Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/286
Title: Patient participation in pulmonary interventions to reduce postoperative pulmonary complications following cardiac surgery.
Epworth Authors: Botti, Mari
Other Authors: McTier, Lauren
Duke, Maxine
Keywords: Patient Participation
Sub-Acute Care
Postoperative Care
Care, Postoperative
Quality Assurance, Health Care
Safety
Cardiac Surgery
Surgery, Cardiac
Heart Surgery
Thoracic Surgery
Postoperative Complications
Complication, Postoperative
Patient Admission
Epworth/Deakin Centre for Clinical Nursing Research, Melbourne, Victoria, Australia
Cardiac Sciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: May-2015
Publisher: Elsevier
Citation: Australian Critical Care 2015 May 1. pii: S1036-7314(15)00041-7
Abstract: BACKGROUND: Clinical interventions aimed at reducing the incidence of postoperative pulmonary complications necessitate patient engagement and participation in care. Patients' ability and willingness to participate in care to reduce postoperative complications is unclear. Further, nurses' facilitation of patient participation in pulmonary interventions has not been explored. OBJECTIVE: To explore patients' ability and willingness to participate in pulmonary interventions and nurses' facilitation of pulmonary interventions. DESIGN: Single institution, case study design. Multiple methods of data collection were used including preadmission (n=130) and pre-discharge (n=98) patient interviews, naturalistic observations (n=48) and nursing focus group interviews (n=2). SETTING: A cardiac surgical ward of a major metropolitan, tertiary referral hospital in Melbourne, Australia. PARTICIPANTS: One hundred and thirty patients admitted for cardiac surgery via the preadmission clinic during a 1-year period and 40 registered nurses who were part of the permanent workforce on the cardiac surgical ward. OUTCOME MEASURES: Patients' understanding of their role in pulmonary interventions and patients' preference for and reported involvement in pulmonary management. Nurses' facilitation of patients to participate in pulmonary interventions. RESULTS: Patients displayed a greater understanding of their role in pulmonary interventions after their surgical admission than they did at preadmission. While 55% of patients preferred to make decisions about deep breathing and coughing exercises, three-quarters of patients (75%) reported they made decisions about deep breathing and coughing during their surgical admission. Nurses missed opportunities to engage patients in this aspect of pulmonary management. CONCLUSIONS: Patients appear willing to take responsibility for pulmonary management in the postoperative period. Nurses could enhance patient participation in pulmonary interventions by ensuring adequate information and education is provided. Facilitation of patients' participation in their recovery is a fundamental aspect of care delivery in this context.
DOI: 10.1016/j.aucc.2015.04.001
PubMed URL: http://www.ncbi.nlm.nih.gov/pubmed/25939547
ISSN: 1036-7314
Journal Title: Australian Critical Care
Type: Journal Article
Type of Clinical Study or Trial: Case Series and Case Reports
Appears in Collections:Cardiac Sciences

Files in This Item:
There are no files associated with this item.


Items in EKB are protected by copyright, with all rights reserved, unless otherwise indicated.