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The Nurses' Role in the Cardiac Rehabilitation Team : Data from the Perfect-CR Study

Lidin, Matthias ; Michelsen, Halldora Ögmundsdottir LU orcid ; Hag, Emma ; Stomby, Andreas ; Schlyter, Mona ; Bäck, Maria LU ; Hagström, Emil LU and Leosdottir, Margret LU (2025) In Journal of Cardiovascular Nursing 40(4). p.386-394
Abstract

Background Nurses constitute a central profession in the cardiac rehabilitation (CR) team delivering comprehensive CR to individuals with cardiovascular disease. We aimed to identify specific components reflecting the nurses' role in the CR team associated with attainment of risk factor targets post myocardial infarction. Methods Center-level data (n = 78) was used from the Perfect-CR study, in which structure and processes applied at CR centers in Sweden (including details on the nurses' role) were surveyed. Patient-level data (n = 6755) was retrieved from the SWEDEHEART registry. Associations between structure/processes and target achievement for systolic blood pressure (BP) (<140 mm Hg) and low-density lipoprotein cholesterol... (More)

Background Nurses constitute a central profession in the cardiac rehabilitation (CR) team delivering comprehensive CR to individuals with cardiovascular disease. We aimed to identify specific components reflecting the nurses' role in the CR team associated with attainment of risk factor targets post myocardial infarction. Methods Center-level data (n = 78) was used from the Perfect-CR study, in which structure and processes applied at CR centers in Sweden (including details on the nurses' role) were surveyed. Patient-level data (n = 6755) was retrieved from the SWEDEHEART registry. Associations between structure/processes and target achievement for systolic blood pressure (BP) (<140 mm Hg) and low-density lipoprotein cholesterol (LDL-C, <1.8 mmol/L) at 1 year post myocardial infarction were assessed using logistic regression. Results Structure and processes reflecting nurses' autonomy and role in the CR team associated with patients achieving systolic BP and/or LDL-C targets included the following: nurses having treatment algorithms to adjust BP medication (odds ratio [95% confidence interval]: systolic BP, 1.22 [1.05-1.42]; LDL-C, 1.17 [1.03-1.34]) and lipid-lowering medication (systolic BP, 1.14 [1.00-1.29]; LDL-C, 1.17 [1.05-1.30]), patients having the same nurse throughout follow-up (systolic BP, 1.07 [1.03-1.11]; LDL-C, 1.10 [1.06-1.14]), number of follow-up hours with a nurse (systolic BP, 1.13 [1.07-1.19]), having regular case rounds to discuss patient cases during follow-up (LDL-C, 1.22 [1.09-1.35]), and nurses having training in counseling methods (systolic BP, 1.06 [1.03-1.10]). Conclusion Components reflecting CR nurses' autonomy and role in the team are of importance for patients attaining risk factor targets post myocardial infarction. The results could provide guidance for optimizing nurses' competence and responsibilities within the CR team to improve patient care.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cardiac rehabilitation, data registry, myocardial infarction, nurses, risk factors, secondary prevention
in
Journal of Cardiovascular Nursing
volume
40
issue
4
pages
9 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:38912908
  • scopus:105008016186
ISSN
0889-4655
DOI
10.1097/JCN.0000000000001113
language
English
LU publication?
yes
additional info
Publisher Copyright: © Wolters Kluwer Health, Inc. All rights reserved.
id
0d974d13-6b88-4db3-878f-2187fb3d2f4a
date added to LUP
2025-12-16 13:21:20
date last changed
2025-12-17 03:00:12
@article{0d974d13-6b88-4db3-878f-2187fb3d2f4a,
  abstract     = {{<p>Background Nurses constitute a central profession in the cardiac rehabilitation (CR) team delivering comprehensive CR to individuals with cardiovascular disease. We aimed to identify specific components reflecting the nurses' role in the CR team associated with attainment of risk factor targets post myocardial infarction. Methods Center-level data (n = 78) was used from the Perfect-CR study, in which structure and processes applied at CR centers in Sweden (including details on the nurses' role) were surveyed. Patient-level data (n = 6755) was retrieved from the SWEDEHEART registry. Associations between structure/processes and target achievement for systolic blood pressure (BP) (&lt;140 mm Hg) and low-density lipoprotein cholesterol (LDL-C, &lt;1.8 mmol/L) at 1 year post myocardial infarction were assessed using logistic regression. Results Structure and processes reflecting nurses' autonomy and role in the CR team associated with patients achieving systolic BP and/or LDL-C targets included the following: nurses having treatment algorithms to adjust BP medication (odds ratio [95% confidence interval]: systolic BP, 1.22 [1.05-1.42]; LDL-C, 1.17 [1.03-1.34]) and lipid-lowering medication (systolic BP, 1.14 [1.00-1.29]; LDL-C, 1.17 [1.05-1.30]), patients having the same nurse throughout follow-up (systolic BP, 1.07 [1.03-1.11]; LDL-C, 1.10 [1.06-1.14]), number of follow-up hours with a nurse (systolic BP, 1.13 [1.07-1.19]), having regular case rounds to discuss patient cases during follow-up (LDL-C, 1.22 [1.09-1.35]), and nurses having training in counseling methods (systolic BP, 1.06 [1.03-1.10]). Conclusion Components reflecting CR nurses' autonomy and role in the team are of importance for patients attaining risk factor targets post myocardial infarction. The results could provide guidance for optimizing nurses' competence and responsibilities within the CR team to improve patient care.</p>}},
  author       = {{Lidin, Matthias and Michelsen, Halldora Ögmundsdottir and Hag, Emma and Stomby, Andreas and Schlyter, Mona and Bäck, Maria and Hagström, Emil and Leosdottir, Margret}},
  issn         = {{0889-4655}},
  keywords     = {{cardiac rehabilitation; data registry; myocardial infarction; nurses; risk factors; secondary prevention}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{4}},
  pages        = {{386--394}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Journal of Cardiovascular Nursing}},
  title        = {{The Nurses' Role in the Cardiac Rehabilitation Team : Data from the Perfect-CR Study}},
  url          = {{http://dx.doi.org/10.1097/JCN.0000000000001113}},
  doi          = {{10.1097/JCN.0000000000001113}},
  volume       = {{40}},
  year         = {{2025}},
}