Caring for the carer: an audit of the day surgery service for carers within the Wessex region of England

Hazelgrove, J

doi:10.1016/s0966-6532(99)00024-4

Cited by 9 publications

(6 citation statements)

References 5 publications

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“…Previous studies have shown that recovery may not always be straightforward with unanticipated events causing anxiety. Hazelgrove and Robins (2000), in an audit, found that carers complained of a lack of information and that their loved ones required more care after discharge than they were led to believe from the day surgery staff. Mitchell (2003), in a literature review of discharge experiences, found that patients and their carers had three concerns: wound care, pain relief and returning to normal activities.…”

Section: Introductionmentioning

confidence: 99%

‘They are marvellous with you whilst you are in but the aftercare is rubbish’: a grounded theory study of patients’ and their carers’ experiences after discharge following day surgery

Mottram

2011

Journal of Clinical Nursing

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Section: Introductionmentioning

confidence: 99%

‘They are marvellous with you whilst you are in but the aftercare is rubbish’: a grounded theory study of patients’ and their carers’ experiences after discharge following day surgery

Mottram

2011

Journal of Clinical Nursing

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“…Inherent time restrictions habitually ensure medical aspects of care take preference over the psycho‐educational aspects (Fung & Cohen, 2001). Direct patient contact time is falling and progressively leading to a greater degree of pre and post‐operative patient self‐care (Hazelgrove & Robins, 2002). In such a modern surgical health care environment, where patient self‐care is a growing implicit component, effective psycho‐educational intervention will, by necessity, become inextricably linked with the future of successful modern elective surgery.…”

Section: Introductionmentioning

confidence: 99%

Patient anxiety and modern elective surgery: a literature review

Mitchell

2003

Journal of Clinical Nursing

149

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Summary • Medical advances have led to a considerable rise in the level of elective surgery undertaken as day‐case surgery and with minimal hospital stay. However, amid such advances, preoperative psychological care has remained relatively static. • A considerable number of patients are very anxious prior to elective surgery and little formal care is undertaken to address this major issue. A review of the literature from 1990 to 2002 was therefore undertaken in order to assess the present level of knowledge and interventions concerning patient anxiety when undergoing modern, intermediate surgical intervention. • Thirty‐four studies embracing data from 3754 patients undergoing both inpatient and day‐case procedures were reviewed. Three main themes emerged – causes of anxiety, clinical concerns and measurement, and anxiety management. • Each theme is discussed alongside details extracted from the relevant studies. Finally, the main issues arising are summarized and future research challenges identified.

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“…Many studies also declare the significant regional disparities in the performance of a number of the day surgery procedures for youths and adults. This is also related to an availability of healthcare service in the country and the particular region, as well as the country health policy [17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Quantification of Similarity Relationships According to Parameters of Day Surgery System

Gavurová

Kováč

Bejtkovský

2019

IJERPH

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Performing day surgery should minimise a number of hospitalisation cases, but its use is determined by many factors. It takes advantage of the latest advances in surgical care, enabling better use of highly costly specialised operating room equipment. This analysis of the day surgery system of the Slovak Republic stands on an examination of the five specialised fields-surgery, gynaecology, ophthalmology, otorhinolaryngology, and urology. The explored period covers the years 2009 to 2017. The whole analysis is divided into the two sections-the youth category and for the adult category. For each case, a hospitalisation ratio is computed. A map visualisation supports the analysis outcome. A quantification of the similarity relationships between the regions is done according to a Euclidean distance approach and it is illustrated through the heat map. The centremost region is the Žilina Region with distance at a level of 1.9821, meaning that it performs as the most similar region to a development of a hospitalisation ratio in the whole Slovak Republic regarding all the examined aspects. The findings introduce an important platform for a creation of regional and national health plans in the area of healthcare provision for the population of the country.Day surgery is one form of saving financial resources of health insurance companies, but its implementation is very expensive. In the recent years, the question of the economic efficiency of introduction of day surgery as well as the transformation of hospital departments into day surgery units has also come to the attention of research teams. This is also confirmed by the results of the study by Gabriel et al., who are concerned with an optimisation of the costs of day surgery performance and a process of finding opportunities for better organisation together with economic and personnel utilisation [3]. These authors also provide an interesting impetus for our subsequent research-an examination the risk factors and causalities associated with surgery and mortality.The conditions for performing day surgery are different for children than for adults, and they are set in a stricter regime. It also affects the type of diagnoses and comorbidities that are numerous for elderly patients. The same affect can be seen also among the youth population [4]. However, the benefits of day surgery in children outweigh the disadvantages for most children and families. Day surgery reduces the risk of nosocomial infections, the risk of anxiety, disturbed sleep, and so forth. For families, there is minimal disruption to working patterns and childcare needs. It also significantly reduces the economic burden on society. Every day surgery procedure not only provides considerable money savings, but also brings efficiency in medical practice in the healthcare system.Public policies should make greater efforts to achieve higher transparency and effective accountability, especially in public healthcare systems with a wide range of public and private healthcare service providers. According to many ...

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Caring for the carer: an audit of the day surgery service for carers within the Wessex region of England

Cited by 9 publications

References 5 publications

‘They are marvellous with you whilst you are in but the aftercare is rubbish’: a grounded theory study of patients’ and their carers’ experiences after discharge following day surgery

‘They are marvellous with you whilst you are in but the aftercare is rubbish’: a grounded theory study of patients’ and their carers’ experiences after discharge following day surgery

Patient anxiety and modern elective surgery: a literature review

Quantification of Similarity Relationships According to Parameters of Day Surgery System

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