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J Nurs Manag. 2004 Jan;12(1):28-36.

Postponed or cancelled heart operations from the patient's perspective.

Author information

1
Department of Cardiothoracic Surgery, University Hospital of Lund, Lund, Sweden. bodil.ivarsson@thorax.lu.se

Abstract

OBJECTIVES:

The aim was to describe postponements or complete cancellations of planned cardiac operations at a Swedish hospital during 1999 and the reception the patients received from the staff in connection with this, from the inpatient's perspective.

DESIGN:

A qualitative descriptive design inspired by content analysis was used. Data were collected through questionnaires distributed to all 74 patients who had their heart operation cancelled.

RESULTS:

During analysis of the questionnaires, five categories of answers emerged describing the patients' perception of: organization, medical aspects, information, waiting time and staff reception. Overall, the patients reacted negatively to the postponement/cancellation in the form of anxiety and disappointment and fear of being affected by cardiovascular problems, but were generally satisfied with reception received from hospital staff. A number of concerns were revealed, however, with possible practical implications for the health-care system.

CONCLUSION:

An understanding of the disappointment and anxiety felt by patients because of the postponement/cancellation of heart surgery can help medical staff to improve the situation. An intervention program is suggested that includes a pre-admission clinic, a change in the planning and waiting list system and support via follow-up telephone calls or internet-based support system.

PMID:
15101453
[Indexed for MEDLINE]
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