Aim and objective: To explore coronary care nurses’ acute-phase cardiac rehabilitation awareness and perceived barriers to cardiac rehabilitation practices among patients with acute coronary syndrome. Design: This study used a descriptive observational research design. Methods: Convenience sampling was used, with the final sample including 25 nurses and 100 patients. Three self-administered tools were used to collect data: 1) a background questionnaire, including sociodemographic information; 2) activities of daily living questionnaire and an observational checklist to measure tolerance to physical activity; 3) an 18-item questionnaire to identify barriers to the practice of acute-phase cardiac rehabilitation. Descriptive statistics were used to analyze data. Results: Only 54% of the patients performed activities of daily living independently. Nurses had low awareness of the benefits of cardiac rehabilitation, its core components, phases, guidelines, and recommendations. Organization-related barriers ranked highest among the barriers to practice experienced by nurses (93.67 ± 13.45), followed by patient- (64.0 ± 24.73), and healthcare professional-related barriers (63.67 ± 27.83). Conclusion: Barriers related to patients, healthcare professionals, and organizations were identified as the greatest hinders to acute-phase cardiac rehabilitation practices among nurses in Egypt. Frequent assessment of these barriers in different healthcare contexts is needed. |
| first_indexed | 2024-04-12T17:14:28Z |
| format | Article |
| id | doaj.art-a3fbb6c9db034bd8a567a3b4a47874cb |
| institution | Directory Open Access Journal |
| issn | 2214-1391 |
| language | English |
| last_indexed | 2024-04-12T17:14:28Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Africa Nursing Sciences |
| spelling | doaj.art-a3fbb6c9db034bd8a567a3b4a47874cb2022-12-22T03:23:42ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912022-01-0116100429Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive studyFatma Refaat Ahmed0Rawia Gamil Abdelhamid1Azza Hamdi El-Soussi2Mohannad Eid AbuRuz3Muhammad Arsyed Subu4Jacqueline Maria Dias5Mohamed Ibrahim Sanhoury6Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAE; Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Egypt; Corresponding author at: Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAE.Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, EgyptDepartment of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, EgyptDepartment of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAEDepartment of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAEDepartment of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAEDepartment of Cardiology and Angiology, Faculty of Medicine, Alexandria University, EgyptBackground: Acute phase cardiac rehabilitation has become integral to acute coronary syndrome hospitalization standard of care. However, its implementation may face barriers, and acute-phase cardiac rehabilitation practices among nurses in Egypt have yet to be evaluated. Aim and objective: To explore coronary care nurses’ acute-phase cardiac rehabilitation awareness and perceived barriers to cardiac rehabilitation practices among patients with acute coronary syndrome. Design: This study used a descriptive observational research design. Methods: Convenience sampling was used, with the final sample including 25 nurses and 100 patients. Three self-administered tools were used to collect data: 1) a background questionnaire, including sociodemographic information; 2) activities of daily living questionnaire and an observational checklist to measure tolerance to physical activity; 3) an 18-item questionnaire to identify barriers to the practice of acute-phase cardiac rehabilitation. Descriptive statistics were used to analyze data. Results: Only 54% of the patients performed activities of daily living independently. Nurses had low awareness of the benefits of cardiac rehabilitation, its core components, phases, guidelines, and recommendations. Organization-related barriers ranked highest among the barriers to practice experienced by nurses (93.67 ± 13.45), followed by patient- (64.0 ± 24.73), and healthcare professional-related barriers (63.67 ± 27.83). Conclusion: Barriers related to patients, healthcare professionals, and organizations were identified as the greatest hinders to acute-phase cardiac rehabilitation practices among nurses in Egypt. Frequent assessment of these barriers in different healthcare contexts is needed.http://www.sciencedirect.com/science/article/pii/S2214139122000361Acute phase cardiac rehabilitationAcute coronary syndromeEgyptQuality of lifePhysical activity |
| spellingShingle | Fatma Refaat Ahmed Rawia Gamil Abdelhamid Azza Hamdi El-Soussi Mohannad Eid AbuRuz Muhammad Arsyed Subu Jacqueline Maria Dias Mohamed Ibrahim Sanhoury Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive study International Journal of Africa Nursing Sciences Acute phase cardiac rehabilitation Acute coronary syndrome Egypt Quality of life Physical activity |
| title | Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive study |
| title_full | Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive study |
| title_fullStr | Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive study |
| title_full_unstemmed | Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive study |
| title_short | Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive study |
| title_sort | barriers to cardiac rehabilitation physical activities practices an observational descriptive study |
| topic | Acute phase cardiac rehabilitation Acute coronary syndrome Egypt Quality of life Physical activity |
| url | http://www.sciencedirect.com/science/article/pii/S2214139122000361 |
| work_keys_str_mv | AT fatmarefaatahmed barrierstocardiacrehabilitationphysicalactivitiespracticesanobservationaldescriptivestudy AT rawiagamilabdelhamid barrierstocardiacrehabilitationphysicalactivitiespracticesanobservationaldescriptivestudy AT azzahamdielsoussi barrierstocardiacrehabilitationphysicalactivitiespracticesanobservationaldescriptivestudy AT mohannadeidaburuz barrierstocardiacrehabilitationphysicalactivitiespracticesanobservationaldescriptivestudy AT muhammadarsyedsubu barrierstocardiacrehabilitationphysicalactivitiespracticesanobservationaldescriptivestudy AT jacquelinemariadias barrierstocardiacrehabilitationphysicalactivitiespracticesanobservationaldescriptivestudy AT mohamedibrahimsanhoury barrierstocardiacrehabilitationphysicalactivitiespracticesanobservationaldescriptivestudy |