Influence of Clinician-Related Factors on Adherence to the American Heart Association Guidelines for Acute Coronary Syndrome among Clinicians at Kenya Ports Authority clinics in Mombasa, Kenya.
(1) Mount Kenya University
(2) Mount Kenya University
(3) Mount Kenya University
(*) Corresponding Author
Abstract
Acute Coronary Syndrome (ACS) represents a critical spectrum of coronary artery diseases, including unstable angina, ST-segment elevation myocardial infarction (STEMI), and non-ST elevation myocardial infarction (NSTEMI). Adherence to standardized clinical guidelines, such as the American Heart Association’s Advanced Cardiac Life Support (ACLS), is essential to optimize patient outcomes. This study aimed to evaluate the influence of clinician-related factors on adherence to the American Heart Association guidelines for ACS management among clinicians at Kenya Ports Authority (KPA) clinics in Mombasa, Kenya. Employing a descriptive cross-sectional design, quantitative data were collected from 106 clinicians, including medical doctors, nurses, and clinical officers, using self-administered questionnaires. Data were analyzed using SPSS version 25, with descriptive and inferential statistics applied to identify significant associations. Results revealed high awareness of ACS guidelines (100%) and substantial training coverage (93.8%), predominantly through ACLS certification. Significant associations were found between adherence and clinician gender, work experience, job cadre, and training on ACS guidelines. The study recommends enhancing resource allocation for ACS management, ensuring availability of essential medications and equipment, and developing simplified clinical algorithms to support guideline adherence. Regular audits and continuous professional development are also advised to sustain adherence and improve patient care quality.
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DOI: https://doi.org/10.26714/seanr.6.4.2024.175-180
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