Nurse-Led Initiative Improves Recovery Outcomes for Female Open-Heart Surgery Patients
June 4, 2025
According to a June 3 press release, a nurse-led initiative at Saint Joseph Hospital in Denver significantly improved recovery outcomes for female patients following open-heart surgery.
The project, published in Critical Care Nurse, focused on reducing poststernotomy wound complications by addressing issues with the standard surgical bra used after surgery. Nurses observed a pattern of readmissions among women—particularly those with larger breasts—due to pressure injuries and sternal dehiscence, largely tied to poor bra fit and discomfort. In response, they implemented a new protocol involving pre-surgery chest measurements, personalized fittings, and the use of a more supportive, stretchable, and breathable bra with better sizing options.
Over a 12-month period, 82 patients received the new bra immediately after surgery. None of these patients developed chest pressure wounds or sternal complications, a stark improvement from the previous 6.4% wound incidence rate. The initiative not only enhanced patient comfort and safety but also avoided over $750,000 in extended hospital stays. Staff were trained in the new process, and patient feedback was overwhelmingly positive—many even requested an extra bra for home use. This effort underscores the impact of nurse-led innovation and attentive, patient-centered care on clinical outcomes and healthcare costs.
Janette Wider is Editor-in-Chief for Healthcare Purchasing News.
