Loading…
Patient participation in pulmonary interventions to reduce postoperative pulmonary complications following cardiac surgery
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 patien...
Saved in:
Published in: | Australian critical care 2016-02, Vol.29 (1), p.35-40 |
---|---|
Main Authors: | , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Summary: | 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.
To explore patients’ ability and willingness to participate in pulmonary interventions and nurses’ facilitation of pulmonary interventions.
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).
A cardiac surgical ward of a major metropolitan, tertiary referral hospital in Melbourne, Australia.
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.
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.
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.
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. |
---|---|
ISSN: | 1036-7314 1878-1721 |
DOI: | 10.1016/j.aucc.2015.04.001 |