106 | Volume 7 No 2 OCTOBER 2024 Journal Homepage: https://e-journal.unair.ac.id/PMNJ/index This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License Original Research Nurses’ Knowledge, Attitude, and Practice of Implementing Heart Failure Management Guidelines Racheal Chidimma Jideofor* and Jefferson S. Galanza Saint Louis University, Baguio City, Philippines ARTICLE HISTORY Received: July, 21 2024 Revised: October, 06 2024 Accepted: October, 07 2024 Available online: October, 10 2024 KEYWORDS patient education; readmission; self-care management CORRESPONDING AUTHOR Racheal Chidimma Jideofor rachealjideofor96@gmail.com Saint Louis University, Baguio City, Philippines ABSTRACT Introduction: Heart failure presents a global concern with significant morbidity and mortality rates. In Nigeria, Heart failure has become prevalent, with patients exhibiting inadequate self-care due to nurses' limited knowledge of management guidelines, lack of motivation to utilize clinical practice guidelines, and difficulties implementing management guidelines that incorporate patient education. The study analyzed the nurses' level of knowledge, degree of attitude, and extent of practicing education on heart failure management guidelines. Also, the relationship between nurses' knowledge and practice in implementing heart failure management guidelines. Methods: This quantitative study employed a descriptive-correlational survey design. Purposive sampling was employed to select two government-owned hospitals in northeast Nigeria. A stratified random sampling technique was utilized to recruit two hundred twenty (220) nurse respondents. A self-made survey questionnaire was utilized to gain more extensive information from respondents. Data were analyzed using descriptive statistics and Spearman's correlation. Results: The results showed nurses' insufficient knowledge (Mean 14.5 ± 2.91) of heart failure management guidelines, favorable attitude (mean 4.37 ± 0.43), and high extent of practice (mean 4.16 ± 0.66). Furthermore, a very weak, no significant negative correlation was discovered between knowledge and practice of Heart Failure management guidelines. Conclusions: Nurses showed positive attitudes toward heart failure patient care, yet inconsistently engaged in patient education despite recognizing its benefits. The absence of a relationship between nurses' knowledge and practice of patient education underscores the need to address factors impeding patient education. Cite this as: Jideofor, R. C. & Galanza, J. S. (2024). Nurses’ Knowledge, Attitude, and Practice of Implementing Heart Failure Management Guidelines. Fundam Manaj. Nurs. J. 7(2). 106-117 doi.org/10.20473/fmnj.v7i2.60627 1. INTRODUCTION Heart failure (HF) is traditionally described as the heart's incapacity to pump nutrient and oxygen-rich blood enough to meet the tissues' requirements (Hinkle & Cheever, 2017). HF is a global health pandemic, a complex and deadly syndrome estimated to affect 64 million individuals globally (Savarese et al., 2023). Living with HF is a shared, demanding journey between patients and their caregivers. As a growing global issue, HF has profound social impacts, such as a reduction in quality of life, increased mortality and morbidity (Malik et al., 2023; Polikandroti, 2022), and caregiver burden (Liu et al., 2020), and economic impact on patients such as high health care costs. Patients with HF often experience a reduced quality of life due to symptoms such as fatigue, shortness of breath, and limited physical activity (Malik et al., 2023), which affects patient's ability to FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL Vol. 7, No. 2, October 2024 Laman jurnal: https://e-journal.unair.ac.id/FMNJ http://dx.doi.org/ 10.20473/fmnj.v7i2.60627