A Nurse Caring Behavior Protocol on Postoperative Cardiac Patient Satisfaction

Impact of Implementing a Nurse Caring Behavior Protocol on Postoperative Cardiac Patient Satisfaction: A Randomized Controlled Trial

the study aimed to evaluate the impact of implementing a nurse caring behavior (NCB) protocol on postoperative cardiac patient satisfaction.

Study Overview

• Status: Completed
• Conditions: Nurse-Patient Relations; Patient Satisfaction; Caring
• Intervention / Treatment: Other: A nurse caring behavior protocol; Other: Routine nursing care

Detailed Description

Critical care nurses need to comply with caring behaviors when caring for postoperative cardiac patients. Furthermore, patient satisfaction is a key indicator of nursing care quality. As such, this study focused on these critical issues considering the limited research available on the impact of caring behaviors on postoperative cardiac patient satisfaction. The study aimed to evaluate the impact of implementing a nurse caring behavior protocol on postoperative cardiac patient satisfaction. The study was conducted at a cardiac surgery intensive care unit of Alexandria Main University Hospital, Egypt. Sixty adults, conscious cardiac surgery patients, were included during the first 2 days following surgery. Patients were randomly assigned to either a control group, which received routine nursing care, or a protocol group, which received nursing care based on nurse care behaviors protocol through a simple randomization method. One tool was used "Postoperative Cardiac Patient Satisfaction with Nurse Caring Behaviors Evaluation Questionnaire". At the end of the second day, patients were asked regarding their satisfaction with the nursing care received based on caring behaviors. These nursing care included intensive care unit admission and orientation processes, physical care, psychological care, and social interaction between patient and nurse, providing health teaching, and maintaining a safe healing environment.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Alexandria, Egypt, 21548
    • Alexandria University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 60 years (ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Underwent cardiac surgery.

Exclusion Criteria:

• Unstable hemodynamics (systolic blood pressure less than 90).
• Uncontrolled dysrhythmias.
• Hemorrhage.
• Uncontrolled diabetes mellitus.
• Chronic respiratory diseases.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: SUPPORTIVE_CARE
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: A protocol group; A protocol group received a nurse caring behavior protocol by the researcher	Other: A nurse caring behavior protocol; Nursing interventions based on caring behaviors protocol was provided as follows: Caring behaviors during ICU admission and orientation processes included orienting patients to time, place, and person.; Caring behaviors during physical care informing patients regarding the purpose and expected duration of mechanical ventilator use.; Caring behaviors during psychological care included offering religious sound meditation.; Caring behaviors during social interaction included maintaining eye contact during nurse-patient interaction.; Caring behaviors during health teaching included providing health teaching for patients.; Caring behaviors during maintaining a safe healing environment included providing patients with an explanation regarding nursing activities.
ACTIVE_COMPARATOR: A control group; A control group received routine nursing care by the staff nurse	Other: Routine nursing care; Routine nursing care was concentrated mainly on hard skills of physically demanding care such as monitoring vital signs.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient satisfaction with Intensive care unit admission and orientation processes based on caring behaviors questionnaire:	The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to admission and orientation process such as (Nurses welcoming and identify themselves to the patients, Orientation provided by the nurse regarding time, place, and person and Orientation provided by the nurse regarding nursing activities that will be done). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.	At the end of the second postoperative day
Patient satisfaction with physical care based on caring behaviors questionnaire:	The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to physical care which was provided to the patients such as (The manner at which nurses talk to patients, The ability of nurses to establish realistic goals, Responding to patient complaints, Nurse's helpfulness Nurses' availability, Praising the patients for performing activities). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.	At the end of the second postoperative day
Patient satisfaction with psychological care based on caring behaviors questionnaire.	The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to psychological care which was provided to the patients such as (Dealing with patients and providing enthusiasm, Level of confidentiality that nurses provided to patients, Always repeating statements that instilled hope). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.	At the end of the second postoperative day
Patient satisfaction with social interaction based on caring behaviors questionnaire.	The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to social interaction between patient and nurse such as (Duration of time nurses' spent with patients, Maintaining a cheerful disposition, Making patients feel at home, Nurse's ability to provide verbal reassurance, Nurse's ability to use the eye-to-eye contact with the patient). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.	At the end of the second postoperative day
Patient satisfaction with health teaching based on caring behaviors questionnaire.	The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to health teaching which was provided to the patients such as (Information provided by the nurse regarding diagnosis, your rights, and treatment plan, Information provided by the nurse regarding postoperative activity, Information provided by the nurse regarding diagnostic procedures, Feasibility and clearness of the information provided by the nurse, Time at which the nurse provided information was enough and suitable for the patient). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.	At the end of the second postoperative day
Patient satisfaction with maintaining a safe healing environment based on caring behaviors questionnaire	The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to maintaining a safe healing environment such as (Availability of comfort measures, such as lighting, noise control, and adequate blankets, Cleanliness and ventilation of the intensive care unit, Adequacy of sleeping time, Keeping patients away from unpleasant scenes, Availability glasses, hearing aids, and familiar objects). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.	At the end of the second postoperative day

Collaborators and Investigators

• Sponsor: Alexandria University
• Investigators: Study Chair: Alexandria University, Faculty of Nursing, Alexandria university

Publications and helpful links

General Publications

• Hickey PL, Angus PW, McLean AJ, Morgan DJ. Oxygen supplementation restores theophylline clearance to normal in cirrhotic rats. Gastroenterology. 1995 May;108(5):1504-9. doi: 10.1016/0016-5085(95)90700-9.
• Salimi S, Tarbiat S. Predictors and priority of caring behaviours in intensive care units. Nurs Crit Care. 2021 Nov;26(6):523-530. doi: 10.1111/nicc.12590. Epub 2021 Jan 25.
• Karabey T. Reflection of nurses' moral intelligence levels on care behaviors. Perspect Psychiatr Care. 2022 Oct;58(4):1622-1631. doi: 10.1111/ppc.12970. Epub 2021 Nov 24.

Study record dates

Study Major Dates

• Study Start (ACTUAL): October 1, 2019
• Primary Completion (ACTUAL): May 1, 2020
• Study Completion (ACTUAL): May 1, 2020

Study Registration Dates

• First Submitted: June 22, 2022
• First Submitted That Met QC Criteria: July 1, 2022
• First Posted (ACTUAL): July 7, 2022

Study Record Updates

• Last Update Posted (ACTUAL): July 7, 2022
• Last Update Submitted That Met QC Criteria: July 1, 2022
• Last Verified: July 1, 2022

More Information

Terms related to this study

• Keywords: Satisfaction; Cardiac patient; Nurse caring behaviors
• Other Study ID Numbers: patient satisfaction

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No