Innovations in cardiac nursing: Evidence-based strategies for optimizing patient outcomes in acute and critical care

Background: Innovations in cardiac nursing, including evidence-based interventions and advanced patient management strategies, are essential to improve outcomes in acute and critical care settings. Despite growing interest, limited research has examined the combined impact of standardized nursing interventions on patient outcomes across multiple hospitals in Indonesia.

Objective: To evaluate the effectiveness of evidence-based cardiac nursing strategies in optimizing patient outcomes in acute and critical care patients across eight Type B hospitals in Indonesia.

Methods: A causal-comparative study was conducted from January 2022 to January 2025 involving 140 patients diagnosed with acute or critical cardiac conditions. Standardized nursing interventions, including early mobilization, tailored pharmacological management, and patient education, were implemented across all sites. Outcome measures included mortality, length of hospital stay, readmission rates, and adherence to treatment. Statistical analyses were performed using Pearson’s correlation to determine the relationship between nursing strategies and patient outcomes.

Results: Implementation of evidence-based cardiac nursing strategies demonstrated a significant and strong positive correlation with improved patient outcomes. Early mobilization reduced length of stay by 20%, adherence to pharmacological management decreased readmission rates by 15%, and structured patient education improved treatment compliance by 25%.

Conclusion: Evidence-based innovations in cardiac nursing significantly enhance patient outcomes in acute and critical care. These findings support the integration of standardized, research-informed nursing strategies into routine practice to optimize patient recovery and safety.

Dr. Agussalim, S.Kp, MSN, DNS, Graduated as a nurse from Labuang Baji Nursing School in 1996, then Bachelor of Nursing Science from University of Binawan 2005.  Then Master of Science Nursing 2008, and Doctor of Nursing Science from SPUP Philippines.