Conectar
To examine the trajectories of nursing care during the critical and intensive phases after coronary artery bypass graft surgery, using standardised electronic nursing records.
Retrospective observational study.
The electronic nursing records of 122 patients who underwent coronary artery bypass graft from a tertiary hospital were collected between September 2021 and September 2023. Among the 287,360 extracted nursing statements, the 427 most frequent statements were mapped to SNOMED CT. Nursing data were categorised into pre- and postoperative phases, and a heatmap was used to visualise daily nursing care trends during the first 8 days post-surgery.
In total, 287,360 nursing statements were extracted and semantically mapped, with 90.9% linked to pre-coordinated SNOMED CT concepts. The results showed that in the acute postoperative phase, clinical priorities included respiratory management and surgical drain care. As recovery progressed, priorities expanded to include pressure injury prevention, safety monitoring, and effective interdisciplinary communication.
The analysis using standardised nursing records identified dynamic care patterns after coronary artery bypass graft surgery and supports the development of disease-specific, evidence-based nursing practice guidelines.
Support for evidence-based nursing care for patients undergoing coronary artery bypass graft surgery.
This study addressed the limited development of nursing-focused clinical practice guidelines by demonstrating how real-world nursing data can be leveraged to develop disease-specific, evidence-based guidance. By mapping electronic nursing records to international standard terminology, the study advanced a methodological approach for systematically capturing and analysing nursing care trajectories over time. The findings reveal dynamic patterns of nursing interventions during postoperative care and provide empirical support for developing standardised, data-driven nursing guidelines, ultimately strengthening evidence-based practice in acute and critical care settings.
Strengthening the Reporting of Observational Studies in Epidemiology guidelines.
This study did not include patient or public involvement in its design, conduct, or reporting.
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