Key result
Patients identifying their country of origin as England or Ireland performed significantly more self-care behaviors one week after heart surgery compared to those from other countries (p=0.04).
Why the study?
Heart surgery patient education initiatives in Canada were designed using homogenous samples, which may not apply to increasingly diverse patient populations.
Does an individual's country of origin influence the performance of self-care behaviors following cardiovascular surgery?
Observational (n=90)
Yes
Does an individual's country of origin influence the performance of self-care behaviors following cardiovascular surgery?
Patients of English or Irish origin performed more self-care behaviors following heart surgery compared to other cultural groups, suggesting that patient education initiatives should be culturally tailored.
Answers are grounded in this paper and cite their sources.
Country of origin was associated with post-surgical self-care differences; leaves open whether culturally tailored interventions improve outcomes.
Aim: The aim of this study was to determine if an individual’s country of origin influenced performance of self-care behaviours after heart surgery. Background: Patients are required to perform self-care behaviours following cardiovascular surgery. Usual care encompasses a patient education initiative that addresses self-care behaviour performance. Within Canada, current heart surgery patient education efforts have been designed and evaluated using homogenous samples that self-identify their country of origin as England, Ireland, or Scotland. However, approximately, 42.6% of Canadian cardiovascular surgical patients self-identify their country of origin as India or China. Thus, current cardiovascular surgery patient education initiatives may not be applicable to all patients undergoing heart surgery, which may result in decreased patient outcomes such as performance of self-care behaviours. Design and methods: This descriptive study included a convenience sample of ninety patients who underwent heart surgery at one of two university affiliated teaching hospitals, representing individuals of diverse backgrounds. Point-biserial correlational analysis was conducted to determine the relationship between country of origin and performance of self-care behaviours. Results and conclusion: Findings indicate individuals who self identified their country of origin as England or Ireland were associated with a higher score on the number of self-care behaviours performed (p < .05) than individuals who self-identified other countries of origin. Self-care behaviours were taught using patient education materials that were designed based on feedback obtained from individuals whose country of origin was England or Ireland. Thus, this study provides preliminary evidence to suggest country of origin influences the amount of self-care behaviours individuals will perform. Relevance to clinical practice: Patient education initiatives should incorporate the values, beliefs, attitudes, and customs reflective of an individual’s country of origin to enhance the likelihood of producing desired outcomes.
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Suzanne Fredericks (2021) conducted an observational in Cardiovascular surgery (CABG and/or valvular replacement) (n=90). Country of origin (England or Ireland) vs. Other countries of origin (Scotland, India, China) was evaluated on Performance of self-care behaviours measured by the Revised Self-Care Behaviour Scale (RSCB) (rpb 0.416, p=0.04). Patients identifying their country of origin as England or Ireland performed significantly more self-care behaviors one week after heart surgery compared to those from other countries (p=0.04).
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