Postoperative care pathways for patients following coronary artery bypass grafting surgery: An observational study

Loading...
Thumbnail Image
File version

Version of Record (VoR)

Author(s)
Nasrawi, Dima
Latimer, Sharon
Massey, Debbie
Gillespie, Brigid M
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
2025
Size
File type(s)
Location
Abstract

Aims The aim of this study was to describe the postoperative care pathway, with phase 1 cardiac rehabilitation (CR) delivery, for adult patients following coronary artery bypass grafting (CABG) surgery at one large hospital in Queensland, Australia. Design and methods This observational study involved structured observations, patient electronic medical record audits, and field notes to gather postoperative data. Four continuous hours of patient and healthcare professional (HCP) observations gathered at 30-min intervals occurred on 12 separate days over a 1-month period (February–March 2023). We observed post-CABG patients and HCPs involved in delivering direct care. Data were gathered on the clinical care, timing, delivery mode, and education content. Results Ten post-CABG patients and nine HCPs were observed. Postoperative care delivered by HCPs focussed on clinical care tasks and patient education activities. Patients participated in education focussed on respiratory exercises, wound care, anticoagulant therapy, and thromboembolic deterrent education. HCPs discussed pain management with two patients. Conclusion Education was the primary strategy delivered by HCPs to CABG patients during the postoperative care pathway and phase 1 CR; however, many patients were overwhelmed by the complicated information they received. Opportunities exist to improve the postoperative care pathway with phase 1 CR delivery by developing patient-centred education interventions.

Journal Title

Australian Critical Care

Conference Title
Book Title
Edition
Volume

38

Issue

4

Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement

© 2025 The Author(s). Published by Elsevier Ltd on behalf of Australian College of Critical Care Nurses Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Item Access Status
Note
Access the data
Related item(s)
Subject

Surgery

Nursing

Persistent link to this record
Citation

Nasrawi, D; Latimer, S; Massey, D; Gillespie, BM, Postoperative care pathways for patients following coronary artery bypass grafting surgery: An observational study, Australian Critical Care, 2025, 38 (4), pp. 101234

Collections