Perceptions of patients' post coronary artery bypass grafting surgery related to health related quality of life and satisfaction when nurse practitioners are active participants in care
Patricia D. Sweeney, MS, APRN-BC
- Sigma Affiliation
- Zeta Psi
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Sweeney, Patricia D. by View
Popular Works for Sweeney, Patricia D. by Download
The issue of quality health care has a renewed focus since the Institute of Medicine's 2000 report and has become a primary concern for patients, providers, and payors. Quality needs to be addressed from the perspective of the patient, incorporating patient-centered preferences in all areas where care is received; with special attention for high frequency, high cost, high-risk populations that evaluates all types of providers. The primary aim of this study is to describe patient perceptions of health related quality of life (HRQOL) and satisfaction for patients hospitalized for coronary artery bypass grafting (CABG) surgery when Nurse Practitioners (NP) are active participants in care. Secondary aims of the study were to: describe the outcomes: adverse events (pulmonary, urinary tract, and wound infections); cost of care; mortality; and hospital re-admissions; and the role of the Nurse Practitioner for patients having CABG surgery. The Quality Health Outcomes Model was used as the foundation for the research. A prospective descriptive multi-site study using a criterion-based sample to select individuals having CABG surgery in mid to large size, non-Magnet community hospitals in northeastern, central, or southeastern Pennsylvania was used. Data was collected from four sources: two surveys, the Short Form-36, version 2 for HRQOL and the Patient Judgment System for patient satisfaction; a Chart Review Tool; and a NP survey. Participants were enrolled (N = 91) at two hospitals, with one NP at each facility. Primary data analysis was descriptive with secondary analyses performed to identify the presence of relationships among the study variables. Findings indicated participants had high satisfaction with all aspects of hospitalization and HRQOL mental health; and low scores for HRQOL physical role and physical component score. Mortality and cost of care were lower than State averages, while adverse events and re-admissions were higher than State averages. NPs were actively involved in patient care and spent 80% of their time in direct patient care activities. Implications include the need for continued research, using quasi-experimental designs to identify a cause and effect relationship between the use of NPs and selected patient outcomes.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3381022; ProQuest document ID: 304986950. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Quantitative Research|
|Keywords||Heart Surgery Patients;
|CINAHL Subject(s)||Patient Satisfaction--Evaluation;
Coronary Artery Bypass;
Quality of Life;
Quality of Nursing Care
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Blood glucose sample collection in the post-operative coronary artery bypass patient Thomas, Andrea; Kinney, MargaretThis paper looks into the methods used to collect blood glucose samples in the post-operative coronary artery bypass patient. Current practice is waking a patient hourly to obtain blood via a finger prick. This project ...
Caregiver burden and its relationship to health-related quality of life of spouses of coronary artery bypass patients Halm, Margo A.Background. With today's aging population and short hospitalizations, patients recovering after coronary artery bypass (CAB) surgery rely on family assistance, usually from their spouse. While caregiving may be meaningful, ...
A report of coronary artery bypass graft patients receiving telehealth program monitoring Sanonoi, NattayaA report of the coronary artery bypass graft patients receiving telehealth program monitoring and providing knowledge through infographic image via smartphone application. This is present a patient health problem. Management ...
Partners together in health: Health-related quality of life outcomes in coronary artery bypass patients and partners Macken, Lynda C.Coronary artery bypass (CAB) surgery patients experience profound declines in physical, psychological, and relational health-related quality of life (HRQOL) following surgery. The purpose of this study was to examine HRQOL ...
The factors influencing the self-care and quality of life of patients with coronary artery disease Kangchanakul, Suthanithi; Saengsiri, Aem-orn; Wattradul, Duangkamol (2014-11-17)Session presented on Friday, July 25, 2014: Purpose: Coronary artery disease (CAD) is the most common cause of death in Thailand. The patients with CAD need long-term care to enhance their quality of life. This study was ...