Abstract
Background and Aim: Discharged patients from the hospital to home after cardiac surgery require planning, guidance, and recommendations from health care providers that the patient must follow to avoid expected complications. The current study aimed to assess nurses' knowledge about the discharge plan for patients after cardiac surgery at the Sudan Heart Institute. Methods: This is a descriptive cross-sectional study enrolled 85 nurses and was conducted at the Sudan Heart Institute from January to May 2019. Data were collected using a structured self-designed questionnaire containing different aspects of the discharge plan to assess nurses' knowledge using multiple-choice questions. Results: The results of this study showed that 70% of the study population were females from 26-30 years old, 83% of the participants were single, and most nurses had a Bachelor's degree (75%). There was a significant difference between the participants' experience and the nurses' knowledge level about the discharge plan (p≤0.01). Overall, the nurses' knowledge about the discharge plan was good at 78%. Conclusions: This study showed the participants had good knowledge of the discharge plan programs for patients after cardiac surgery.
Keywords: Nurses · knowledge · discharge plan · cardiac surgery
References
- 1.Pamela L, Swearingen.All-in-one Nursing Care Planning Resource: Medical-surgical, Pediatric, Maternity, and Psychiatric-mental Health. 4th ed. Elsevier Health Sciences 2015
- 2.Shabestari M, Parizad R. Stressors in Patients Undergoing Cardiac Surgery and Attitudes of Nurses and Patients. Crescent J Med & Biol Sci 2014; 1:1–3.
- 3.Dlabal S, Brenda M A. Historical Perspective of Treatment and Discharge Planning for the Seriously, Chronically, Mentally Ill Patient. Advanced Practices in Nursing 2017; 2: 1–7.
- 4.Hockenberry M, Wilson D, Rodgers C. Wong’s Essentials of Pediatric Nursing. Elsevier Health Sciences, 2016; 5:76-87.
- 5.McMartin K. Discharge Planning in Chronic Conditions: An Evidence-Based Analysis. Ontario Health Technology Assessment Series, 2013; 4: 1-72.
- 6.Azer S, Abd-Elwahb M, Ahmed A. Impact of Educational Program among Open Heart Surgery Patients on Minimizing the Incidence of Post-Operative Infections, 2011; 6: 820-34.
- 7.Kalida A, Mustafa F. Nurses’ Practices regarding Patients Discharge Planning Post-Cardiac Surgery. Iraqi National J Nurs Specialties 2018; 31: 143-149 8.HodgeT.Fastfactforthecardiacsurgeries nurse, second edition: caring for cardiac surgeries patients in a nutshell. Springer Majmaah Journal of Health Sciences ,Vol. 9, Issue 2, April - 2021, Shaban - 1442 79 Nurses’knowledge about the discharge plan for patients after cardiac surgery at the Sudan Heart Institute Publishing Company, 2015; 3: 137-141 9.HeatherH,HenryB,DonaldS,Michelle B, Jennifer J. Patient perceptions of hospital discharge: reliability and validity of a Patient Continuity of Care Questionnaire. International Journal for Quality in Health Care 2008; 9:314– 323.
- 8.Velazquez EJ, et al. Coronary-artery bypass surgery in patients with left ventricular dysfunction. New England J of Medicine 2011; 3:107-116.
- 9.Dennis T, Samiran G,Ashley D, Henry C, Jeffrey S. The association of post-discharge adverse events with timely follow-up visits after hospital discharge. journal. Pone 2017; 3: 117-57
- 10.Maramba PJ, et al. Discharge planning process: applying a model for evidence-based practice. J Nurs Care Qual 2004;19(2):123–9
- 11.Younis YE. Nurse knowledge about modifiable & non-modifiable risk factor of heart failure patient in rebill teaching hospital. Kufa Journal for nursing sciences, 2014; 4: 217-222
- 12.Tsilimingra D, Bates D. Addressing post-discharge adverse event: A neglected area. The Joint Commission Journal of Quality and Patient Safety 2017; 33(3), 85-99
- 13.Henry S, Julian S, Sue R, Raj J, Ian M, David R, Advanced care nurse practitioners can safely provide sole resident cover for level three patients: impact on outcomes, cost and work patterns in a cardiac surgery program, European Journal of Cardio-Thoracic Surgery 2013; 34: 19-22 16.JohnM,BoyceM,DidierM.Guideline for Hand Hygiene in Health Care Settings. J Hosp Infect 2014; 51:57-44
- 14.Mostafa M, Fadil A, Sabah A. Assessment of nurse knowledge concerning discharge planning for patient with heart surgery. International J of Scientific 2016; 6: 149-153
- 15.Thabet O, Ghanem H, Ahmed A. Assessment of Nurse’s knowledge and practice for patients undergoing Cardiac Catheterization. Assiut Scientific Nursing Journal 2019; 7: 95-101
- 16.Fashafshe I, Eqtaite F. Knowledge and practice of nursing staff toward infection control prevention measure in the Palestinian hospitals. Journal of education Practice, 2015; 6: 79–91.
- 17.Aziz SE, Lafi SS. Evaluation of nurse practice provide to the patient who undergo open-heart surges. Kufa Journal for nursing sciences 2013; 3: 69–81.
Peer review
Peer reviewed by 3 reviewers, who chose to remain anonymous.