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

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.

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

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.

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
Keyword(s):  
Heart Surgery ◽  
Self Care ◽  
Preliminary Evidence ◽  
Cultural Relevance ◽  
Cultural Groups ◽  
European Origin ◽  
Work Related ◽  
Educational Initiatives ◽  
Surgery Patient ◽  
Western European

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.

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
Keyword(s):  
Heart Surgery ◽  
Self Care ◽  
Preliminary Evidence ◽  
Cultural Relevance ◽  
Cultural Groups ◽  
European Origin ◽  
Work Related ◽  
Educational Initiatives ◽  
Surgery Patient ◽  
Western European

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.

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

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.

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

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.

scholarly journals An Examination of the difference in Performance of Self-Care Behaviours between White and Non-White Patients Following CABG Surgery: A Secondary Analysis

2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Joyce Lo ◽  
Sarah Ibrahim ◽  
Jennifer Leung
Keyword(s):  
Patient Education ◽  
Home Environment ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Self Care ◽  
Future Research ◽  
Convenience Sample ◽  
Cabg Surgery ◽  
The Difference ◽  
White Patients

BACKGROUND: The demographic profile of the patient receiving coronary artery bypass graft (CABG) surgery in Canada has changed significantly over the past 20 years from mainly white (i.e., English, Irish, Scottish) to non-white (i.e., Indian or Chinese). To support individuals who have recently undergone a CABG procedure, patient education is provided to guide performance of self-care behaviours in the home environment. The relevance of this education, when applied to the current CABG surgery population, is questionable, as it was designed and tested using a white, homogenous sample. Thus, the number and type of self-care behaviours performed by persons of Indian and Chinese origin has not been investigated. These individuals may have varying self-care needs that are not reflected in the current self-care patient education materials. PURPOSE: The intent of this study was to examine the difference in the type and number of self-care behaviours performed between white and non-white patients following CABG surgery. METHODS: This study is a sub-study of a descriptive, exploratory design that included a convenience sample. Ninety-nine patients were recruited, representing three cultural groups (White, Indian, and Chinese). Descriptive data were used to describe the sample and identify specific self-care behaviours performed in the home environment. FINDINGS: Results indicate statistically significant differences between white and non-white individuals related to use of incentive spirometer (p = 0.04), deep breathing and coughing exercises (p = 0.04), and activity modification (p < 0.05) at 1 week following hospital discharge. IMPLICATIONS: Future research and theoretical exploration are required to assist in the understanding of the underlying mechanisms that contribute to the differences that are noted between white and non-white groups.

scholarly journals Effect of standard versus patient-targeted in-patient education on patients' anxiety about self-care after discharge from cardiovascular surgery clinics : cardiovascular topic

2014 ◽  
Vol 25 (6) ◽  
pp. 259-264 ◽  
Author(s):  
Tulin Yildiz ◽  
Selami Gurkan ◽  
Ozcan Gur ◽  
Cuneyt Unsal ◽  
Sonay Baltaci Goktas ◽  
...  
Keyword(s):  
Patient Education ◽  
Cardiovascular Surgery ◽  
Self Care

scholarly journals Self-Care Instruments to Measure Nutrition Practices in Children and Parents: Psychometric Analysis

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2242
Author(s):  
Lisa R. Pawloski ◽  
Jean B. Moore ◽  
Patricia Treffinger ◽  
Heibatollah Baghi ◽  
Kathleen Gaffney ◽  
...  
Keyword(s):  
Self Care ◽  
Principal Component ◽  
Nutrition Intervention ◽  
Validity And Reliability ◽  
Measurement Instruments ◽  
Convenience Sample ◽  
Nutrition Behavior ◽  
Nutrition Practices ◽  
Children And Parents ◽  
Orem's Theory

The purposes of this study were to evaluate the psychometric properties of English and Spanish instruments that measure the nutrition behavior and practices of children and their parents. Orem’s self-care deficit nursing theory was used in this methodological study. A convenience sample of 333 children and 262 mothers participated from two schools in Washington, D.C. and two schools in Santiago, Chile. Principal component analysis indicated three component per instrument corresponding to Orem’s Theory of operations demonstrating construct validity of the instrument. The study findings showed evidence for validity and reliability of the English and Spanish versions and indicated that the instruments appropriately represented Orem’s operations. The results have implications for the development of health behavior measurement instruments that are valid, reliable, designed for children, culturally appropriate, and efficient. Measuring the nutrition behavior of children and parents is critical for determining the effectiveness of nutrition intervention programs. Furthermore, instruments are needed so that researchers can compare corresponding child and parent behaviors or compare behaviors across cultures.

scholarly journals SYMPERHEART: an intervention to support symptom perception in persons with heart failure and their informal caregiver: a feasibility quasi-experimental study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e052208
Author(s):  
Gabrielle Cécile Santos ◽  
Maria Liljeroos ◽  
Roger Hullin ◽  
Kris Denhaerynck ◽  
Justine Wicht ◽  
...  
Keyword(s):  
Heart Failure ◽  
Clinical Outcomes ◽  
Informal Caregiver ◽  
Informal Caregivers ◽  
Self Care ◽  
Symptom Perception ◽  
Convenience Sample ◽  
Failure Index ◽  
Patient Reported ◽  
Quasi Experimental

IntroductionSymptom perception in heart failure (HF) has been identified as crucial for effective self-care, and is related to patient and health system outcomes. There is uncertainty regarding the feasibility and acceptability of symptom perception support and doubts regarding how to include informal caregivers. This study aims to test the feasibility, acceptability and outcome responsiveness of an intervention supporting symptom perception in persons with HF and their informal caregiver.Methods and analysisA feasibility study with a quasi-experimental pretest and post-test single group design is conducted. The convenience sample consists of 30 persons with HF, their informal caregivers and six nurses. SYMPERHEART is an evidence-informed intervention that targets symptom perception by educational and support components. Feasibility is measured by time-to-recruit; time-to-deliver; eligibility rate; intervention delivery fidelity rate. Acceptability is measured by rate of consent, retention rate, treatment acceptability and the engagement in the intervention components. Outcome responsiveness includes: HF self-care (via the Self-care of Heart Failure Index V.7.2); perception of HF symptom burden (via the Heart Failure Somatic Perception Scale V.3); health status (via the Kansas City Cardiomyopathy Questionnaire-12); caregivers’ contribution to HF self-care (via the Caregiver Contribution to Self-Care of Heart Failure Index 2); caregivers’ burden (via the Zarit Burden Interview). Clinical outcomes include HF events, hospitalisation reason and length of hospital stay. Descriptive statistics will be used to report feasibility, acceptability, patient-reported outcomes (PRO) and clinical outcomes. PRO and caregiver-reported outcome responsiveness will be reported with mean absolute change and effect sizes.Ethics and disseminationThe study is conducted according to the Declaration of Helsinki. The Human Research Ethics Committee of the Canton of Vaud, Switzerland, has approved the study. Written informed consent from persons with HF and informal caregivers are obtained. Results will be published via peer reviewed and professional journals, and further disseminated via congresses.Trial registration numberISRCTN18151041.

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