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The impact of implementing a nursing care program based on Johnson's model on the behavioral systems of patients
Sakineh Rostami1, Shahram Molavynejad2,3, Nasrin Elahi1
1Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Insights
A nursing care program based on Johnson's behavioral systems model positively impacted patients undergoing coronary artery bypass graft (CABG) surgery. This intervention improved key behavioral subsystems, supporting its use in cardiac care.
Area of Science:
- Nursing Science
- Behavioral Health
- Cardiac Surgery
Background:
- Coronary artery bypass graft (CABG) surgery is a critical intervention for improving patient outcomes, quality of life, and life expectancy.
- Effective nursing care is essential for managing patients undergoing CABG, addressing their complex physiological and psychological needs.
Purpose of the Study:
- To evaluate the impact of a nursing care program grounded in Johnson's behavioral systems model on patients undergoing CABG.
- To assess changes in the behavioral subsystems of CABG patients following the implementation of the nursing intervention.
Main Methods:
- A clinical trial involving 128 patients undergoing CABG at Ahvaz teaching hospitals in Iran (December 2022 - December 2023).
- Patients were randomized into intervention and control groups.
- The intervention group received a three-week nursing care program based on Johnson's model, with data collected using a researcher-developed questionnaire.
Main Results:
- The nursing intervention based on Johnson's model demonstrated a positive effect on multiple behavioral subsystems in CABG patients.
- Significant improvements were observed in achievement, eliminative, ingestive, dependency, aggressive-protective, and restorative subsystems (P > 0.05).
- No significant changes were noted in the affiliative and sexual subsystems.
Conclusions:
- A nursing care plan derived from Johnson's behavioral systems model positively influences the behavioral systems of patients recovering from CABG.
- The study recommends adopting Johnson's model as a foundational framework for nursing care in CABG patients.
Background:
Coronary artery bypass graft (CABG) is a very important intervention to relieve angina, improve quality of life, or increase life expectancy. This study aimed to determine the effect of implementing a nursing care program based on Johnson's model on the behavioral systems of patients undergoing CABG in Ahvaz teaching hospitals in 2022.
Methods:
This is a clinical trial that was conducted from December 2022 to December 2023 on 128 patients undergoing CABG admitted to the cardiac ICU and cardiac surgery department of teaching hospitals in Ahvaz, Iran. The patients were selected based on the inclusion criteria, and they were assigned into intervention and control groups using permutation blocks. In the intervention group, a nursing care program based on Johnson's model was implemented for three weeks. The data collection tool was a researcher-made questionnaire developed based on Johnson's theory. A significance level of α = 0.05 was adopted for this study.
Results:
Before the intervention, the mean scores of the intervention group in terms of the six subsystems of Johnson's model were as follows: achievement (-98.98 ± 75.77), eliminative (-25.46 ± 33.27), ingestive (-135.67 ± 89.20), dependency (-122.26 ± 45.85), aggressive-protective (-62.18 ± 46.58), and restorative (-163.59 ± 62.03). After the intervention, the mean scores in the intervention group were as follows: achievement (-2.50 ± 71.55), eliminative (19.29 ± 35.61), ingestive (152.75 ± 113.58, dependency (104.60 ± 53.42), aggressive-protective (52.18 ± 53.54), and restorative (198.43 ± 72.28), which shows the positive impact of the intervention (P > 0.05). No significant changes were observed in the affiliative and sexual subsystems.
Conclusion:
The implementation of a nursing care plan based on Johnson's model positively affected the behavioral systems of patients undergoing CABG. Therefore, this model is recommended to be used as a framework for nursing care.
Trial Registration Number:
IRCT20220831055838N1.
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