Guidelines for developing nursing innovations for cardiac rehabilitation in patients with acute myocardial infarction towards a sustainable future in healthcare systems
Keywords:
nursing innovations, cardiac rehabilitation, acute myocardial infarction, sustainable healthcare systemsAbstract
Acute myocardial infarction (AMI) is a significant global health issue, including in Thailand, with high mortality rates and a substantial number of patients requiring hospital care. Cardiac rehabilitation following AMI is essential for restoring heart function, modifying behaviors, and reducing the risk of long-term complications. It encompasses various components, including assessment and planning, exercise programs, nutritional management, psychological support, follow-up, and risk prevention and management. The goal is to help patients return to normal life while reducing the risk of recurrent heart disease. In an era of rapid technological and medical advancements, advancing nursing innovations in cardiac rehabilitation is critical. Technologies such as information and communication technology, artificial intelligence, big data analytics, personalized medicine, virtual reality, and augmented reality offer the potential to improve healthcare delivery and enhance the quality of life for patients. Through a six-step development process—1) Analysis of needs and problems, 2) Research and design of innovations, 3) Prototype development and testing, 4) Implementation and training, 5) Monitoring and evaluation, and 6) Improvement and scaling—this article aims to propose strategies for developing nursing innovations in cardiac rehabilitation. These innovations aim to enhance the effectiveness of AMI patient care and reduce the burden of complications. The advancement of nursing innovations is crucial to improving the quality of cardiac rehabilitation and creating a sustainable healthcare system that meets future patient needs.
References
Krittanawong C, Khawaja M, TamisHolland JE, et al. Acute myocardial infarction: Etiologies and mimickers in young patients. J Am Heart Assoc 2023;12:e029971. doi:10.1161/JAHA.123.029971.
Saito Y, Oyama K, Tsujita K, et al. Treatment strategies of acute myocardial infarction: Updates on revascularization, pharmacological therapy, and beyond. J Cardiol 2023;81:168-78. doi:10.1016/j.jjcc.2022.07.003.
Dibben GO, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease: A meta-analysis. Eur Heart J 2023;44:452-69. doi:10.1093/eurheartj/ehac747.
Rylee TL, Cvanagh SJ. Innovation in nursing practice: A scoping review. ANS Adv Nurs Sci 2023;46:E115-31. doi:10.1097/ANS.0000000000000464.
Silva R, Sampaio F, Ventura F, et al. The future of nursing: Attrition, innovation, and the path ahead. JBI Evid Synth 2024;22:751-2. doi:10.11124/JBIES-24-00189.
Koppel PD, Sullivan SD. Design thinking like a nurse: A professional practice model for nursing innovation. Creat Nurs 2022;28:240-6. doi:10.1891/CN-2022-0008.
Baman JR, Sekhon S, Maganti K. Cardiac rehabilitation. JAMA 2021;326:366. doi:10.1001/jama.2021.5952.
Epstein E, Maisel S, Maysent K, et al. Cardiac rehabilitation for coronary artery disease: latest updates. Curr Opin Cardiol 2021;36:556-64. doi:10.1097/HCO.0000000000000895..
Smith NC. Innovation and nursing. Nephrol Nurs J 2024;51:127-8.
Snow F. Creativity and innovation: An essential competency for the nurse leader. Nurs Adm Q 2019;43:306-12. doi:10.1097/NAQ.0000000000000367.
Kobiske KR, Bright E, Ulmen BF, et al. Opportunity for innovation: Community nursing clinical experiences. Nurse Educ 2023;48:E172-3. doi:10.1097/NNE.0000000000001435.
Thavornwattanayong W, Kanitwaranun C, Wesiri W. Concepts and processes of health innovation for pharmacists. J Med Health Sci 2019;26:135-49. (in Thai)
Yadav S, Roy A. Cardiac rehabilitation: Need to meet global targets through local innovation. WHO South East Asia J Public Health 2021;10:55-6. doi:10.4103/2224-3151.344478.
Wongvibulsin S, Habeos EE, Huynh PP, et al. Digital health interventions for cardiac rehabilitation: Systematic literature review. J Med Internet Res 2021;23:e18773. doi:10.2196/18773.
Beatty AL, Beckie TM, Dodson J, et al. A new era in cardiac rehabilitation delivery: Research gaps, questions, strategies, and priorities. Circulation 2023;147:254-66. ndoi:10.1161/CIRCULATIONAHA.122.061046.8.
Salzwedel A, Jensen K, Rauch B, et al. Effectiveness of comprehensive cardiac rehabilitation in coronary artery disease patients treated according to contemporary evidence-based medicine: Update of the Cardiac Rehabilitation Outcome Study (CROS-II). Eur J Prev Cardiol 2020;27:1756-74. doi:10.1177/2047487320905719.
Wells A, Reeves D, Capobianco L, et al. Improving the effectiveness of psychological interventions for depression and anxiety in cardiac rehabilitation: PATHWAY-A single-blind, parallel, randomized controlled trial of group metacognitive therapy. Circulation 2021;144:23-33. doi:10.1161/CIRCULATIONAHA.120.052428.
Snoek JA, Prescott EI, van der Velde AE, et al. Effectiveness of home-based mobile guided cardiac rehabilitation as alternative strategy for nonparticipation in clinicbased cardiac rehabilitation among elderly patients in europe: A randomized clinical trial. JAMA Cardiol 2021;6:463-8. doi:10.1001/jamacardio.2020.5218.
Brown TM. Cardiac rehabilitation underutilization: The need for innovative delivery. J Am Coll Cardiol 2023;81:1061-2. doi:10.1016/j.jacc.2023.01.019.
Bloomer MJ, Bench S. Critical care nursing workforce: Global imperatives, innovations and future-proofing - A call for papers. Intensive Crit Care Nurs 2020;60:102902. doi:10.1016/j.iccn.2020.102902.
Lee AYL, Wong AKC, Hung TTM, et al. Nurse-led telehealth intervention for rehabilitation among community-dwelling patients with chronic diseases: Systematic review and meta-analysis. J Med Internet Res 2022;24:e40364. doi:10.2196/40364.
Claes J, Cornelissen V, McDermott C, et al. Feasibility, acceptability, and clinical effectiveness of a technology-enabled cardiac rehabilitation platform (physical activity toward health-I): Randomized controlled trial. J Med Internet Res 2020;22:e14221. doi:10.2196/14221.
Heimer M, Schmitz S, Teschler M, et al. eHealth for maintenance cardiovascular rehabilitation: A systematic review and meta-analysis. Eur J Prev Cardiol 2023;30:1634-51. doi:10.1093/eurjpc/zwad145.
Mocan M, Vlaicu SI, Farcas AD, et al. Cardiac rehabilitation early after sternotomy using new assistive VR-enhanced robotic exoskeleton-study protocol for a randomized controlled trial. Int J Environ Res Public Health 2021;18:11922. doi:10.3390/ijerph182211922.
Sotirakos S, Fouda B, Mohamed Razif NA, et al. Harnessing artificial intelligence in cardiac rehabilitation, a systematic review. Future Cardiol 2022;18:154-64. doi:10.2217/fca-2021-0010.
Ghlichi Moghaddam N, Namazinia M, et al. The efficacy of phase I cardiac rehabilitation training based on augmented reality on the self-efficacy of patients undergoing coronary artery bypass graft surgery: A randomized clinical trial. BMC Sports Sci Med Rehabil 2023;15:156. doi:10.1186/s13102-023-00770-9.
Gulick V, Graves D, Ames S, et al. Effect of a virtual reality-enhanced exercise and education intervention on patient engagement and learning in cardiac rehabilitation: Randomized controlled trial. J Med Internet Res 2021;23:e23882. doi:10.2196/23882.
Falter M, Scherrenberg M, Dendale P. Digital health in cardiac rehabilitation and secondary prevention: A search for the ideal tool. Sensors (Basel) 2020;21:12. doi:10.3390/s21010012.
Su JJ, Yu DS. Effects of a nurse-led eHealth cardiac rehabilitation programme on health outcomes of patients with coronary heart disease: A randomised controlled trial. Int J Nurs Stud 2021;122:104040. doi:10.1016/j.ijnurstu.2021.104040.
Cruz-Cobo C, Bernal-Jiménez MÁ, Vázquez-García R, et al. Effectiveness of mhealth interventions in the control of lifestyle and cardiovascular risk factors in patients after a coronary event: Systematic review and meta-analysis. JMIR Mhealth Uhealth 2022;10:e39593. doi:10.2196/39593.
Keteyian SJ, Ades PA, Beatty AL, et al. A review of the design and implementation of a hybrid cardiac rehabilitation program: An expanding opportunity for optimizing cardiovascular care. J Cardiopulm Rehabil Prev 2022;42:1-9. doi:10.1097/HCR.0000000000000634.
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