scholarly journals An examination of current patient education interventions delivered to culturally diverse patients following CABG surgery.

2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Souraya Sidani ◽  
Mandana Vahabi ◽  
V. Micevski

The design of current educational initiatives for heart surgery patients is based on feedback from individuals of Western European origin. The relevance of these initiatives is unknown when provided to individuals from non-Western European cultures. This study examined the cultural relevance of heart surgery patient educational initiatives delivered to individuals of diverse backgrounds. It used a non-experimental descriptive design involving 252 participants. Cultural relevance was assessed through self-care behaviours performed as recommended in the educational initiative. The participants of non-Western European origin were found to engage in more work-related activities and fewer self-care behaviours than their Western European counterparts in the first week following hospital discharge, indicating lack of adherence to educational recommendations. The study provides preliminary evidence suggesting that current self-care educational initiatives may not be culturally relevant. Continued evaluation to determine reasons why specific cultural groups engage in specific types of behaviour is needed.

2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Souraya Sidani ◽  
Mandana Vahabi ◽  
V. Micevski

The design of current educational initiatives for heart surgery patients is based on feedback from individuals of Western European origin. The relevance of these initiatives is unknown when provided to individuals from non-Western European cultures. This study examined the cultural relevance of heart surgery patient educational initiatives delivered to individuals of diverse backgrounds. It used a non-experimental descriptive design involving 252 participants. Cultural relevance was assessed through self-care behaviours performed as recommended in the educational initiative. The participants of non-Western European origin were found to engage in more work-related activities and fewer self-care behaviours than their Western European counterparts in the first week following hospital discharge, indicating lack of adherence to educational recommendations. The study provides preliminary evidence suggesting that current self-care educational initiatives may not be culturally relevant. Continued evaluation to determine reasons why specific cultural groups engage in specific types of behaviour is needed.


2021 ◽  
Author(s):  
Suzanne Fredericks

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.


2021 ◽  
Author(s):  
Suzanne Fredericks

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.


2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Terrence M. Yau

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.


2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Terrence M. Yau

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.


Author(s):  
MICHAEL EHRLICH

Abstract In this article I suggest that, although many Jews perished during the wars between the Mamluks and the Franks during the thirteenth century's second half, and others migrated to different Jewish communities in the Middle East and Europe, some Jews migrated to Safed, Jerusalem, and perhaps to Gaza as well. A significant number of the Jews who lived in Safed and Jerusalem during the early decades of the fourteenth century were of a Western European origin but were not newcomers from Europe. I suggest that some of these were Jews who previously lived in Acre and Tyre and migrated to Safed and Jerusalem either shortly before the Latin Kingdom of Jerusalem got its coup de grâce, or afterwards.


Author(s):  
H. Speidel ◽  
B. Flemming ◽  
P. Götze ◽  
G. Huse-Kleinstoll ◽  
H.-J. Meffert ◽  
...  

1983 ◽  
Vol 11 (3) ◽  
pp. 24-34 ◽  
Author(s):  
J. Kearins

Since the development of psychological assessments of ‘intelligence’ at about the beginning of this century, many groups of people have been tested. By and large, most have performed at lower levels than people of north-western European origin or ancestry, who belong to the culture within which the tests were devised.Among the poor performers, with average IQ’s of 80 to 92, have been people of southern and eastern Europe and Caucasian people from further east (Greeks, Yugoslavs, Iranians, Iraqis, Turks, Indians), tested in their homelands, mostly in large numbers and by compatriots, on ‘standard’ non-verbal or translated tests.These relatively poor performances demonstrate the extent of cultural learning of a particular type involved in most cognitive tests. Presumably, north-western European cultural learning is required for good performances on tests coming from this cultural background, so that children from different backgrounds, even those from other areas of Europe, are likely to be disadvantaged.Children from more widely different backgrounds, such as those from hunting and gathering groups, can be expected to be disadvantaged even further.Nevertheless, hunting and gathering people have been tested on Western-type tests, and poor performances interpreted as indicating inferior ability. Kalahari ‘bushmen’ people in the 1930s were assigned a mean mental age of 7.5 by Porteus as a result of their performance on his Maze Test.In the same period, Aboriginal people of north-west Australia performed poorly on this test, with ages ranging from 8.22 years to 12.17 years for adults. Aboriginal people have performed poorly, but not invariably so, on other tests.


Social Work ◽  
2019 ◽  
Vol 65 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Jason M Newell

Abstract The cumulative effects of chronic work-related stress pervasively and persistently affect the well-being of the human services workforce. As a preventive measure, the ongoing commitment to self-care strategies and resources is essential in maintaining a healthy and resilient professional quality of life. This article describes a holistic approach to cultivating professional resilience through the ongoing practice of self-care. A model for self-care using an ecological systems framework with activities across the biological, interpersonal, organizational, familial, peer-related, spiritual, and recreational aspects of the biopsychosocial self is proposed. Within this model, emphasis is placed on the role of compassion satisfaction and vicarious resilience as key components to fostering meaningful and rewarding careers for social workers.


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