Developing an Implementation Plan (2)

Developing an Implementation Plan
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Cardiac surgery is simply surgery on the heart or the large heart vessels. The need for cardiac surgery may be multiple. Therefore, apart from the cardiac surgeon, many other health professionals are involved in the profession starting from the initial diagnosis, patient care up to the point of surgical intervention. This is a multidisciplinary procedure involving nurses, cardiologists, interns, counselors, physicians, and physician assistants (American Association of Thoracic Surgery, 2014). Looking at the hierarchical structure of the hospital, to seek support for my plan an abstract that will act as a sample containing the most important details regarding the project will be prepared and issued to the most influential individuals in the organization (Houser & Oman, 2011). These will include the Chief Executive Officer (CEO), Nurse Director, Nurse Manager, and Nurse-in-charge. This group comprises the management of the hospital and leaders in health care provision; therefore, securing their support for the project will mean an almost automatic support for the project by the subordinates. However, the subordinate nursing staff will also be issued with the abstract to provide them with an idea of what the intended project comprises of and what role they will play in the project. A formal approval for implementing will be sought from the hospital CEO who is the overall head of all the staff.
Cardiovascular diseases have the highest mortality rates in the world and the risks involved in cardiac surgery are often very high with minimal chances of survival. Therefore, according to Mathews et al. (1981), patients coming to hospital or preparing to undergo cardiac surgery often experience and suffer form a great deal of anxiety (Pritchard, 2009). The fears are manifested as uncertainty, low self-esteem, loss of control, anticipation of pain after the surgery, and the fear of being separated from family and loved ones. These symptoms could affect the postoperative outcomes and functioning of the patients and these are often related to lack of knowledge patients regarding the surgery (Akbarzadeh, Kouchaksaraei, Bagheri, & Ghezel, 2009). Per Bernier et al. (2003) and Elliot et al. (2003), as technical advances are being made in other areas of surgery, for example, anesthesia, the to provide day surgery to a larger number of patients is increasing and they estimate that 60% if future surgical interventions will be day procedures (Pritchard, 2009).
This simply implies that nurses as health-care professionals will have an increasingly shorter duration to identify patients experiencing anxiety and provide the appropriate education including support that will enable the patient to effectively cope with the scares of surgery (Pritchard, 2009). Recently, interest has grown regarding the influence preoperative anxiety on the outcome of surgical procedures and the possible benefit...