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

Rana  bani Salameh; Ahmed  Al-Smadi; Omar Gammoh; Abedalmajeed  Shajrawi; Ala  Ashour; Omar Alrfooh; Donna  Fitzsimons; Taher Hatahet; Ammena  Yahia Binsaleh; Sireen  Abdul Rahim Shilbayeh

doi:10.1371/journal.pone.0319126

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

Rana bani Salameh
, Ahmed Al-Smadi
, Omar Gammoh
, Abedalmajeed Shajrawi
, Ala Ashour
, Omar Alrfooh
, Donna Fitzsimons
, Taher Hatahet
, Ammena Yahia Binsaleh
, Sireen Abdul Rahim Shilbayeh

Zarqa University
Fakeeh college for medical sciences
Yarmouk University
Higher Colleges of Technology
Jordan University of Science and Technology
Queen's University, Belfast
Princess Nourah bint Abdulrahman University

Research output: Contribution to journal › Review article › peer-review

6 Downloads (Pure)

Abstract

Background

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.
Methods

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.
Results

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.
Conclusions

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.

Original language	English
Journal	PLoS ONE
Volume	20
Issue number	8
DOIs	https://doi.org/10.1371/journal.pone.0319126
Publication status	Published - 7 Aug 2025
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Humans
Dyslipidemias/therapy
Jordan
Physicians
Female
Male
Nurses
Adult
Practice Guidelines as Topic
Middle Aged
Qualitative Research
Focus Groups
Guideline Adherence

Access to Document

10.1371/journal.pone.0319126Licence: CC BY

journal.pone.0319126Final published version, 348 KBLicence: CC BY

Cite this

@article{58407aa32cde44fdbc079123fd275a55,

title = "Exploring the implemented guidelines for dyslipidemia treatment and care among nurses and physicians: A qualitative study in Jordan",

abstract = "Background 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. Methods 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. Results 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. Conclusions 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. ",

keywords = "Humans, Dyslipidemias/therapy, Jordan, Physicians, Female, Male, Nurses, Adult, Practice Guidelines as Topic, Middle Aged, Qualitative Research, Focus Groups, Guideline Adherence",

author = "\{bani Salameh\}, Rana and Ahmed Al-Smadi and Omar Gammoh and Abedalmajeed Shajrawi and Ala Ashour and Omar Alrfooh and Donna Fitzsimons and Taher Hatahet and \{Yahia Binsaleh\}, Ammena and \{Abdul Rahim Shilbayeh\}, Sireen",

note = "Copyright: {\textcopyright} 2025 bani Salameh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

year = "2025",

month = aug,

day = "7",

doi = "10.1371/journal.pone.0319126",

language = "English",

volume = "20",

journal = "PLoS ONE",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "8",

}

TY - JOUR

T1 - Exploring the implemented guidelines for dyslipidemia treatment and care among nurses and physicians: A qualitative study in Jordan

AU - bani Salameh, Rana

AU - Al-Smadi, Ahmed

AU - Gammoh, Omar

AU - Shajrawi, Abedalmajeed

AU - Ashour, Ala

AU - Alrfooh, Omar

AU - Fitzsimons, Donna

AU - Hatahet, Taher

AU - Yahia Binsaleh, Ammena

AU - Abdul Rahim Shilbayeh, Sireen

N1 - Copyright: © 2025 bani Salameh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2025/8/7

Y1 - 2025/8/7

N2 - Background 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. Methods 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. Results 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. Conclusions 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.

AB - Background 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. Methods 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. Results 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. Conclusions 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.

KW - Humans

KW - Dyslipidemias/therapy

KW - Jordan

KW - Physicians

KW - Female

KW - Male

KW - Nurses

KW - Adult

KW - Practice Guidelines as Topic

KW - Middle Aged

KW - Qualitative Research

KW - Focus Groups

KW - Guideline Adherence

U2 - 10.1371/journal.pone.0319126

DO - 10.1371/journal.pone.0319126

M3 - Review article

C2 - 40773515

SN - 1932-6203

VL - 20

JO - PLoS ONE

JF - PLoS ONE

IS - 8

ER -

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

Abstract

UN SDGs

Keywords

Access to Document

Fingerprint

Cite this