Empowerment in Persons Undergone Coronary Artery Bypass Grafting: A Case Study
Keywords:
empowerment, perception of power, health behavior, coronary artery disease, coronary artery bypass graftAbstract
People who underwent coronary artery bypass grafting usually behave inappropriately after being discharged and this may lead to complications and the recurrence of the disease. Empowerment may help them to have appropriate health behaviors. The objectives of this intervention case study research were to study the process and outcomes of empowering people who underwent coronary artery bypass grafting. A purposive sampling of five persons with coronary artery disease who underwent coronary artery bypass graft surgery for two weeks. Health behaviors were promoted based on a conceptual framework of the Gibson’s empowerment process (Gibson, 1993), including four steps: 1) discovering reality, 2) reflecting critically, 3) taking charge, and 4) holding on. The research instruments consisted of the empowering process guidelines for persons who underwent coronary artery bypass grafting, the manual for persons with coronary artery disease, the manual for persons who underwent coronary artery bypass grafting, behaviors recording form for persons who underwent coronary artery bypass grafting, and audiotape. The instruments used for collecting data consisted of the demographic data record form, the health behaviors of persons who underwent CABG questionnaire, and the sense of power in persons who underwent CABG questionnaire. Data were analyzed by content analysis.
The results of the study revealed that:
- The process of empowerment composed of seven processes which are an establishment a good rapport, to use of questioning technique, individualized instruction, skills training through the demonstration and return demonstration, content review, admiring and encouraging, and continues caring.
- There are two outcomes from receiving empowerment
2.1 Perception of power: the participants had a greater sense of power than that of before.
2.2 Health behaviors: the participants practice better health behaviors than that of before.
The results from this study revealed that empowering persons who underwent coronary artery bypass grafting by utilizing 7 processes yielded positive outcomes. Therefore, encouraging nurses to gain knowledge and understanding of empowerment and be able to empower clients is crucial to support persons who underwent coronary artery bypass grafting to perform appropriate health behaviors, along with to enhance quality of nursing care.
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