Nurses' perceptions of factors influencing treatment engagement among patients with cardiovascular diseases: a systematic review

• Published in: BMC nursing Vol. 20; no. 1; p. 251
• Main Authors: Rashidi, Amineh, Whitehead, Lisa, Kaistha, Prachi
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 20-12-2021; BioMed Central; BMC
• Subjects: Cardiac patients; Cardiovascular disease; Cardiovascular diseases; Cardiovascular rehabilitation; Care and treatment; Credibility; Developing countries; Disease; Industrialized nations; LDCs; Medical Subject Headings-MeSH; Methods; Nurses; Patient compliance; Patients; Planning; Qualitative research; Qualitative study; Rehabilitation; Research methodology; Social aspects; Systematic review; Treatment activation; Treatment engagement; Treatment participation; Australia; Cardiovascular rehabilitation; Treatment participation; Cardiovascular disease; Treatment activation; Qualitative study; Treatment engagement
• ISSN: 1472-6955; 1472-6955
• DOI: 10.1186/s12912-021-00765-2

Nurses are key to the success of patient engagement, yet we know little about nurses' perceptions on treatment engagement and how they can contribute to treatment engagement. Qualitative evidence to identify factors that influence treatment engagement among patients with CVD from nurse's perspective is limited.
This systematic review of qualitative research was based on the PRISMA reporting guidelines. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to assess quality by two reviewers independently. Data were collected from Medline, Web of Science, CINAHL, PsychINFO, Embase- Non-Medline, Scopus, and the Cochrane Library, were systematically searched from 2001 to 2020. The search strategy included keywords and MeSH terms to identify relevant studies written in English.
Eight articles were included in the review. Four key themes were synthesised from the findings: nurses need training and up to date information, providing support for patients, patient motivation to engage with treatment plans and perceived lack of time.
Nurses described the importance of training to help them support patients to engage as effectively as possible and their role in providing social and psychological support. They also described the importance of patient motivation to engage in a treatment and plan and sustain engagement and time.