Patients’ and Nurses’ Perceptions of Post-Coronary Artery Bypass Graft Learning Needs in Two Omani Hospitals

Abstract

Objectives: Little is known about nurses’ and patients’ perceptions of learning needs following coronary artery bypass graft (CABG) surgery in Oman. This study aimed to identify patients' and nurses' perceptions of post-CABG learning needs. Methods: This cross-sectional study was conducted in two cardiac units in Oman between February and April 2018. Participants were from step-down units and perceptions of post-CABG learning needs were collected using a modified version of the Cardiac Patients Learning Need Inventory (MCPLNI) questionnaire. Data were analysed using descriptive and inferential statistics. Results: A total of 90 patients and 90 nurses were included in this study (response rate: 100%). Nurses perceived information about chest and leg wound care, medications and complications as patients’ most important learning needs (4.89 ± 0.31, 4.84 ± 0.33 and 4.78 ± 0.45, respectively). Similarly, patients perceived a need for post-CABG learning related to chest and leg wound care, complications and medication, while learning related to physical activity received a moderate priority (4.92 ± 0.20, 4.80 ± 0.45, 4.85 ± 0.26 and 3.50 ± 1.34, respectively). Conclusion: Before discharging patients, they should be provided with specific information related to post-CABG care. It is essential to assess patients’ learning needs and incorporate those learning needs into discharge plans.Keywords: Learning; Perception; Coronary Artery Bypass; Education; Patients; Nurses; Oman.

Learning Needs and Its Associated Factors among Elderly Patients Undergoing Coronary Angiography and Percutaneous Coronary Intervention

“…In the same vein, studies conducted by Almaskari et al (Almaskari et al, 2019) in Oman, who found that psychological issue was one of the 10th highest priorities in learning needs for patients undergoing CABG, also reported that patients had a signi icant need to know what to do to minimize stress in their life. Also a study carried in Iran by Mohammadi et al (Sayadi et al, 2019) who found that patients provided insuf icient information about their psychological concern and needed to know ways to overcome stressful life situations.…”

“…In the same context, Mosleh et al (Mosleh et al, 2016) who carried out a study in Jordon and reported that all patients ranked all the learning needs topics as important or very important to them. Also with a study carried out in Oman by Almaskari et al (Almaskari et al, 2019) who revealed that patients considered that all category of learning needs were of great importance to them. Additionally, Almamari et al (Almamari et al, 2019) conducted a study in Oman and found that most patients had a high level of learning needs.…”

Patients’ and Nurses’ Demographics and Perceived Learning Needs Post-Coronary Artery Bypass Graft

“…Despite CABG surgery's efficacy in saving lives, many patients suffer from physical and psychological complications (e.g., severe pain, infection, anxiety, and fear of death) after surgery. It had been found that there is a link between such complications and patients' educational needs regarding self-care post-CABG surgery (Almaskari et al, 2019). Therefore, it is crucial to have proper patient preparation and education before and after CABG surgery (Alkubati et al, 2013;Almaskari et al, 2019).…”

“…It had been found that there is a link between such complications and patients' educational needs regarding self-care post-CABG surgery (Almaskari et al, 2019). Therefore, it is crucial to have proper patient preparation and education before and after CABG surgery (Alkubati et al, 2013;Almaskari et al, 2019). A well-structured educational program regarding the preparation for surgery and self-management after surgery would play a vital role in reducing the complications and improving patient recovery (Almamari et al, 2019;Hamdan & AL-Momani, 2015).…”

“…A well-structured educational program regarding the preparation for surgery and self-management after surgery would play a vital role in reducing the complications and improving patient recovery (Almamari et al, 2019;Hamdan & AL-Momani, 2015). Assessment of learning needs for patients with post-CABG is a vital facet for developing an effective educational program, which will not be achieved without considering patients' distinctive learning needs (Almaskari et al, 2019). Several factors could influence the provision of an individualized post-CABG education program, one factor related to healthcare providers.…”