Abstract

The issue of quality health care has a renewed focus since the Institute of Medicine's 2000 report and has become a primary concern for patients, providers, and payors. Quality needs to be addressed from the perspective of the patient, incorporating patient-centered preferences in all areas where care is received; with special attention for high frequency, high cost, high-risk populations that evaluates all types of providers. The primary aim of this study is to describe patient perceptions of health related quality of life (HRQOL) and satisfaction for patients hospitalized for coronary artery bypass grafting (CABG) surgery when Nurse Practitioners (NP) are active participants in care. Secondary aims of the study were to: describe the outcomes: adverse events (pulmonary, urinary tract, and wound infections); cost of care; mortality; and hospital re-admissions; and the role of the Nurse Practitioner for patients having CABG surgery. The Quality Health Outcomes Model was used as the foundation for the research. A prospective descriptive multi-site study using a criterion-based sample to select individuals having CABG surgery in mid to large size, non-Magnet community hospitals in northeastern, central, or southeastern Pennsylvania was used.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3381022; ProQuest document ID: 304986950. The author still retains copyright.

Author Details

Patricia D. Sweeney, PhD, MS, APRN-BC

Sigma Membership

Zeta Psi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Observational

Research Approach

Quantitative Research

Keywords:

Heart Surgery Patients, Nurse Practitioner, Cardiac Patients

Advisor

Mona Counts

Degree

PhD

Degree Grantor

The Pennsylvania State University

Degree Year

2009

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-08-22

Full Text of Presentation

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