Patient perspectives on health care models in cardiac surgery: a qualitative evaluation
Abstract Background The implementation of ERAS represents a promising solution to improve treatment efficiency and facilitate patient involvement. This innovative care model aims to optimize recovery processes following surgeries by adopting a holistic, interprofessional approach. At our hospital, E...
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2024-10-01
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| Online Access: | https://doi.org/10.1186/s12913-024-11791-6 |
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| author | Mona Elisabeth Schmid Jannik Stumm Sina Stock Evaldas Girdauskas |
| author_facet | Mona Elisabeth Schmid Jannik Stumm Sina Stock Evaldas Girdauskas |
| author_sort | Mona Elisabeth Schmid |
| collection | DOAJ |
| description | Abstract Background The implementation of ERAS represents a promising solution to improve treatment efficiency and facilitate patient involvement. This innovative care model aims to optimize recovery processes following surgeries by adopting a holistic, interprofessional approach. At our hospital, ERAS was implemented in minimally invasive heart valve surgery, offering two distinct ERAS models. Additionally, there is also the standard of care without ERAS. The objective of the study is to gain insight into patient satisfaction and perceived differences across these various care models. Methods Patients were interviewed using semi-structured interviews approximately two to three months after undergoing surgery. The data were analysed using qualitative content analysis in accordance with the methodology proposed by Kuckartz. Four main categories were established: Preoperative care, postoperative care and communication, patient participation and involvement, and rehabilitation and post-clinical course. Results Comprehensive preoperative education and seamless communication throughout the perioperative care journey were identified as fundamental to patient satisfaction and optimal care processes. Patients in the ERAS + model reported higher overall satisfaction with their care compared to patients in the standard of care and ERAS groups. Conclusion Preoperative education establishes the foundation for patients’ subsequent behaviours and expectations regarding their treatment. Physical activity, nutrition, and mental health are significant aspects. The active involvement and participation of patients and their families in the treatment process facilitated superior postoperative care, intensive physiotherapy, mental support, and faster recovery. A functional flow of information throughout the entire care process is vital. Moreover, having a dedicated point of contact had a beneficial impact on patients´ well-being. The integration of innovative ERAS concepts, which encompass interprofessional preoperative patient education and psychosomatic support, represents a promising approach from a patient perspective, offering benefits to a broad spectrum of cardiac surgical patients. |
| format | Article |
| id | doaj-art-18e890a0d11c4c4ba0982946fe177ca9 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMC |
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| series | BMC Health Services Research |
| spelling | doaj-art-18e890a0d11c4c4ba0982946fe177ca92025-02-02T12:14:37ZengBMCBMC Health Services Research1472-69632024-10-0124111510.1186/s12913-024-11791-6Patient perspectives on health care models in cardiac surgery: a qualitative evaluationMona Elisabeth Schmid0Jannik Stumm1Sina Stock2Evaldas Girdauskas3Department of Cardiothoracic Surgery, University Hospital AugsburgDepartment of Cardiothoracic Surgery, University Hospital AugsburgDepartment of Cardiothoracic Surgery, University Hospital AugsburgDepartment of Cardiothoracic Surgery, University Hospital AugsburgAbstract Background The implementation of ERAS represents a promising solution to improve treatment efficiency and facilitate patient involvement. This innovative care model aims to optimize recovery processes following surgeries by adopting a holistic, interprofessional approach. At our hospital, ERAS was implemented in minimally invasive heart valve surgery, offering two distinct ERAS models. Additionally, there is also the standard of care without ERAS. The objective of the study is to gain insight into patient satisfaction and perceived differences across these various care models. Methods Patients were interviewed using semi-structured interviews approximately two to three months after undergoing surgery. The data were analysed using qualitative content analysis in accordance with the methodology proposed by Kuckartz. Four main categories were established: Preoperative care, postoperative care and communication, patient participation and involvement, and rehabilitation and post-clinical course. Results Comprehensive preoperative education and seamless communication throughout the perioperative care journey were identified as fundamental to patient satisfaction and optimal care processes. Patients in the ERAS + model reported higher overall satisfaction with their care compared to patients in the standard of care and ERAS groups. Conclusion Preoperative education establishes the foundation for patients’ subsequent behaviours and expectations regarding their treatment. Physical activity, nutrition, and mental health are significant aspects. The active involvement and participation of patients and their families in the treatment process facilitated superior postoperative care, intensive physiotherapy, mental support, and faster recovery. A functional flow of information throughout the entire care process is vital. Moreover, having a dedicated point of contact had a beneficial impact on patients´ well-being. The integration of innovative ERAS concepts, which encompass interprofessional preoperative patient education and psychosomatic support, represents a promising approach from a patient perspective, offering benefits to a broad spectrum of cardiac surgical patients.https://doi.org/10.1186/s12913-024-11791-6ERASCardiac surgeryPatient evaluationHeart valve surgeryInterprofessional carePerioperative care |
| spellingShingle | Mona Elisabeth Schmid Jannik Stumm Sina Stock Evaldas Girdauskas Patient perspectives on health care models in cardiac surgery: a qualitative evaluation BMC Health Services Research ERAS Cardiac surgery Patient evaluation Heart valve surgery Interprofessional care Perioperative care |
| title | Patient perspectives on health care models in cardiac surgery: a qualitative evaluation |
| title_full | Patient perspectives on health care models in cardiac surgery: a qualitative evaluation |
| title_fullStr | Patient perspectives on health care models in cardiac surgery: a qualitative evaluation |
| title_full_unstemmed | Patient perspectives on health care models in cardiac surgery: a qualitative evaluation |
| title_short | Patient perspectives on health care models in cardiac surgery: a qualitative evaluation |
| title_sort | patient perspectives on health care models in cardiac surgery a qualitative evaluation |
| topic | ERAS Cardiac surgery Patient evaluation Heart valve surgery Interprofessional care Perioperative care |
| url | https://doi.org/10.1186/s12913-024-11791-6 |
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