Effectiveness of Nursing Process based Clinical Practice Guideline on Quality of Nursing Care among Post CABG Patients
*Corresponding author: Prof. K T Moly Professor and Principal, Amrita College of Nursing Amrita Institute of Medical Sciences, AMRITA Vishwavidyapeetham University, Health Sciences Campus, Kochi, Kerala, India, Office No. 0484 2858209, Mobile No: 9447513383
Coronary artery bypass grafting is one of the high risk and high cost surgeries performed all over the world. Post operative complications prolong the length of hospitalization. Clinical Practice Guidelines (CPGs) are relatively new quality improvement tools which are developed for maintaining quality, minimizing costs and improving out comes.
A quasi experimental pretest post test design was used to compare the quality of nursing care of the conventional care group with those of the experimental group. The sample comprised of 60 post CABG patients admitted to the cardiothoracic ward and 30 staff nurses caring them. The non probability, total enumeration sampling technique was used. The quality of nursing care and patients’ satisfaction with nursing care was assessed before and after the implementation of the Nursing Process Based Clinical Practice Guideline.
The study findings showed that the quality of nursing care of the experimental group was significantly higher than that of the conventional group (249.90±23.58 Vs 145.17±22.70, p= 0.001). Further the level of satisfaction of the experimental group was significantly higher than that of the conventional care group (187.7±25.0 Vs 148.1± 36.9, p= 0.001).
Nursing Process Based Clinical Practice Guideline was effective in improving the quality of nursing care of post-CABG patients, which in turn improved the patients’ satisfaction.
CABG, Nursing Process Based Clinical Practice Guideline, Quality of Nursing care, patient satisfaction.