Educational and support needs of patients and their families awaiting cardiac surgery

Lindsay, Patrice; Sherrard, Heather; Bickerton, Lorna; Doucette, Patricia; Harkness, Carol; Morin, Johanne

doi:10.1016/s0147-9563(97)90039-x

Cited by 24 publications

(15 citation statements)

References 15 publications

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“…One of the most important things for families to know is the date of surgery (22). In our study the NoK worried that their intimates might die before the operation would take place, and this is also in accordance with earlier studies (6,22).…”

Section: External Factorssupporting

confidence: 89%

Waiting for Cardiac Surgery—Support Experienced by Next of Kin

Ivarsson

Sjöberg

Larsson

2005

European Journal of Cardiovascular Nursing

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Background: Next of kin (NoK) play a crucial role for patients waiting for cardiac surgery. Aim: To describe experience of support, in the form of important events, by next of kin while their intimates were waiting for a heart operation. Methods: The design was qualitative and the “critical incident” technique was used. Incidents were collected via interviews with 23 next of kin to patients waiting for heart surgery and the informants were chosen by the patient themselves. Findings: In all, 224 important events, both positive and negative, were identified in the interviews and two main areas emerged in the analysis: internal factors and external factors. Positive internal factors were associated with finding strength, whereas negative factors were associated with uncomfortable feelings. Positive external factors were associated with participating in care and receiving attention, whereas negative factors were associated with dissatisfaction with the health-care organization and failing social network. Conclusion: This study shows that next of kin experienced positive support when they received attention and information and felt involvement in the care. An important implication for the health-care professionals and public authorities is the understanding of the experience of support expressed by next of kin, to provide them with optimal information and support.

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Section: External Factorssupporting

confidence: 89%

Waiting for Cardiac Surgery—Support Experienced by Next of Kin

Ivarsson

Sjöberg

Larsson

2005

European Journal of Cardiovascular Nursing

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“…We found that, in line with other studies (Lindsay et al 1997;Staples and Jeffrey 1997), relatives often felt uncertain at the beginning about the patient's cardiac disease and said that they had little or no ability to know or understand how seriously ill the patient really was. But later on, and especially after the death, relatives of patients with manifest heart disease said that they were fully aware that their loved one could not live a life of high quality without surgery.…”

Section: Discussionsupporting

confidence: 86%

From hope and expectation to unexpected death after cardiac surgery

Ivarsson

Larsson

Johnsson

et al. 2008

Intensive and Critical Care Nursing

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Objective: Relatives of patients undergoing cardiac surgery expect successful outcome but sometimes complications cause death. The aim was to interview relatives of patients who have died in connection with cardiac surgery, and describe their experiences of information, reception and care.Methods: Data were obtained from semi-structured interviews with 18 relatives of deceased patients and then analysed using qualitative content analysis.Results: Two main groups emerged: "Analysing the situation" with the sub-groups: knowledge of cardiac disease, the road to operation, hope and despair, information and choice; and "The thin thread of life" with the sub-groups reception, life is over, care, death as a relief, cause of death and support. Conclusion:Most relatives were satisfied with the information and care in connection with the operation and at the end of life. However, some aspects such as inadequate pain control and transportation of critically ill patients to other wards and hospitals could be improved.One way is to introduce a co-ordinator in order to better support patients, next of kin and colleagues without experience of cardio-thoracic surgery who need help during the patients' way from diagnosis and acceptance of cardiac surgery and through the treatment and postoperative care.

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“…Studies by Christopherson and Pfeiffer (1980) and Lindsay et al, (1997) report similarly positive results regarding written patient information. In multi-cultural Sydney it is imperative that such a valuable resource also be available to patients who come from a language background other than English.…”

Section: Discussionmentioning

confidence: 78%

Patient problems and evaluation of patient discharge education after coronary artery bypass graft surgery

McNamee

Wallis

1999

Contemporary Nurse

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Coronary artery bypass graft surgery (CABGS) patients who have a routine postoperative course are now being discharged as early as the fourth postoperative day. This descriptive and comparative study explored the postoperative problems experienced by CABGS patients after discharge from hospital and evaluated the patient discharge education program. No correlations were found between the length of hospital stay and the following factors: number and type of problems/concerns; whether patients felt ready to leave hospital on the discharge day; whether patients felt they were coping after discharge, and the number of and reasons for readmission to hospital after discharge. Continual review of the patient education program is recommended and further research into the discharge needs of rural patients is required.

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Educational and support needs of patients and their families awaiting cardiac surgery

Cited by 24 publications

References 15 publications

Waiting for Cardiac Surgery—Support Experienced by Next of Kin

Waiting for Cardiac Surgery—Support Experienced by Next of Kin

From hope and expectation to unexpected death after cardiac surgery

Patient problems and evaluation of patient discharge education after coronary artery bypass graft surgery

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