Integrating nursing, pharmacy, and health records in Advanced Cardiovascular Life Support (ACLS) Protocols

Best practices for emergency responders in cardiology

https://doi.org/10.53730/ijhs.v8nS1.15061

Authors

  • Noor Fahad Alshuraim KSA, National Guard Health Affairs
  • Manal Nasser Almasad KSA, National Guard Health Affairs
  • Shayem Hamdan Alharbi KSA, National Guard Health Affairs
  • Fahad Madallah Alnuwmasiu KSA, National Guard Health Affairs
  • Fares Motalq Alonazi KSA, National Guard Health Affairs
  • Mohammed Nuhayr Alwahdani KSA, National Guard Health Affairs
  • Nasser Sihli Alshammary KSA, National Guard Health Affairs

Keywords:

Telehealth, Coronary Heart Disease (CHD), Nursing Interventions, Patient Care, Risk Factors, Rehabilitation Techniques

Abstract

Background: Cardiovascular illnesses are a leading cause of mortality globally, with coronary heart disease (CHD) being a common cardiovascular disorder that poses a significant health burden on communities. CHD is characterized by inadequate blood supply to the heart due to plaque buildup in the coronary arteries, resulting in chest discomfort, heart attacks, and potentially fatal outcomes. Aim of Work: The aim of the research is to recognize the risk factors contributing to CHD, explore prevention methods, evaluate suitable treatment options, and identify effective rehabilitation techniques, particularly focusing on the role of nursing care in managing patients with this condition. Methods: A comprehensive electronic search was conducted across six databases (PubMed, Web of Science, Scopus, MEDLINE, Cochrane Library, and Embase) up to 2018. The present research involved a comprehensive analysis of existing literature to examine effective nursing interventions and care strategies for patients with coronary heart disease, including monitoring, education, and emotional support. Results: Nurses play a crucial role in managing CHD by monitoring vital signs, administering medications, conducting diagnostic tests, and ensuring patients receive timely and appropriate therapies. 

Downloads

Download data is not yet available.

References

Ralapanawa U, Sivakanesan R. Epidemiology and the Magnitude of Coronary Artery Disease and Acute Coronary Syndrome: A Narrative Review . J Epidemiol Glob Health. 2021;2(11):169–77–169–77. DOI: https://doi.org/10.2991/jegh.k.201217.001

Bauersachs R, Zeymer U, Brière JB, Marre C, Bowrin K, Huelsebeck M. Burden of Coronary Artery Disease and Peripheral Artery Disease: A Literature Review . Cardiovasc Ther. 2019;(2019):e8295054–e8295054. DOI: https://doi.org/10.1155/2019/8295054

Dobber J, Latour C, Snaterse M, van Meijel, Ter Riet, Scholte op, et al. Developing nurses' skills in motivational interviewing to promote a healthy lifestyle in patients with coronary artery disease . Eur J Cardiovasc Nurs. 2019;1(18):28–37–28–37. [PubMed] [Google Scholar] DOI: https://doi.org/10.1177/1474515118784102

Awoke MS, Baptiste DL, Davidson P, Roberts A, Dennison-Himmelfarb C. A quasi-experimental study examining a nurse-led education program to improve knowledge, self-care, and reduce readmission for individuals with heart failure . Contemp Nurse. 2019;1(55):15–26–15–26. DOI: https://doi.org/10.1080/10376178.2019.1568198

Badrooh A, Mozaffari N, Barikani A, Dadkhah B. The effect of individual and group education done by nurses on smoking dependency and smoking cessation motivation in patients with coronary artery disease . Addict Health. 2020;4(12):269–269.

Zhao Y, Wang X. Effect of integrated nursing care based on medical alliance mode on the prevention and treatment of complications and self-efficacy of patients with coronary heart disease after PCI . J Healthc Eng. 2022;(2022):7727953–7727953. DOI: https://doi.org/10.1155/2022/7727953

Jiang W, Zhang Y, Yan F, Liu H, Gao R. Effectiveness of a nurse-led multidisciplinary self-management program for patients with coronary heart disease in communities: A randomized controlled trial . Patient Educ Couns. 2020;4(103):854–63–854–63. DOI: https://doi.org/10.1016/j.pec.2019.11.001

Posadas-Collado G, Membrive-Jiménez MJ, Romero-Béjar JL, Gómez-Urquiza JL, Albendín-García L, Suleiman-Martos N, et al. Continuity of nursing care in patients with coronary artery disease: a systematic review . Int J Environ Res Public Health. 2022;5(19):3000–3000. DOI: https://doi.org/10.3390/ijerph19053000

Mizukawa M, Moriyama M, Yamamoto H, Rahman MM, Naka M, Kitagawa T, et al. Nurse-led collaborative management using telemonitoring improves quality of life and prevention of rehospitalization in patients with heart failure a pilot study . Int Heart J. 2019;6(60):1293–302–1293–302. DOI: https://doi.org/10.1536/ihj.19-313

Huriani E. Myocardial infarction patients' learning needs: Perceptions of patients, family members and nurses . Int J Nurs Sci. 2019;3(6):294–9–294–9. DOI: https://doi.org/10.1016/j.ijnss.2019.05.001

Muhammad I, He HG, Kowitlawakul Y, Wang W. Narrative review of health-related quality of life and its predictors among patients with coronary heart disease . Int J Nurs Pract. 2016;1(22):4–14–4–14. DOI: https://doi.org/10.1111/ijn.12356

Mols RE, Hald M, Vistisen HS, Lomborg K, Maeng M. Nurse-led motivational telephone follow-up after same-day percutaneous coronary intervention reduces readmission and contacts to general practice . J Cardiovasc Nurs. 2019;3(34):222–30–222–30. DOI: https://doi.org/10.1097/JCN.0000000000000566

Smigorowsky MJ, Sebastianski M, Sean McMurtry, Tsuyuki RT, Norris CM. Outcomes of nurse practitioner-led care in patients with cardiovascular disease: A systematic review and meta-analysis . J Adv Nurs. 2020;1(76):81–95–81–95. DOI: https://doi.org/10.1111/jan.14229

Jin K, Khonsari S, Gallagher R, Gallagher P, Clark AM, Freedman B, et al. Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review and meta-analysis . Eur J Cardiovasc Nurs. 2019;4(18):260–71–260–71. DOI: https://doi.org/10.1177/1474515119826510

Chang Z, Guo A, Zhou A, Sun TW, Ma L, Gardiner FW, et al. Nurse-led psychological intervention reduces anxiety symptoms and improves quality of life following percutaneous coronary intervention for stable coronary artery disease . Aust J Rural Health. 2020;2(28):124–31–124–31. DOI: https://doi.org/10.1111/ajr.12587

Yang J, Hu H, Li Y. Effect of dual-track interactive nursing intervention model on anxiety and depression in patients with coronary heart disease . Psychiatr Danub. 2020;2(32):197–204–197–204. DOI: https://doi.org/10.24869/psyd.2020.197

Gelogahi ZK, Aghebati N, Mazloum SR, Mohajer S. Effectiveness of nurse's intentional presence as a holistic modality on depression, anxiety, and stress of cardiac surgery patients . Holist Nurs Pract. 2018;6(32):296–306–296–306. DOI: https://doi.org/10.1097/HNP.0000000000000294

Zhang P, Xing FM, Li CZ, Wang FL, Zhang XL. Effects of a nurse-led transitional care programme on readmission, self-efficacy to implement health-promoting behaviours, functional status and life quality among Chinese patients with coronary artery disease: A randomised controlled trial . J Clin Nurs. 2018;5–6(27):969–79–969–79. DOI: https://doi.org/10.1111/jocn.14064

Shao C, Wang J, Tian J, Tang Y. Coronary artery disease: from mechanism to clinical practice . Coron Artery Dis Ther Drug Discov. 2020;(2020):1–36–1–36. DOI: https://doi.org/10.1007/978-981-15-2517-9_1

Zhang Q, Ai Y, Dong H, Wang J, Xu L. Circulating oxidized low-density lipoprotein is a strong risk factor for the early stage of coronary heart disease . IUBMB Life. 2019;2(71):277–82–277–82. DOI: https://doi.org/10.1002/iub.1966

Shaya GE, Leucker TM, Jones SR, Martin SS, Toth PP. Coronary heart disease risk: low-density lipoprotein and beyond . Trends Cardiovasc Med. 2022;4(32):181–94–181–94. DOI: https://doi.org/10.1016/j.tcm.2021.04.002

Milanlouei S, Menichetti G, Li Y, Loscalzo J, Willett WC, Barabási AL. A systematic comprehensive longitudinal evaluation of dietary factors associated with acute myocardial infarction and fatal coronary heart disease . Nat Commun. 2020;1(11):6074–6074. DOI: https://doi.org/10.1038/s41467-020-19888-2

Jimenez-Torres J, Alcalá-Diaz JF, Torres-Peña JD, Gutierrez-Mariscal FM, Leon-Acuña A, Gómez-Luna P, et al. Mediterranean diet reduces atherosclerosis progression in coronary heart disease: an analysis of the CORDIOPREV randomized controlled trial . Stroke. 2021;11(52):3440–9–3440–9. DOI: https://doi.org/10.1161/STROKEAHA.120.033214

Gul Z, Makaryus AN. Treasure Island (FL): StatPearls Publishing; 2019.

Shorewala V. Early detection of coronary heart disease using ensemble techniques . Inform Med Unlocked. 2021;(26):100655–100655. DOI: https://doi.org/10.1016/j.imu.2021.100655

Rossello X, Dorresteijn JA, Janssen A, Lambrinou E, Scherrenberg M, Bonnefoy-Cudraz E, et al. Risk prediction tools in cardiovascular disease prevention: a report from the ESC Prevention of CVD Programme led by the European Association of Preventive Cardiology (EAPC) in collaboration with the Acute Cardiovascular Care Association (ACCA) and the Association of Cardiovascular Nursing and Allied Professions (ACNAP) . Eur J Prev Cardiol. 2019;14(26):1534–44–1534–44. DOI: https://doi.org/10.1177/2047487319846715

Zhang P, Hu Y, Xing FM, Li CZ, Lan WF, Zhang XL. Effects of a nurse-led transitional care program on clinical outcomes, health-related knowledge, physical and mental health status among Chinese patients with coronary artery disease: a randomized controlled trial . Int J Nurs Stud. 2017;(74):34–43–34–43 DOI: https://doi.org/10.1016/j.ijnurstu.2017.04.004

Beauchamp A, Talevski J, Niebauer J, Gutenberg J, Kefalianos E, Mayr B, et al. Health literacy interventions for secondary prevention of coronary artery disease: a scoping review . Open Heart. 2022;1(9):e001895–e001895. DOI: https://doi.org/10.1136/openhrt-2021-001895

Saki M, Najmi S, Gholami M, Ebrahimzadeh F, Pour FJ. The effect of patient-centered education in adherence to the treatment regimen in patients with coronary artery disease . J Vasc Nurs. 2022;1(40):28–34–28–34. DOI: https://doi.org/10.1016/j.jvn.2021.10.003

Pardo Y, Garin O, Oriol C, Zamora V, Ribera A, Ferrer M. Patient-centered care in Coronary Heart Disease: what do you want to measure A systematic review of reviews on patient-reported outcome measures . Qual Life Res. 2023;5(32):1405–25–1405–25. DOI: https://doi.org/10.1007/s11136-022-03260-6

Li R, Chen Y, Ritchie MD, Moore JH. Electronic health records and polygenic risk scores for predicting disease risk . Nat Rev Genet. 2020;8(21):493–502–493–502. DOI: https://doi.org/10.1038/s41576-020-0224-1

Su JJ, Yu DSF. Effectiveness of eHealth cardiac rehabilitation on health outcomes of coronary heart disease patients: a randomized controlled trial protocol . BMC Cardiovasc Disord. 2019;1(19):1–10–1–10. DOI: https://doi.org/10.1186/s12872-019-1262-5

Jensen MT, Treskes RW, Caiani EG, Casado-Arroyo R, Cowie MR, Dilaveris P, et al. ESC working group on e-cardiology position paper: use of commercially available wearable technology for heart rate and activity tracking in primary and secondary cardiovascular prevention—in collaboration with the European Heart Rhythm Association, European Association of Preventive Cardiology, Association of Cardiovascular Nursing and Allied Professionals, Patient Forum, and the Digital Health Committee . Eur Heart J-Digit Health. 2021;1(2):49–59–49–59. DOI: https://doi.org/10.1093/ehjdh/ztab011

Robinson CL, Jouni H, Kruisselbrink TM, Austin EE, Christensen KD, Green RC, et al. Disclosing genetic risk for coronary heart disease: effects on perceived personal control and genetic counseling satisfaction . Clin Genet. 2016;2(89):251–7–251–7. DOI: https://doi.org/10.1111/cge.12577

Davoudi N, Afsharzadeh P, Mohammadalizadeh S, Haghdoost AA. A comparison of patients' and nurses' assessments of pain intensity in patients with coronary artery disease . Int J Nurs Pract. 2008;5(14):347–56–347–56. DOI: https://doi.org/10.1111/j.1440-172X.2008.00712.x

Carpenito LJ. Burlington: Jones & Bartlett Learning; 2021.

Hoschar S, Albarqouni L, Ladwig KH. A systematic review of educational interventions aiming to reduce prehospital delay in patients with acute coronary syndrome . Open Heart. 2020;1(7):e001175–e001175. DOI: https://doi.org/10.1136/openhrt-2019-001175

Powers BJ, Danus S, Grubber JM, Olsen MK, Oddone EZ, Bosworth HB. The effectiveness of personalized coronary heart disease and stroke risk communication . Am Heart J. 2011;4(161):673–80–673–80. DOI: https://doi.org/10.1016/j.ahj.2010.12.021

Moorhead S, Swanson E, Johnson M. St Louis: Elsevier Health Sciences; 2023.

Ozsaker E, Korkmaz FD. Nursing Diagnosis Determined by Nursing Students for Patients after Cardiac Surgery . Int J Caring Sci. 2020;3(13):2123–2123.

Utami WNS, Nurhamsyah D, Nur'aeni A. Nursing Intervention in Overcoming Decreased Cardiac Output in Patients with a Medical Diagnosis of Inappropriate Sinus Tachycardia (IST) in the CICU Room" Case Study" . Padjadjaran Acute Care Nurs J. 2022;3(3):25–31.

Snaterse M, Jorstad HT, Minneboo M, Lachman S, Boekholdt SM, Ter Riet, et al. Smoking cessation after nurse-coordinated referral to a comprehensive lifestyle programme in patients with coronary artery disease: a substudy of the RESPONSE-2 trial . Eur J Cardiovasc Nurs. 2019;2(18):113–21–113–21. DOI: https://doi.org/10.1177/1474515118795722

Levy AE, Huang C, Huang A, Michael Ho. Recent approaches to improve medication adherence in patients with coronary heart disease: Progress towards a learning healthcare system . Curr Atheroscler Rep. 2018;(20):1–9–1–9. DOI: https://doi.org/10.1007/s11883-018-0707-0

Ni Z, Dardas L, Wu B, Shaw R. Cardioprotective medication adherence among patients with coronary heart disease in China: a systematic review . Heart Asia. 2019;(11):e011173–e011173. DOI: https://doi.org/10.1136/heartasia-2018-011173

Members WC, Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM, et al. 2021 ACC/AHA/SCAI guideline for coronary artery revascularization: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines . J Am Coll Cardiol. 2022;2(79):e21–129–e21–129.

Anderson L, Brown JP, Clark AM, Dalal H, Rossau HKK, Bridges C, et al. Patient education in the management of coronary heart disease . Cochrane Database Syst Rev. 2017;6(2017):CD008895–CD008895. DOI: https://doi.org/10.1002/14651858.CD008895.pub3

Chiang CY, Choi KC, Ho KM, Yu SF. Effectiveness of nurse-led patient-centered care behavioral risk modification on secondary prevention of coronary heart disease: A systematic review . Int J Nurs Stud. 2018;(84):28–39–28–39. [PubMed] [Google Scholar] DOI: https://doi.org/10.1016/j.ijnurstu.2018.04.012

Sun C, Jia M, Wu H, Yang Q, Wang Q, Wang L, et al. The effect of comfort care based on the collaborative care model on the compliance and self-care ability of patients with coronary heart disease . Ann Palliat Med. 2021;1(10):501–8–501–8. DOI: https://doi.org/10.21037/apm-20-2520

White-Williams C, Shirey M, Eagleson R, Clarkson S, Bittner V. An interprofessional collaborative practice can reduce heart failure hospital readmissions and costs in an underserved population. J Card Fail. 2021;11(27):1185–94–1185–94. DOI: https://doi.org/10.1016/j.cardfail.2021.04.011

Dibben GO, Faulkner J, Oldridge N, Rees K, Thompson DR, Zwisler AD, et al. Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis . Eur Heart J. 2023;6(44):452–69–452–69. DOI: https://doi.org/10.1093/eurheartj/ehac747

Fernandes AC, McIntyre T, Coelho R, Prata J, Maciel MJ. Impact of a brief psychological intervention on lifestyle, risk factors and disease knowledge during phase I of cardiac rehabilitation after acute coronary syndrome . Rev Port Cardiol Engl Ed. 2019;5(38):361–8–361–8 DOI: https://doi.org/10.1016/j.repc.2018.09.009

Anchah L, Hassali MA, Lim MSH, Ibrahim MIM, Sim KH, Ong TK. Health related quality of life assessment in acute coronary syndrome patients: the effectiveness of early phase I cardiac rehabilitation . Health Qual Life Outcomes. 2017;1(15):1–14–1–14. DOI: https://doi.org/10.1186/s12955-016-0583-7

Arjunan P, Trichur RV. The impact of nurse-led cardiac rehabilitation on quality of life and biophysiological parameters in patients with heart failure: A randomized clinical trial . J Nurs Res. 2021;1(29):e130–e130. DOI: https://doi.org/10.1097/JNR.0000000000000407

Qu B, Hou Q, Men X, Zhai X, Jiang T, Wang R. Research and application of KABP nursing model in cardiac rehabilitation of patients with acute myocardial infarction after PCI . Am J Transl Res. 2021;4(13):3022–3022.

de Eston, de Eston, Konstantyner T, Rodrigues CL. Spiritual Well-Being and Its Association with Coronary Artery Disease . J Relig Health. 2022;1(61):467–78–467–78. DOI: https://doi.org/10.1007/s10943-020-01115-3

Li X, Gao Q, Sun L, Gao W. Effect of self-control on health promotion behavior in patients with coronary heart disease: mediating effect of ego-depletion . Psychol Health Med. 2022;6(27):1268–76–1268–76. DOI: https://doi.org/10.1080/13548506.2020.1867316

Housholder-Hughes SD. Non–ST-Segment Elevation Acute Coronary Syndrome: Impact of Nursing Care On Optimal Outcomes . AACN Adv Crit Care. 2011;2(22):113–24–113–24. [PubMed] [Google Scholar] DOI: https://doi.org/10.1097/NCI.0b013e31820b24cf

Mechanic OJ, Gavin M, Grossman SA, Ziegler K. Treasure Island (FL): StatPearls Publishing; 2021.

Stepinska J, Lettino M, Ahrens I, Bueno H, Garcia-Castrillo L, Khoury A, et al. Diagnosis and risk stratification of chest pain patients in the emergency department focus on acute coronary syndromes A position paper of the Acute Cardiovascular Care Association . Eur Heart J Acute Cardiovasc Care. 2020;1(9):76–89–76–89. [PubMed] [Google Scholar] DOI: https://doi.org/10.1177/2048872619885346

Sangkachand P, Sarosario B, Funk M. Continuous ST-segment monitoring: nurses' attitudes, practices, and quality of patient care . Am J Crit Care. 2011;3(20):226–38–226–38. DOI: https://doi.org/10.4037/ajcc2011129

Darsin Singh, Ahmad A, Rahmat N, Hmwe NTT. Nurse-led intervention on knowledge, attitude and beliefs towards acute coronary syndrome . Nurs Crit Care. 2018;4(23):186–91–186–91. DOI: https://doi.org/10.1111/nicc.12240

Sua YS, Jiang Y, Thompson DR, Wang W. Effectiveness of mobile phone-based self-management interventions for medication adherence and change in blood pressure in patients with coronary heart disease: a systematic review and meta-analysis . Eur J Cardiovasc Nurs. 2020;3(19):192–200–192–200. DOI: https://doi.org/10.1177/1474515119895678

Chen S, Gong E, Kazi DS, Gates AB, Bai R, Fu H, et al. Using mobile health intervention to improve secondary prevention of coronary heart diseases in China: mixed-methods feasibility study . JMIR MHealth UHealth. 2018;1(6):e7849–e7849. DOI: https://doi.org/10.2196/mhealth.7849

Lee M, Lee H, Kim Y, Kim J, Cho M, Jang J, et al. Mobile app-based health promotion programs: a systematic review of the literature . Int J Environ Res Public Health. 2018;12(15):2838–2838. DOI: https://doi.org/10.3390/ijerph15122838

Bingham J, Campbell P, Schussel K, Taylor AM, Boesen K, Harrington A, et al. The discharge companion program: an interprofessional collaboration in transitional care model delivery . Pharmacy. 2019;2(7):68–68. DOI: https://doi.org/10.3390/pharmacy7020068

Halaby R, Nathan A, Han JJ. Establishing an interdisciplinary research model among trainees: preparing for a heart team future . J Am Coll Cardiol. 2020;21(76):2565–8–2565–8. DOI: https://doi.org/10.1016/j.jacc.2020.10.015

Östman L, Näsman Y, Eriksson K, Nyström L. Ethos: The heart of ethics and health. Nurs Ethics. 2019;1(26):26–36–26–36. DOI: https://doi.org/10.1177/0969733017695655

Fenton KN, Novick WM, Entwistle 3rd, Moffatt-Bruce SD, Sade RM. Global health initiatives in cardiothoracic surgery: ethical considerations and guidelines . Eur J Cardiothorac Surg. 2021;1(59):4–7–4–7.

Published

15-01-2024

How to Cite

Alshuraim, N. F., Almasad, M. N., Alharbi, S. H., Alnuwmasiu, F. M., Alonazi, F. M., Alwahdani, M. N., & Alshammary, N. S. (2024). Integrating nursing, pharmacy, and health records in Advanced Cardiovascular Life Support (ACLS) Protocols: Best practices for emergency responders in cardiology. International Journal of Health Sciences, 8(S1), 1057–1072. https://doi.org/10.53730/ijhs.v8nS1.15061

Issue

Section

Peer Review Articles

Most read articles by the same author(s)

1 2 > >>