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The Impact of Nurses' Participation in Multidisciplinary Teams on the Management of Cardiovascular Diseases in Ekiti State University Teaching Hospital

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Background of the Study

Cardiovascular diseases (CVDs) remain one of the leading causes of morbidity and mortality globally. Effective management of CVDs requires a collaborative approach, involving various healthcare professionals such as cardiologists, nurses, dietitians, physiotherapists, and pharmacists. Multidisciplinary teams (MDTs) play a crucial role in providing comprehensive, patient-centered care, improving clinical outcomes, and reducing hospital readmissions.

Nurses, as frontline healthcare providers, are essential members of MDTs in CVD management. Their participation extends beyond routine bedside care to include patient education, medication management, lifestyle counseling, and coordination of care. Studies have demonstrated that active nurse involvement in MDTs enhances adherence to treatment protocols, facilitates early detection of complications, and improves patient satisfaction.

Despite these advantages, the extent of nurse participation in MDTs and its impact on CVD management in Nigerian hospitals remains underexplored. In institutions such as Ekiti State University Teaching Hospital, understanding the contributions of nurses in multidisciplinary collaboration can provide insights into improving CVD care strategies and strengthening team-based healthcare delivery.

Statement of the Problem

Effective management of CVDs requires a coordinated, team-based approach, yet the role of nurses in MDTs is often underutilized or overlooked. Many hospitals in Nigeria still operate with a hierarchical healthcare model where decision-making is predominantly driven by physicians, with limited input from nurses. This can lead to gaps in patient education, medication adherence, and overall disease management.

The lack of structured frameworks for nurse participation in MDTs may hinder optimal patient outcomes. Understanding the impact of nurse involvement in MDTs on CVD management will provide evidence-based recommendations for enhancing collaborative healthcare practices in Nigerian hospitals.

Objectives of the Study

  1. To assess the level of nurse participation in multidisciplinary teams managing CVDs at Ekiti State University Teaching Hospital.
  2. To evaluate the impact of nurse participation in MDTs on patient outcomes, including treatment adherence and recovery rates.
  3. To identify the challenges and barriers to effective nurse participation in MDTs for CVD management.

Research Questions

  1. What is the extent of nurse participation in multidisciplinary teams for CVD management at Ekiti State University Teaching Hospital?
  2. How does nurse involvement in MDTs impact patient outcomes in CVD management?
  3. What are the challenges limiting nurse participation in MDTs for CVD management?

Research Hypotheses

  1. Nurse participation in multidisciplinary teams for CVD management is suboptimal at Ekiti State University Teaching Hospital.
  2. Increased nurse involvement in MDTs leads to improved patient outcomes, including better treatment adherence and reduced hospital readmissions.
  3. Structural and institutional barriers hinder the effective participation of nurses in MDTs for CVD management.

Scope and Limitations of the Study

This study will focus on nurses working in multidisciplinary teams for CVD management at Ekiti State University Teaching Hospital. It will assess their level of participation, the impact on patient outcomes, and barriers to effective collaboration. Limitations may include variations in team structures across hospital departments and potential resistance to self-reporting by healthcare professionals.

Definitions of Terms

  • Multidisciplinary Team (MDT): A group of healthcare professionals from different disciplines working collaboratively to manage patient care.
  • Cardiovascular Disease (CVD): A group of disorders affecting the heart and blood vessels, including hypertension, coronary artery disease, and heart failure.
  • Nurse Participation: The active involvement of nurses in patient care planning, decision-making, and implementation of treatment strategies within MDTs.




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