Type of Document Thesis Author Bailey, Jana Marie URN etd-03012004-043103 Title Patients and Nurses Perceptions of the Cardiac Patient's Learning Needs Degree Master of Science Department Nursing, School of Advisory Committee
Advisor Name Title Laurie Grubbs Committee Chair Deborah Frank Committee Member Denise Tucker Committee Member Keywords
- Cardiac Patient
- Patients and Nurses Perceptions
Date of Defense 2003-11-19 Availability unrestricted AbstractCoronary heart disease is the single leading cause of death in the United States. According to the American Heart Association, cardiovascular diseases are responsible for the lives of 41.4 % of more than 2.3 million Americans who die each year. Coronary Artery Bypass Graft (CABG) is an operation performed on individuals that have extensive blockage of their coronary arteries as a result of CAD. Although CABG restores health to the heart, arteries can again become occluded if lifestyle changes are not made. After CABG, a part of disease management by the healthcare professional is educating the patient regarding signs and symptoms of heart disease, appropriate methods for diagnosis and treatment, and any modifications that must be made in the patientís lifestyle.
Before effective teaching can begin, healthcare providers must first assess the educational needs and learning styles of the patient. Patientsí perceptions of that which is important information may be different from that of the healthcare members providing the education. Without proper assessment of the desired educational needs of the patient, information given to the patient by the healthcare provider may be disregarded. The purpose of this study was to compare the perceptions of cardiac patients with those of cardiac nurses concerning the patient educational needs for maintaining a healthy heart.
A nonprobablility convenience sample of 38 participants was obtained from a private, community hospital in the North Florida region. Eighteen nurses employed in the Progressive Care Unit and 20 patients who had a CABG performed within the hospital were used in the study. Data were obtained with the use of demographic forms for both the nurses and patients and The Cardiac Patient Learning Needs Inventory tool.
The overall findings, consistent with previous studies, indicated that the areas of medication information were important to both the patients and nurses. There was a statistically significant difference between the nursesí gender and the ranking of anatomy and physiology, psychological issues, medication information, physical activity, and other information. That meant that the female nurses rated the above categories as more important than the male nurses. A statistically significant difference was also evident between the nursesí degree related to psychological factors and physical activity. The data showed that the nurses with a BSN degree rated psychological factors and physical activity as more important than those nurses without a BSN. The only significant difference found between the patientsí demographic variables and the seven subscales of the CPLNI was in patients with Diabetes Mellitus, who ranked risk factors as most important.
From the data analysis, patients and nurses perceive the same areas as important and not important, which are consistent with previous studies implementing the CPLNI. There is still a need for researching the differences in the nursesí gender and perception of patientsí educational needs as well as research focusing on the differences in nursesí educational background and their perceptions of patientsí educational needs. Continued research on identifying patientsí educational needs will benefit the patient by providing the patient with information that he or she deems important.
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