# Exploring the implemented guidelines for dyslipidemia treatment and care among nurses and physicians: A qualitative study in Jordan

## TL;DR

This study explores how Jordanian healthcare professionals implement international dyslipidemia guidelines and identifies barriers to their use.

## Contribution

The study provides insights into guideline implementation challenges in Jordan and advocates for national dyslipidemia guidelines.

## Key findings

- Healthcare professionals face barriers like heavy workload and limited resources in implementing guidelines.
- Participants suggested the need for national, context-specific dyslipidemia management guidelines in Jordan.
- Current guideline implementation in clinical practice is limited among Jordanian nurses and physicians.

## Abstract

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.