College of Nursing
Problem: Barriers exist to enrolling and attending a cardiac rehabilitation (CR) program for patients who have recently experienced a cardiac event. These barriers include insurance status, cost, location, availability, convenience, and transportation. Increasing accessibility to CR through the provision of a hybrid-based cardiac rehabilitation (HBCR) program provides an alternative option that may improve enrollment, attendance, and completion rates in the CR program by removing the barriers of location and transportation. Purpose: The purpose of this project was to determine if a HBCR program was feasible for improving overall enrollment, attendance, and participation rate at Prisma Health Heart Hospital (PHHH). Methods: A combination of 36 campus-based and virtual-based visits lasting 31-60 minutes each over five months comprised the HBCR program which was implemented. Vidyo, a high-quality two-way video conferencing interface platform, was used to monitor patients. Patients were monitored by a healthcare professional during the HBCR program. Sessions consisted of patient and family education, counseling, and an exercise component. Patients rated their perceived exertion rates using a scale of 1-10. The PHHH’s campus-based CR (CBCR) program provided patients with pulse oximeter and electronic blood pressure kits for use during their HBCR sessions. Results: Patients offered the option of HBCR had a 50% enrollment rate. HBCR enrollees had an 83% participation rate, and 33% percent completed the program with the remaining patients anticipated to complete the program at a later date. Five patients completed the satisfaction survey with 100% stating the HBCR was instrumental in them enrolling and completing the program. Implications for Practice: HBCR is a valuable, cost-effective alternative to the campus-based CR program with a marked improvement in attendance and participation.
Yandle, Victoria S., "Hybrid-Based Cardiac Rehabilitation: Improving Enrollment, Attendance, and Completion Rates" (2022). Doctor of Nursing Practice Scholarly Projects. 29.
Available for download on Sunday, December 31, 2023