Abstract
BackgroundNurses 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.MethodsThis 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.ResultsEight 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.ConclusionNurses 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.
Highlights
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
Study inclusion The selection process for inclusion in the systematic review is displayed in Additional file 1: Appendix 3
Nurses perceived psychological support as integral to patient recovery and engagement in a treatment plan: “I’ve got to be honest, I mean, sometimes I’ve left a cardiac rehabilitation clinic and all that we have addressed is the psychological side of things” ( [15], p.4)
Summary
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. Management of CVD is crucial to reduce the risk of disease and further complications. Management follows a standardised pathway, including the use of medication therapy and lifestyle. The ability to engage patients has been related to the ability to spend time with them and provide up to date, evidence-based information [6, 11]. Patient motivation and support have been described as pivotal in engagement with treatment plans [12]. Recent studies [13, 14] indicate that participation in cardiac rehabilitation is low
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