Healthcare worker's adherence to the use of adult primary care guidelines in management of cardiovascular disease in the North-West Province

Abstract

Introduction: Cardiovascular Diseases (CVDs) are heart conditions characterized by diseased vessels, structural issues, and blood clots. In this country, Standard Treatment Guidelines are issued to help healthcare workers with diagnosis and management. Given the destructive effects of CVDs, the study's goal was to investigate healthcare workers' adherence to the implementation of APC guidelines in the management of cardiovascular diseases in the North-West Province. Method: The quantitative design, descriptive, cross-sectional, and retrospective chart analysis were used in the study. Data were collected from patients' records of patients diagnosed with CVDs and used from January 1, 2016, to December 30, 2018, from a purposeful sample of clinics, using a checklist tool. The study was conducted in the Naledi Sub-district of Northwest Province, one of four Sub-districts in the Dr. Ruth Segomotsi Mompati District (DRSM). The study included all adult patients with CVDs but excluded any patients who had not been diagnosed with CVDs. Results: SPSS version 27 was used to analyze the records of n=251 patients. variables that were statistically significant at p < 0.05. and were related to the dependent variable Only one variable (CI -0.86- 0.166; p < 0.002) ) is statistically significant when all variables are considered together. The study's findings revealed a lack of adherence to the Adult Primary Guidelines (APC) guideline in the management of CVDs by healthcare workers. Conclusions: Because healthcare workers' adherence to APC guidelines in primary care is generally suboptimal, ongoing professional development in diagnosis, and drug and non-drug management is essential.