Nurse training of a patient-centered information procedure for CABG patients.
OBJECTIVE
At the study hospital, all elective coronary artery bypass graft (CABG) surgery patients were given similar, standardized information by the nurses. The nurses reported problems in establishing contact and interacting with patients when using this approach. To help remedy communication problems between nurses and CABG patients, a programme training nurses in a patient-centred information procedure was developed and implemented. This article describes how challenging interactions were recorded and analysed for training nurses in the patient-centred approach.


METHODS
In group training for patient-centeredness, nurses presented audio-recordings of nurse-patient interactions they found problematic. These were used as a basis for discussions and training in the patient-centered approach. A set of cases was developed using a qualitative phenomenological approach, illustrating how the patient-centered approach could be applied to the difficult situations.


RESULTS
The nurses found the patient-centered approach particularly useful in situations when patients frequently asked questions, seemed to have difficulties expressing their worries, frequently complained, or when spouses expressed worries.


CONCLUSIONS
Nurses found the patient-centered approach and the training procedure used in this study useful in their clinical work with CABG patients.


CONCLUSIONS
This training which requires minimal resources and can be easily implemented, may guide the nurses in their interaction with patients. Providing a patient-centered approach to the CABG patients may enhance the nurse-patient contact and improve patients' hospital experience and subjective health.
Bergvik
Svein
S
Department of Clinical Psychiatry, Institute of Clinical Medicine, University of Tromsø, Norway. svein.bergvik@unn.no
Wynn
Rolf
R
Sørlie
Tore
T
D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D001026:Coronary Artery Bypass / Q000451:nursing* / Q000523:psychology; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009664:Norway; D015402:Nursing Education Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology; D010353:Patient Education as Topic / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration; D016730:Program Development; D015397:Program Evaluation; D036301:Qualitative Research; D013637:Tape Recording