Impact of Cardiovascular Diseases on Nursing Practice
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This article discusses the impact of cardiovascular diseases on nursing practice, including the risks faced by nurses, effects on their work, and recommendations for improving patient care.
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Running Head: CARDIOVASCULAR DISEASES1 Cardiovascular Diseases Student’s Name Institutional Affiliation
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CARDIOVASCULAR DISEASES2 IMPACT OF CARDIOVASCULAR DISEASES ON NURSING PRACTICE Introduction Cardiovascular diseases are identified as classes of conditions that involve the heart and blood vessels. Cardiovascular diseases are known as the number one cause of death globally. More individuals die because yearly from cardiovascular conditions than any other state. There are strategies that can be used to prevent most of the cardiovascular diseases like obesity, use of tobacco, unhealthy diet, physical inactivity, and harmful use of alcohol by addressing the behavioral risk factors (6 Cardiovascular Diseases, 2017). Cardiovascular conditions include heart attacks, hypertension, cerebrovascular disease, rheumatic heart condition, peripheral artery disease, congenital heart disease, and heart failure. The leading causes of cardiovascular diseases are an unhealthy diet, physical inactivity, and tobacco use. Over 75% of cardiovascular conditions deaths take place in low and middle-income nations and happens equally in males and females. The risk of heart attacks and strokes is increased by tobacco use, physical inactivity, and an unhealthy diet. High blood pressure does not have symptoms, but also it can cause a sudden stroke or heart attack. Diabetes also increases the risk of heart attacks and stroke. Overweight and obesity also increase the risk of heart and strokes. Low socioeconomic status also increases the chances of exposure to risk factors and increases the vulnerability to develop cardiovascular diseases (Cardiovascular diseases (CVDs), 2018). Cardiovascular diseases affect many people globally in middle age and severely limiting income and savings which in turn affects people and their families. Low earnings and out of pocket health care payments undermine the socioeconomic development of countries. Cardiovascular diseases place a heavy burden on
CARDIOVASCULAR DISEASES3 economies of enemies. Many families particularly those who have a low income are significantly affected. Effects on nursing practice Nurses with regards to their working conditions, they can be vulnerable to suffering from cardiovascular diseases. Nurses play a significant role in managing and preventing cardiovascular diseases. They are always the first and more consistent point of contacts for the sufferers. They are often in the best position to collect information about a sufferer’s family like social, economic and cultural factors which might be vital in developing an intervention (Byrne et al., 2015). The increasing prevalence of cardiovascular diseases will affect the work of the nurses whether they work in the community or work in institutions. Various health issues like neurological disorders and cardiovascular conditions will arise due to their involvement with the cardiovascular patients. Also, cardiovascular conditions lead to problems like burnout, absenteeism or changing jobs. If nurses are short staffed, it can bring about professional issues or even personal issues. Patients suffering from cardiovascular diseases require critical attention. Due to short staffing in many hospitals, the present nurses are overworked hence experiencing burn out. It will make them more frustrated and be unsatisfied with their work due to a lot of work. Working in the hospital places nurses in various hazards. For example, they are exposed to the patients suffering from cardiovascular diseases. Apart from that, it also puts their safety at risk since they are prone to infections (Home, n.d). Many nurses are at risk of suffering from heart diseases and diabetes without their knowledge. Furthermore, nurses play an essential role
CARDIOVASCULAR DISEASES4 in advancing public health; their real predicament causes a reduction in their beneficial service period and suffering. Lack of appropriate technological equipment in treating cardiovascular conditions makes it hard for the nurses to attend to the patents quickly. Also, many people are suffering from cardiovascular diseases particularly the old hence lack of enough resources may lead to more deaths or create a long-term impact on the patient and can cause a reduction in the lifespan of the patient (Maulik, 2013). The number of sufferers is increasing on a daily basis hence there must be proper equipment and machines that will be used to treat them. Due to the amount of work that they do when dealing with cardiovascular patients, they suffer from back pains. They hurt their backs when they are shifting bedridden sufferers or moving them among stretchers, bed, and chairs since the sufferers need to be handled with care. Cardiovascular sufferers tend to see the nurses as individuals who should be available at the beck and call. Majority of the victims are usually dissatisfied with the service that the nurses provide. Some patients often appear dissatisfied and angry at life because they might have learned about the long-term effects of their cardiovascular conditions. This makes them despise and disrespect the nurses many times. They claim that they don’t receive the respect that they deserve from the cardiovascular patients (Ross, 2015). Due to this, they develop stress hence they won't do their work as they are required. This will encourage disrespect and hatred towards one another in the healthcare facility. Cardiovascular diseases require adequate attention and a lot of hard work. Nurses are always undervalued by the doctors, colleagues and the families of the cardiovascular patients who are expecting them to be tireless angels who do not need a break. Nurses, both male and
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CARDIOVASCULAR DISEASES5 female can either make progress in the management of cardiovascular diseases. Due to this, they experience high stress and feel overworked. Some nurses may feel that they are superior to others in the department making them feel useless. The unfortunate characteristics of these personality engagements are that it is the sufferers who are often neglected as the caring nurse gets caught up in broken personality issues surrounding them. The present-day requirement of nurses because of the increased number of cardiovascular patients who require direct care. The nursing shortage has led to neglecting some patients’ hence increases the mortality rate (Zoghbi et al., 2017). Due to the negligence that they face, the patients may become arrogant and ungrateful for the work that the available nurses are doing. Cardiovascular patients are usually at risk of dying because of unavailability of nurses. Therefore, it is essential for the hospital manager to ensure that the nurses are available and treated with care so that the cardiovascular patients can get needed treatment. Recommendations For the patients to feel safe in a healthcare environment, the nurses must be patient- centered. This means that the nurse manager must always ensure that the health care facilities and care patterns being arranged to accommodate the experience of cardiovascular diseases in the patients' perspective. It is vital for the nurse manager to ensure that the nurses are attending to their specific patients to help them through their healing process. This will ensure that the best outcome is achieved regardless of the challenges (Mandade, 2011). Through this, the nurses will help the nurses to consider the victim’s desires, values and family contexts, and their lifestyle. This might be seen through sharing decisions with the sufferers and assisting individuals to manage their health. Patient-centered is about the way people maintain their health and their
CARDIOVASCULAR DISEASES6 relationship as the service is available. This will enhance a good relationship between the nurses and the cardiovascular sufferers. Additionally, guideline execution is highly recommended in dealing with cardiovascular patients. The guidelines have the potential to standardize and improve and sustain the quality of care for cardiovascular diseases. Research has indicated that guideline executions through workshops lead to significant improvements in the quality of the cardiovascular diseases.Mckee et al., (2017) asserted that providing nurses with a clinical decision support system to go through guideline-based cardiovascular management has led to the reduction of cardiovascular diseases significantly. This will help the health fraternity to take care of the cardiovascular patients and focus on improving the quality of the health care services that they provide (Yusuf et al., 2015). The guidelines aim at improving their services to cardiovascular patients which will help in creating awareness about the dangers of cardiovascular diseases. Another recommendation is cultural competency. It encourages nurses to deliver quality care to increasingly diverse cardiovascular disease sufferers. The risk of cardiovascular conditions and health effects are influenced by environmental, economic, social and biological elements. Although cardiovascular conditions in racial and ethnic minority groups are scarce, the sufferers are increasing on a daily basis. This is due to the challenges that individuals who are not part of the dormant culture are facing. Therefore it is essential for cardiovascular disease nurses to undergo more training and research to provide quality healthcare (Fry, 2011). For the nurses' management to attain equal results, cardiovascular nurses should adopt a range of cultural and social settings. Competence suggests that the health expert can function effectively with a culturally diverse community. The nurse manager has to ensure that the nurses are aware of their own beliefs and attitudes about racial and ethnic minorities and not to indulge their feelings on
CARDIOVASCULAR DISEASES7 clinical interactions that can severely affect the cardiovascular patients.They are also required to appreciate the patients’ views and relate in a nonjudgmental way.The health experts should always use the cultural competency skills in clinical interactions.This is essential because there will be respect between the cardiovascular patients and the nurses. Also, the patients will be able to open up so that they can be able to be assisted. The nurses must always have the cultural competence and also have a comprehension about diverse perspectives (Jeffreys, 2015). Cardiovascular leaders should mentor nurses’ culturally diverse groups to enhance participation of individuals so that cardiovascular nursing activities reflect the cultural composition of the wider society. Furthermore, system change competency and evidence-based practice is essential for the enhancement of the quality of preventive care and progressing patient care objectives are attained by translating evidence into practice. Research and findings in nursing practice are vital for improving the quality and results of care and its integral to the leadership actions of cardiovascular nurses.Competence in this setting involves the engagement of multiple sources of knowledge and present best practice evidence into health care. Knowledge and evidence come from clinical data and experiences and enhancement of quality efforts. This evidence is significant because the nurses will understand a particular preventive situation and how the cardiovascular patients are supposed to be handled. For example, the evidence concerning preventive cardiovascular advantages of moving to added physical activity from inactive position might be used to integrate physical activity assessment for every primary care victim and to champion for a decrease to physical activity in a developed setting. System competency is essential to cardiovascular nurses since it provides them with information regarding the treatment that the patient needs. Research helps the nurses to gain more
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CARDIOVASCULAR DISEASES8 information about cardiovascular conditions (Noble & Smith, 2015). The nurse manager must always ensure that nurses are updated about cardiovascular diseases often since it will help in creating awareness. Information and technology communication is highly recommended since it is needed for the treatment of cardiovascular disease patients. It is a significant tool for the nurses to promote a prevention strategy that can address the issue of emerging cardiovascular conditions in many countries. Advancement in information and technology creates new opportunities for the nurses to mobilize globally for prevention and control of cardiovascular conditions. This is essential particularly for the nurses who require networking, changing of ideas and access to critical information in regards to cardiovascular diseases (Winter, Sheats & King, 2016). Technology can also help them to sensitize the public about the vastness of cardiovascular conditions and also creating awareness about the risks and preventive methods. Relevant information should be collected and successfully used to progress in cardiovascular prevention. Technology is essential since it holds a substantial position in the world today since it is seen as a broader strategy that engages conventional communication media which is used to label the data requirements for the prevention of cardiovascular diseases. The nurse manager must always ensure that the nurses know how to use technology to ensure individuals within their locality understand cardiovascular prevention. Appearing technologies create opportunities to reduce the demands and burdens related to cardiovascular diseases. (Roth et al., 2017).Current interventions of cardiovascular diseases are supported by the advancement of technology. However, technology will not change the outcome of the victim, and the nurses are unable to use the machines correctly. Technology advancement plays a vital role in the
CARDIOVASCULAR DISEASES9 prevention and intervention of cardiovascular diseases. Therefore the nurse manager has to ensure that the treatment equipment is updated which will create room for quality improvement. The nurse manager should also have a partnership with other non-governmental agencies to help in creating awareness about the risks of cardiovascular diseases (Budoff & Shinbane, 2016). This partnership will create more opportunities for the society to engage with the nurses since it will enhance a good relationship between the patients and the health practitioners (Record et al., 2015). The government should also ensure that there is enough health personnel to take care of cardiovascular patients so that there can be a reduction in the number of cardiovascular victims (DeFilippis et al., 2015). Partnerships are essential since it focuses on reflecting the ability to join with the sufferers, other caregivers, and societies for adequate health care and giving the community an opportunity for positive interaction. In conclusion, cardiovascular diseases pose a threat since it is known as a number one cause of death worldwide. Various health issues arise when the nurses are overworked and are vulnerable to cardiovascular diseases due to their working conditions. Cultural and system competency is recommended because it helps in cardiovascular prevention. Relevant information and technology are needed for cardiovascular intervention. Therefore it is essential for the nurse manager to provide a way for research to take place since it is vital in nursing practice.
CARDIOVASCULAR DISEASES10 References 6 Cardiovascular Diseases. (2017).Yogurt: Roles in Nutrition and Impacts on Health,89-102. doi:10.1201/b21826-9 Budoff, M. J., & Shinbane, J. S. (Eds.). (2016).Cardiac CT imaging: diagnosis of cardiovascular disease. Springer. Byrne, R. A., Serruys, P. W., Baumbach, A., Escaned, J., Fajadet, J., James, S., ... & Sianos, G. (2015). Report of a European Society of Cardiology-European Association of Percutaneous Cardiovascular Interventions task force on the evaluation of coronary stents in Europe: executive summary.European heart journal,36(38), 2608-2620. Cardiovascular diseases (CVDs). (2018, April 19). Retrieved from http://www.who.int/cardiovascular_diseases/en/ DeFilippis, A. P., Young, R., Carrubba, C. J., McEvoy, J. W., Budoff, M. J., Blumenthal, R. S., ... & Blaha, M. J. (2015). An analysis of calibration and discrimination among multiple cardiovascular risk scores in a modern multiethnic cohort.Annals of internal medicine,162(4), 266-275. Fry, B. (2011).A nurses guide to intergenerational diversity. Ottawa: Canadian Federation of Nurses Unions. Home. (n.d.). Retrieved fromhttps://www.americanmobile.com/nursezone/nursing-news/the- top-ethical-challenges-for-nurses/ Jeffreys, M. R. (2015).Teaching cultural competence in nursing and health care: Inquiry, action, and innovation. Springer Publishing Company.
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CARDIOVASCULAR DISEASES11 Mandade, R. (2011).Cardiovascular diseases. Place of publication not identified: Lap Lambert Academic Publ. Maulik, N. (2013).Cardiovascular diseases: Nutritional and therapeutic interventions. Boca Raton, FL: CRC Press Mckee, G., Kerins, M., Hamilton, G., Hansen, T., Hendriks, J., Kletsiou, E., . . . Fitzsimons, D. (2017). Barriers to ESC guideline implementation: Results of a survey from the European Council on Cardiovascular Nursing and Allied Professions (CCNAP).European Journal of Cardiovascular Nursing,16(8), 678-686. doi:10.1177/1474515117710097 Noble, H., & Smith, J. (2015). Issues of validity and reliability in qualitative research.Evidence-Based Nursing, ebnurs-2015. Record, N. B., Onion, D. K., Prior, R. E., Dixon, D. C., Record, S. S., Fowler, F. L., ... & Pearson, T. A. (2015). Community-wide cardiovascular disease prevention programs and health outcomes in a rural county, 1970-2010.Jama,313(2), 147-155. Ross, S. M. (2015). Cardiovascular Disease Mortality.Holistic Nursing Practice,29(1), 53- 57. doi:10.1097/hnp.0000000000000066 Roth, G. A., Johnson, C., Abajobir, A., Abd-Allah, F., Abera, S. F., Abyu, G., ... & Alla, F. (2017). Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015.Journal of the American College of Cardiology, 23715.
CARDIOVASCULAR DISEASES12 Winter, S. J., Sheats, J. L., & King, A. C. (2016). The use of behavior change techniques and theory in technologies for cardiovascular disease prevention and treatment in adults: a comprehensive review.Progress in cardiovascular diseases,58(6), 605-612. Yusuf, S., Wood, D., Ralston, J., & Reddy, K. S. (2015). The World Heart Federation's vision for worldwide cardiovascular disease prevention.The Lancet,386(9991), 399-402. Zoghbi, W. A., Adams, D., Bonow, R. O., Enriquez-Sarano, M., Foster, E., Grayburn, P. A., ... & Little, S. H. (2017). Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance.Journal of the American Society of Echocardiography,30(4), 303-371.
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