Impact of Implementing Nursing Practices Scheme on Postoperative Care Provided for Patients Undergoing Valvular Heart Replacement Surgery

Abstract

1.ABSTRACT Background: Nursing practices scheme is an evidence based interdisciplinary process which has not previously been systemically applied to patients undergoing valvular heart replacement surgeries. Valvular heart replacement surgeries are excellent methods for treatment of patients with symptomatic valvular heart diseases who actually need surgery. The nursing role is considered as a crucial role for patients during postoperative to prevent further complications, minimize infection, adequate nursing care postoperatively is beneficial for speed and healthy recovery. Aim : to evaluate the impact of implementing nursing practice scheme on postoperative care provided for patients undergoing valvular heart replacement surgery. Methods : A quasi experimental design was utilized. Setting: The study was conducted at Cardiothoracic Surgery Department in Cardiothoracic and Vascular Surgery Center, at Mansoura University Hospital. Subject : A purposive sample of (70) nurses who cared for patients undergoing Valvular heart replacement surgeries. Tools : Two tools were used for data collection; a structured interview questionnaire, and observational performance checklist for applying nursing practices scheme for patients undergoing vulvular heart replacement surgeries. Results : The findings revealed that all studied nurses gained good knowledge and practices at 2 nd observation compared to the 1 st observation related to postoperative care provided for patients undergoing valvular heart replacement surgeries. Conclusion: The study concluded that nursing practices scheme had a positive effect on improving knowledge and performance among nurses at Cardiothoracic Surgery Department . Recommendations : Establishing educational and training courses for nurses in order to reach optimal standard of care for patients undergoing valvular heart replacement surgeries.