Work

Clinician Perspectives of Barriers and Enablers to Quality Cardiogenic Shock Care: A Focus Group Study

Year: 2025

Type: article

Abstract: BACKGROUND & AIM: Cardiogenic shock is a medical emergency that is associated with high mortality rates. It is a resource-intensive and costly condition that is complicated by comorbidities and clinical deterioration. However, the barriers and enablers to quality cardiogenic shock care are relatively unknown from the perspective of Australian clinicians. This study aimed to i) To explore clinicians' perspectives on the barriers to delivering these best practice care and optimal outcomes for patients with cardiogenic shock; and ii) To understand priorities to overcome these barriers, with the intent of using the findings to inform the development and implementation of a clinical trial for cardiogenic shock management-ESCAPE-CS: Evaluation of a Standardised ClinicAl Pathway to improve Equity and outcomes in Cardiogenic Shock (ESCAPE-CS). METHOD: A qualitative focus group study was conducted via videoconference with experienced clinicians, and audio-recorded and transcribed verbatim. Data were analysed using thematic analysis in NVivo. RESULTS: Five focus groups were conducted, including 19 participants (11 male and eight female), comprising seven intensive care unit physicians, seven nurse consultants/educators, three cardiologists, and two emergency department physicians working in metropolitan and rural, regional, or remote health settings. Five themes were identified: CONCLUSIONS: This study provided critical insights into the barriers and possible enablers to delivering best practice care and optimal outcomes for patients with cardiogenic shock. There is scope for an improved model of care in cardiogenic shock management to address inequalities emerging from multifactorial complexities.

Source: Heart Lung and Circulation

DOI: 10.1016/j.hlc.2024.12.002

Authors: Caleb Ferguson, Scott William, Sabine M. Allida, Pankaj Jain, Mark Dennis, Pankaj Jain, Anthony Keech, Mark Dennis, Peter S. Macdonald, Christopher Hayward, Priya Nair, Kavitha Muthiah, Nhi Nguyen, Brian Burns, Ian Marschner, Karan Shah, Paul Forrest, Chi K Law, Caleb Ferguson

Institutions: University of Wollongong, Blacktown & Mount Druitt Hospital, Western Sydney Local Health District, The University of Sydney, Royal Prince Alfred Hospital

Language: English

Topic: Mechanical Circulatory Support Devices

Subfield: Biomedical Engineering

Field: Engineering

Domain: Physical Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: hybrid

Estimated APC paid: $3,260

Funders: Australian Government, National Heart Foundation of Australia, Medical Research Council, National Health and Medical Research Council

Awards: G4300358709, INFORM-AF a randomised controlled trial to assess the efficacy of a digital education program for atrial fibrillation, Veno-arterial ECMO for Cardiac Arrest - improving appropriate patient selection, access, use and management

OpenAlex ID: W4407225156

FWCI: 0.708

Cites: 36

Cited by: 3

Related to: 10