Bani Salameh Rana, Al-Smadi Ahmed, Gammoh Omar, Shajrawi Abedalmajeed, Ashour Ala, Alrfooh Omar, Fitzsimons Donna, Hatahet Taher, Binsaleh Ammena Yahia, Shilbayeh Sireen Abdul Rahim
Department of Adult Nursing Care, Faculty of Nursing, Al al-Bayt University, Al-Mafraq, Jordan.
Faculty of Nursing, Zarqa University, Zarqa, Jordan.
PLoS One. 2025 Aug 7;20(8):e0319126. doi: 10.1371/journal.pone.0319126. eCollection 2025.
Dyslipidemia is a major risk factor for ischemic heart disease worldwide. The most recent guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) and the European Society of Cardiology/European Atherosclerosis Society (ESC/EAS) aim to control cholesterol levels and reduce cardiovascular risk. In Jordan, where no national guidelines exist, international guidelines are commonly adopted. However, limited research has examined their implementation in clinical practice. This study aimed to explore the implementation of updated ACC/AHA and ESC/EAS guidelines for the treatment and care of dyslipidemia among nurses and physicians in Jordan.
Semi-structured focus group interviews with open-ended questions were conducted to gain a deeper understanding of current practices and guideline implementation among nurses and physicians.
The focus group discussions revealed that healthcare professionals attempt to follow specific guidelines and achieve optimal treatment goals. However, several barriers, including a heavy workload, limited resources, and a lack of institutional support, hinder effective implementation. Participants also provided several suggestions to improve guideline implementation and expressed the need for national, context-specific dyslipidemia management guidelines in Jordan.
The study found limited implementation of dyslipidemia management guidelines among Jordanian nurses and physicians in clinical practice. Findings highlight the need for national guidance and system-level support to facilitate better implementation.
血脂异常是全球缺血性心脏病的主要危险因素。美国心脏病学会/美国心脏协会（ACC/AHA）和欧洲心脏病学会/欧洲动脉粥样硬化学会（ESC/EAS）的最新指南旨在控制胆固醇水平并降低心血管风险。在约旦，由于没有国家指南，国际指南通常被采用。然而，针对这些指南在临床实践中的实施情况的研究有限。本研究旨在探讨更新后的ACC/AHA和ESC/EAS指南在约旦护士和医生中对血脂异常治疗和护理的实施情况。
进行了半结构化焦点小组访谈，提出开放式问题，以更深入地了解护士和医生当前的实践和指南实施情况。
焦点小组讨论表明，医疗保健专业人员试图遵循特定指南并实现最佳治疗目标。然而，包括工作量大、资源有限和缺乏机构支持在内的几个障碍阻碍了有效实施。参与者还提出了一些改进指南实施的建议，并表示约旦需要针对具体情况的国家血脂异常管理指南。
该研究发现约旦护士和医生在临床实践中对血脂异常管理指南的实施有限。研究结果强调需要国家指导和系统层面的支持，以促进更好的实施。
