Clinicians Consistently Exceed a Typical Person’s Short-Term Memory During Preoperative Teaching

Sharma, Ritu; Wiklund, Richard A.; Sandberg, Warren S.

doi:10.1213/ane.0b013e31817eea85

Cited by 31 publications

(26 citation statements)

References 20 publications

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“…It is known that stress and anxiety decreases a patient's ability to understand instructions, (8) and that doctors are prone to giving patients information in excess of what they can absorb. (9) Therefore, burdening patients with additional, and possibly unnecessary, information may be detrimental.…”

Section: Discussionmentioning

confidence: 99%

An audit of preoperative fasting compliance at a major tertiary referral hospital in Singapore

Lim¹,

Lee²,

Ti³

2014

smedj

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All patients who present for surgery under general, regional or monitored anaesthesia are given preoperative fasting instructions. At our institution, adult patients scheduled for surgery before 1:00 pm are required to fast from 12:00 midnight the preceding night, while patients whose surgeries are scheduled to start after 1:00 pm are allowed a light breakfast before 6:00 am. Paediatric patients are required to fast from solid food and milk at least 6 hours before surgery, and from clear fluids at least 2 hours before surgery. Infants are allowed milk up to 4 hours before surgery. In the past, all patients scheduled for elective surgery were admitted to the hospital at least a day before surgery. Fasting rules were strictly enforced by nurses in the wards, and noncompliance was rarely encountered. In recent times, however, patients are increasingly admitted on the day of surgery due to a shortage of hospital beds and economic considerations. As a result, it is our anecdotal observation that there has been an increase in the number of patients who do not comply with fasting instructions. This is despite the fact that all patients are informed of the need to fast before surgery, both verbally and in writing. We therefore embarked on a survey of our patients, who were admitted on the day of surgery, on their knowledge on preoperative fasting, as well as their perception of and attitudes toward preoperative fasting. We aimed to estimate the extent of noncompliance with preoperative fasting instructions in our local patient population and to elicit the reasons for any noncompliance observed.

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Section: Discussionmentioning

confidence: 99%

An audit of preoperative fasting compliance at a major tertiary referral hospital in Singapore

Lim¹,

Lee²,

Ti³

2014

smedj

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“…The verbal information should be reinforced with written or other forms of media, which might include DVDs or the internet. Information that the NP gives not only informs the patient, but also helps to establish rapport (Sandberg et al, 2008).…”

Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

“…It has been found that healthcare providers often exceed the amount of new information a patient can remember. Patients given too much information have trouble distinguishing what information is critical (Sandberg et al, 2008). Heikkinen et al (2007) found that after receiving preoperative teaching, patients felt they received less knowledge than they expected.…”

Section: Amount Of Information To Include In Teachingmentioning

confidence: 99%

Evidence-based spine preoperative education

Hartley¹,

Neubrander

Repede

2012

International Journal of Orthopaedic and Trauma Nursing

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“…В указанных случаях «завещание о жизни» становится основным руководством к действию. Однако не похоже, чтобы PSDA побуждал людей использовать «завещание о жизни», а этот документ, в свою очередь, не в полной мере отражает осознанные предпочтения людей и эф-фективно закрепляет их 106 . Короче говоря, данный закон «"сослужил плохую службу большинству пациентов, членов их семей и обслуживающего персонала".…”

Section: B другие примеры неэффективности обяза-тельного раскрытия иunclassified

The Failure of Mandated Disclosures, parts 1,2

Ben-Shahar¹,

Schneider²

2017

APEL

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Цель: разработка концептуальных теоретико-правовых положений и научных рекомендаций по обоснованию не-эффективности требования раскрытия информации. Методы: всеобщий диалектический метод познания, а также основанные на нем общенаучные и частноправовые методы исследования. Результаты: в статье рассматриваются достоинства и недостатки самого распространенного в современном обществе метода защиты личной автономии: требования обязательного раскрытия информации. Статья состоит из четырех раз-делов: (1) разносторонний обзор использования требования раскрытия информации в различных формах и обстоятель-ствах в таких сферах, как защита прав потребителя и заемщика, информированное согласие пациента, формирование контрактов и конституционные права; (2) обзор эмпирической литературы, свидетельствующей о неспособности тре-бования раскрытия информации влиять на степень информированности людей и эффективность их решений; (3) обзор причин неэффективности требования раскрытия информации, в котором особая роль отводится политической динамике, оказывающей влияние на принятие соответствующих законодательных актов, на мотивы, побуждающие обладателей информации исполнять их, а также на способность получателей информации использовать эти акты; и (4) доказательство того, что требование раскрытия информации не только не достигает своих целей, но и приводит к непредвиденным последствиям, которые часто наносят вред тем, кому данное требование должно было служить. Научная новизна: в статье разработано и введено в научный оборот обоснование неэффективности требования раскрытия информации, доказана неспособность требования раскрытия информации влиять на степень информи-рованности людей и эффективность их решений, а также выявлены непредвиденные последствия, которые могут нанести вред тем, кому требование раскрытия информации должно служить. Практическая значимость: выводы и положения статьи могут быть использованы в научной, законотворческой и правоприменительной деятельности, учебном процессе образовательных организаций высшего образования. THE FAILURE OF MANDATED DISCLOSURE*Objective: to elaborate the conceptual theoretical-legal provisions and scientific recommendations for the substantiating the inefficiency of mandated disclosure. Methods: general dialectic method of cognition, as well as the general scientific and specific legal methods of research, based on it. Results: the article explores the spectacular prevalence, and failure, of the single most common technique for protecting personal autonomy in modern society: mandated disclosure. The article has four parts: (1) a comprehensive sum mary of the recurring use of mandated disclosures, in many forms and circums tances, in the areas of consumer and borrower protection, patient informed con sent, contract formation, and constitutional rights; (2) a survey of the empirical literature documenting the failure of the mandated disclosure regime in informing people and in improving their decisions; (3) an account of the multitude of reasons mandated disclosures fail, focusing on the polit...

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Clinicians Consistently Exceed a Typical Person’s Short-Term Memory During Preoperative Teaching

Abstract: Given the known limits of short-term memory, clinicians would be well advised to carefully consider their patterns of information-giving and their use of memory-reinforcing strategies for critical information.

Cited by 31 publications

References 20 publications

An audit of preoperative fasting compliance at a major tertiary referral hospital in Singapore

An audit of preoperative fasting compliance at a major tertiary referral hospital in Singapore

Evidence-based spine preoperative education

The Failure of Mandated Disclosures, parts 1,2

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