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Tuesday, 13 July 2010
Learning Objective 1: The learner will be able to caring patients hospitalized in the surgical floor during the early postoperative period of a myocardial revascularization.
Learning Objective 2: The learner will be able to understand the use multi-methods for the analysis of the data: qualitative and quantitative (Rasch Model, with Winsteps Program)
Purpose: To design a Nursing Care Plan for this kind of patient, based on the problems that arise during this phase of the recovery process, identified from the description and interpretation of clinical events that require nursing care (CERNC) and situations that require nursing care (SRNC).
Methods: The information obtained about the CERNC (quantitative information) was processed with Univariate Methods: Descriptive Statistics and the Rasch Model, which through the Winsteps Program. Multi-varied methods were also used: Analysis in Multiple Correspondences and a Method of Classification: Cluster Analysis, whose exploration of data was developed using the R program (R Development Core Team 2007). Subsequently, the patient was questioned through a semi-structured interview in order to obtain information on his own SRNC while he remained hospitalized. Results: The CERNC (quantitative data) on the level of the neurologic system: presence of pain, and the inability to perform activities of daily living (ADL), alteration of sleep patterns and rest; cardiovascular system: the blood pressure, heart rate; on the level of the respiratory system: respiratory work, respiratory rate, hematocrit and hemoglobin; in relationship to the skin, the presence of surgical wounds from esternotomy, safenectomy and IV insertions. Likewise we found (qualitative data) which is expressed as wellbeing, achievements, reasoning, benefits, satisfaction, beliefs and values, discomforts, stress and grief. Conclusion: The results of both quantitative and qualitative data were interpreted by the theory of humanistic nursing by Josephine Paterson and Loretta Zderad, based on which we designed a proposal of a Nursing Care Plan for patients in an early POP of MRV (48 to 96 hours). The investigation of the proposed Nursing Care Plan was done through a descriptive, explorative and interpretative study.
Methods: The information obtained about the CERNC (quantitative information) was processed with Univariate Methods: Descriptive Statistics and the Rasch Model, which through the Winsteps Program. Multi-varied methods were also used: Analysis in Multiple Correspondences and a Method of Classification: Cluster Analysis, whose exploration of data was developed using the R program (R Development Core Team 2007). Subsequently, the patient was questioned through a semi-structured interview in order to obtain information on his own SRNC while he remained hospitalized. Results: The CERNC (quantitative data) on the level of the neurologic system: presence of pain, and the inability to perform activities of daily living (ADL), alteration of sleep patterns and rest; cardiovascular system: the blood pressure, heart rate; on the level of the respiratory system: respiratory work, respiratory rate, hematocrit and hemoglobin; in relationship to the skin, the presence of surgical wounds from esternotomy, safenectomy and IV insertions. Likewise we found (qualitative data) which is expressed as wellbeing, achievements, reasoning, benefits, satisfaction, beliefs and values, discomforts, stress and grief. Conclusion: The results of both quantitative and qualitative data were interpreted by the theory of humanistic nursing by Josephine Paterson and Loretta Zderad, based on which we designed a proposal of a Nursing Care Plan for patients in an early POP of MRV (48 to 96 hours). The investigation of the proposed Nursing Care Plan was done through a descriptive, explorative and interpretative study.