The influence of country of origin on engagement in self-care behaviours following heart surgery: a descriptive correlational study

Aim: The aim of this study was to determine if an individual’s country of origin influenced performance of self-care behaviours after heart surgery. Background: Patients are required to perform self-care behaviours following cardiovascular surgery. Usual care encompasses a patient education initiative that addresses self-care behaviour performance. Within Canada, current heart surgery patient education efforts have been designed and evaluated using homogenous samples that self-identify their country of origin as England, Ireland, or Scotland. However, approximately, 42.6% of Canadian cardiovascular surgical patients self-identify their country of origin as India or China. Thus, current cardiovascular surgery patient education initiatives may not be applicable to all patients undergoing heart surgery, which may result in decreased patient outcomes such as performance of self-care behaviours. Design and methods: This descriptive study included a convenience sample of ninety patients who underwent heart surgery at one of two university affiliated teaching hospitals, representing individuals of diverse backgrounds. Point-biserial correlational analysis was conducted to determine the relationship between country of origin and performance of self-care behaviours. Results and conclusion: Findings indicate individuals who self identified their country of origin as England or Ireland were associated with a higher score on the number of self-care behaviours performed (p < .05) than individuals who self-identified other countries of origin. Self-care behaviours were taught using patient education materials that were designed based on feedback obtained from individuals whose country of origin was England or Ireland. Thus, this study provides preliminary evidence to suggest country of origin influences the amount of self-care behaviours individuals will perform. Relevance to clinical practice: Patient education initiatives should incorporate the values, beliefs, attitudes, and customs reflective of an individual’s country of origin to enhance the likelihood of producing desired outcomes.

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The influence of country of origin on engagement in self-care behaviours following heart surgery: A descriptive correlational study.

10.32920/ryerson.14669151.v1 ◽

2021 ◽

Author(s):

Suzanne Fredericks

Keyword(s):

Patient Education ◽

Heart Surgery ◽

Cardiovascular Surgery ◽

Country Of Origin ◽

Self Care ◽

Preliminary Evidence ◽

Teaching Hospitals ◽

Convenience Sample ◽

Surgery Patient ◽

Education Initiatives

Aim: The aim of this study was to determine if an individual’s country of origin influenced performance of self-care behaviours after heart surgery. Background: Patients are required to perform self-care behaviours following cardiovascular surgery. Usual care encompasses a patient education initiative that addresses self-care behaviour performance. Within Canada, current heart surgery patient education efforts have been designed and evaluated using homogenous samples that self-identify their country of origin as England, Ireland, or Scotland. However, approximately, 42.6% of Canadian cardiovascular surgical patients self-identify their country of origin as India or China. Thus, current cardiovascular surgery patient education initiatives may not be applicable to all patients undergoing heart surgery, which may result in decreased patient outcomes such as performance of self-care behaviours. Design and methods: This descriptive study included a convenience sample of ninety patients who underwent heart surgery at one of two university affiliated teaching hospitals, representing individuals of diverse backgrounds. Point-biserial correlational analysis was conducted to determine the relationship between country of origin and performance of self-care behaviours. Results and conclusion: Findings indicate individuals who self identified their country of origin as England or Ireland were associated with a higher score on the number of self-care behaviours performed (p < .05) than individuals who self-identified other countries of origin. Self-care behaviours were taught using patient education materials that were designed based on feedback obtained from individuals whose country of origin was England or Ireland. Thus, this study provides preliminary evidence to suggest country of origin influences the amount of self-care behaviours individuals will perform. Relevance to clinical practice: Patient education initiatives should incorporate the values, beliefs, attitudes, and customs reflective of an individual’s country of origin to enhance the likelihood of producing desired outcomes.

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Nurse and patient factors that influence nursing time in chest tube management early after open heart surgery: A descriptive, correlational study

Intensive and Critical Care Nursing ◽

10.1016/j.iccn.2017.03.008 ◽

2017 ◽

Vol 42 ◽

pp. 116-121 ◽

Cited By ~ 6

Author(s):

Myra Cook ◽

Laura Idzior ◽

James F. Bena ◽

Nancy M. Albert

Keyword(s):

Chest Tube ◽

Heart Surgery ◽

Open Heart Surgery ◽

Correlational Study ◽

Open Heart ◽

Nursing Time ◽

Patient Factors

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A Correlational Study of Illness Knowledge, Self-Care Behaviors, and Quality of Life in Elderly Patients With Heart Failure

Journal of Nursing Research ◽

10.1097/jnr.0000000000000024 ◽

2014 ◽

Vol 22 (2) ◽

pp. 136-145 ◽

Cited By ~ 23

Author(s):

Min-Hui Liu ◽

Chao-Hung Wang ◽

Yu-Yen Huang ◽

Wen-Jin Cherng ◽

Kai-Wei Katherine Wang

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Elderly Patients ◽

Self Care ◽

Correlational Study ◽

Illness Knowledge ◽

Patients With Heart Failure

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Home Self-Care Management Program for Patients with Open Heart Surgery in Kalyubia Governorate

Menoufia Nursing Journal ◽

10.21608/menj.2017.129102 ◽

2017 ◽

Vol 2 (2) ◽

pp. 57-66

Author(s):

Shimaa Abd EL Aziz ◽

Yousry Risk ◽

Mahbouba Abd El-Aziz ◽

Hedya Mohy El-Deen

Keyword(s):

Care Management ◽

Heart Surgery ◽

Open Heart Surgery ◽

Self Care ◽

Management Program ◽

Open Heart ◽

Care Management Program

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Educational intervention reduces complications and re-hospitalizations after heart surgery.

10.32920/ryerson.14636715.v1 ◽

2021 ◽

Author(s):

Suzanne Fredericks ◽

Terrence M. Yau

Keyword(s):

Hospital Discharge ◽

Heart Surgery ◽

Controlled Trial ◽

Hospital Readmissions ◽

Self Care ◽

Relevant Information ◽

Preliminary Evidence ◽

Care Patient ◽

Chi Square ◽

The Impact

The effectiveness of in-hospital self-care patient education, delivered to patients following heart surgery, is questionable, as evidence indicates individuals are not able to absorb and/or retain information at this time. In the absence of adequate instruction, individuals will not have the relevant information to engage in specific self-care behaviors, resulting in the onset of complications and/or hospital readmissions. The purpose of this pilot study was to collect preliminary evidence to demonstrate the impact of an individualized education intervention given above and beyond usual care, delivered, at two points in time, following hospital discharge. A randomized controlled trial was used in which 34 patients were randomly assigned to one of two groups. Chi-square analyses to examine differences between groups on complications and hospital readmission rates were conducted. Findings point to the impact of the intervention in reducing the number of hospital readmissions and complications at 3 months following hospital discharge.

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Educational intervention reduces complications and re-hospitalizations after heart surgery.

10.32920/ryerson.14636715 ◽

2021 ◽

Author(s):

Suzanne Fredericks ◽

Terrence M. Yau

Keyword(s):

Hospital Discharge ◽

Heart Surgery ◽

Controlled Trial ◽

Hospital Readmissions ◽

Self Care ◽

Relevant Information ◽

Preliminary Evidence ◽

Care Patient ◽

Chi Square ◽

The Impact

The effectiveness of in-hospital self-care patient education, delivered to patients following heart surgery, is questionable, as evidence indicates individuals are not able to absorb and/or retain information at this time. In the absence of adequate instruction, individuals will not have the relevant information to engage in specific self-care behaviors, resulting in the onset of complications and/or hospital readmissions. The purpose of this pilot study was to collect preliminary evidence to demonstrate the impact of an individualized education intervention given above and beyond usual care, delivered, at two points in time, following hospital discharge. A randomized controlled trial was used in which 34 patients were randomly assigned to one of two groups. Chi-square analyses to examine differences between groups on complications and hospital readmission rates were conducted. Findings point to the impact of the intervention in reducing the number of hospital readmissions and complications at 3 months following hospital discharge.

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Socio-demographics and health profile: Influence on self-care.

10.32920/ryerson.14639364 ◽

2021 ◽

Author(s):

Suzanne Fredericks ◽

Souraya Sidani

Keyword(s):

Heart Surgery ◽

Nursing Practice ◽

Self Care ◽

Demographic Characteristics ◽

Descriptive Statistics ◽

Health Profile ◽

Surgical Units ◽

Theoretical Evidence ◽

Study Participants ◽

The Relationship

Variability in the performance of self-care behaviours have been reported in the cardiovascular surgical population. Theoretical evidence suggest that demographic characteristics and health profile influence patients’ engagement in self-care behaviours. However, the influence of these variables on performance of self-care has not been examined. The purpose of this quantitative, non-experimental study was to determine how much variance in performance of self-care behaviours is accounted for by demographic characteristics, as well as the health profile of patients who underwent heart surgery. Data from a sample of 248 study participants, recruited from two cardiovascular surgical units, were collected. Descriptive statistics were used to characterize the sample on demographics and health profile, while multiple regression analysis was conducted to determine the relationship between variables. Findings suggest these factors have a minimal influence on self-care behaviour performance. Alternative factors influencing self-care behaviour performance were identified along with implications for future nursing practice.

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