Award Date


Degree Type


Degree Name

Master of Science in Nursing (MSN)



First Committee Member

Susan Kowalski

Number of Pages



Patients undergoing coronary artery bypass surgery endure many stressors postoperatively. The purpose of this research study was to approximately replicate Puetz's study (1990) regarding the incongruencies of patient and nurse perceptions of stresser associated with coronary artery bypass surgery. Neuman's System Model was used to identify stresser as intrapersonal, interpersonal, and extrapersonal; The population consisted of two conveniently sampled groups: (1) thirty-five patients recovering from coronary artery bypass surgery; and (2) twenty nurses caring for the respective coronary bypass surgery patients. The instruments included demographic data sheets and a 37 item Revised Cardiac Surgery Stressor Scale (RCSSS); Overall mean scores of patients and nurses on the CSSS and RCSSS showed no significant difference (p =.448). Correlation studies determined that no significant correlation existed between patient and nurse stressor scale ratings, with r =.243 for the CSSS and r =.238 for the RCSSS. Highest rated stressor for patients and nurses for both the CSSS and the RCSSS were different, even though the overall scores were similar; Correlational analysis determined a weak relationship between the three subscales of the RCSSS and stressor scale scores. The strongest correlation existed between the extrapersonal stressor (r = 0.234). Patient and nurse characteristics overall were found to have a more positive correlation on RCSSS stressor score ratings; Although overall patient and nurse survey scores were similar, the two groups of subjects differed as to which items were rated as most stressful. Nurses need to therefore assess patients more holistically and individually to better care for them as they recover from coronary artery bypass surgery.


Artery; Associated; Bypass; Coronary; Nurse; Patient; Perceptions; Stressors; Surgery

Controlled Subject

Nursing; Medicine

File Format


File Size

2048 KB

Degree Grantor

University of Nevada, Las Vegas


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