Women’s experiences of undergoing coronary artery bypass graft surgery
Version of Record online: 11 AUG 2011
© 2011 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 68, Issue 4, pages 919–930, April 2012
How to Cite
Banner, D., Miers, M., Clarke, B. and Albarran, J. (2012), Women’s experiences of undergoing coronary artery bypass graft surgery. Journal of Advanced Nursing, 68: 919–930. doi: 10.1111/j.1365-2648.2011.05799.x
- Issue online: 13 MAR 2012
- Version of Record online: 11 AUG 2011
- Accepted for publication 25 June 2011
- cardiovascular disease;
- coronary artery bypass graft surgery;
- grounded theory;
- research report;
banner d., miers m., clarke b. & albarran j. (2011) Women’s experiences of undergoing coronary artery bypass graft surgery. Journal of Advanced Nursing 68(4), 919–930.
Aim. This paper is a report of a study of women’s experiences of coronary artery bypass graft surgery.
Background. Worldwide, coronary heart disease is the leading cause of morbidity and mortality. It has traditionally been viewed as primarily affecting men. However, a growing body of literature exploring gender differences in this area is challenging accepted beliefs, particularly in relation to outcomes. Despite this, awareness of how women interpret and respond to the experiences of cardiac surgery remains limited.
Methods. At regional cardiothoracic centres in England and Wales, during 2003 to 2006, data were collected from 30 women preoperatively and at 6 weeks and 6 months postoperatively using semi-structured interviews. A constructivist grounded theory approach was adopted and data were analysed using extensive coding and constant comparison techniques.
Results. A substantive theory of the public–private dialogue of normality emerged demonstrating that participants faced lifestyle disruptions as they attempted to privately normalize and integrates limitations, while minimizing a public display of illness. During the preoperative period, participants experienced difficulties recognizing and acting on symptoms and endured physical and emotional distress while waiting for surgery. Following surgery, women experienced functional limitations which forced them to relinquish normal activities and roles. As recovery progressed, women came to accept their changed health status and renegotiated state of normality.
Conclusion. The findings increase understanding about the adjustments which women undergoing cardiac surgery make as part of living with a long-term condition and support the need to develop innovative gender-sensitive health education and services.