Strenghts-based nursing care model: The experiences of coronary artery bypass graft surgery patients

Objective: The aim of this study was to determine the experiences with strengths-based nursing care model of coronary artery bypass graft surgery patients. Method: The study carried by using a phenomological design. Population of the study consisted of 32 patients who had developed coronary artery bypass graft between August 14 and November 02, 2015. Sample of the study consisted of 23 patients who agreed to participate in the study. In order to collect data, ethical approval was taken from Ethical Committee the Ege University Faculty of Nursing, written consent was taken from Ege University Hospital and verbal and written permission was taken from patients. Data were collected by using a questionnaire from containing identifying information of patients, semi-structured interview forms, qualitative classification of strengths form, SWOT analysis form, postoperative patient follow-up form and nursing care plan. All interviews were recorded with tape recorder after written permissions were taken from the patients and patient's family on administration and discharge day. Interviews in-depth interview technique was done by using face-to-face. Mean of the length of interview on administration day 53 minutes (min.45- max. 72) and on discharge day 38 minutes (min.32- max.50). After the interviews, the written records are saved in a computer then the data were encoded and classified according to themes and the report was brought into interpreted. Data were analyzed through the content analysis method. According to strengths-based nursing care model, the themes that emerged from the first interview with the patient and the family with the strengths of the patients were determined, expert opinion received. In accordance with the needs of surgery patients were given training. According to postoperative patient follow-up form, NANDA nursing diagnosis was determined. Patients were monitored by using nursing care plans and the strengths of patients until the patient is accompanied by discharge. Findings: The average age was 60.91±9.67 year and the average of hospital stay 12.73±2.75 day. It was found out that of 73.9% of patients were male, 95.7% married, 56.5% of them primary school graduates and retired, 95.7% had health insurance, 56.5% of the participants have done surgey and 87.0% use continious medication. Interviews were investigated in two parts. In the preoperative interviews seven themes were determined, these themes were Effects of Heart Disease, The Reasons of The Disease Occurence, Information Requirements, The Perception of Being Strong, The Perception of Being Weak, Search for Solution and Care Process. In the postoperative interviews five themes were determined, these themes were Operation, The Perception of Being Strong, The Perception of Being Weak, Care Process and Education. Conclusion: Most strong aspects of the patients who were cared according to Strengths Based Nursing Care Model are "Being Request Of Managing The Operating Process", "Basic Physiological and Safety Needs Can Provide", "Have Hope Of Life", "Strong Demand Of Learning" and "Family Support". The elements that make the most weak to individuals in the surgical process are "Lack Of Information On The Disease Process", "Lack Of Information On The Treatment Process", "The Presence Of Other Diseases,' "Overweight" and "Being Nervous". It was seen that the limitations experienced in patients affect adversely, patients who were brought to the fore the strengths are successful in compliance of surgery process. It can be said that Strengths Based Nursing Care Model as a new model in patient care, is effective because of has a positive impact on patients healing and it increase the hope of survival and healing. According to the conclusions of the study, it is recommended that Strengths Based Care Model should be used in different and larger patients groups because of its positive effects on healing. Key Words: Strenghts-based nursing care model; nursing; coronary artery bypass graft