Do patient information booklets increase perioperative anxiety?

Gillies, Michael; Baldwin, F

doi:10.1097/00003643-200109000-00010

Cited by 43 publications

(9 citation statements)

References 7 publications

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“…Since even the modest cost of 10 pence (US$0.15) per leaflet may be seen as a reason for hospitals in the UK not to use the OAA leaflet [7], it is especially important that its effectiveness and usefulness are assessed. One consequence of providing patients with written information is the possibility of increasing their anxiety about the risks of anaesthesia [8]. However, this may not always follow [9] and we have found that most women want to know more about the specific complications of regional anaesthesia than is commonly offered [10].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the effect upon maternal knowledge of an information leaflet about pain relief in labour*

Stewart¹,

Sodhi

Harper

et al. 2003

Anaesthesia

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SummaryAt present there is no nationwide formal training course at which college tutors in anaesthesia can develop the specific skills required to perform their important role effectively. The purpose of this study was to ascertain whether there is a need for an introductory learning package for college tutors and if so, what learning needs ought to be addressed in such a package. A needs assessment was performed involving the use of individual interviews and the administration of two sequential questionnaires. The questionnaire was completed by 208 college tutors, a return rate of 83%. Most college tutors (93%) said they had had no formal training to perform their role and 94% felt there was a need for an introductory course for college tutors in anaesthesia. Of those, 77% said they would be interested in taking such a course. The study identified a number of learning needs. College tutors in anaesthesia currently acquire the skills to perform their role by a variety of means. At present, there is no nationwide formal training course at which they can develop the specific skills required to perform this important role effectively. This role is defined by the Royal College of Anaesthetists and includes responsibility for co-ordinating the professional development and pastoral care of trainees attached to their hospital department [1]. In addition, the role of the college tutor has been increasing in recent years. In 1996, the publication of the Calman report led to the introduction of more formalised and organised training for medical specialists [2]. College tutors have been closely involved in the implementation of this report. The speciality of anaesthesia has been one of the first to introduce a competency-based training programme, as recommended by the Specialist Training Authority [3]. The requirement for more frequent and formalised workplace-based appraisal and assessment has put further demands on college tutors.The General Medical Council and the Royal College of Anaesthetists also recommend that those with responsibility for training and assessment are equipped with the necessary skills [1, 4, 5].The study had two aims: 1 To ascertain whether there is a need for an introductory learning package for college tutors in anaesthesia.And if so, 2 What learning needs ought to be addressed in such a package? within the south-east of Scotland region to collect qualitative data. McKenna defined 'experts' as 'a panel of informed individuals ' [6]. The personnel interviewed consisted of four current college tutors in anaesthesia, one ex-tutor and one ex-regional advisor. All of these individuals have experience in the role of college tutor and four were key stakeholders in the project. The objective of these interviews was to draw up a list of educational objectives for an introductory learning package for college tutors in anaesthesia.The next step was to validate the objectives. A more extensive survey of anaesthetic college tutors was needed before further programme development could be instituted. This was un...

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Section: Discussionmentioning

confidence: 99%

Assessment of the effect upon maternal knowledge of an information leaflet about pain relief in labour*

Stewart¹,

Sodhi

Harper

et al. 2003

Anaesthesia

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“…For example, the anaesthetist explaining events and being given prior notice of proceedings (sequential order of events) were reported to be beneficial in the present study in that this helped to reduce anxiety (Table 3). Other studies have likewise revealed such information and choice to be crucial in modern elective surgery (McKenna 1997, Gillies & Baldwin 2001, Ward et al 2007). However, debate frequently occurs about the ideal time for anaesthetists to visit patients to give such information.…”

Section: Intra-operative Interventionmentioning

confidence: 98%

Conscious surgery: influence of the environment on patient anxiety

Mitchell

2008

Journal of Advanced Nursing

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“…Studies on informed consent forms indicate that the presentation of benefits and harms might impact patients' pre-operative anxiety and competence to correctly assess treatment risks [55,56]. These studies primarily examine personalized information options (e.g., ITbased) and supplemental information materials in the context of shared decision-making.…”

Section: Discussion and Practical Implicationsmentioning

confidence: 99%

Development, piloting, and evaluation of an evidence-based informed consent form for total knee arthroplasty (EvAb-Pilot): a protocol for a mixed methods study

Weise

Lühnen

Bühn

et al. 2021

Pilot Feasibility Stud

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Background Practitioners frequently use informed consent forms to support the physician-patient communication and the informed consent process. Informed consent for surgery often focuses on risk centered information due to high liability risks for treatment errors. This may affect patients’ anxiety of adverse events and the nocebo effect. This study focuses on the optimization of pre-surgical information on risks and complications, and at the same time reconciles these information with legal requirements. Methods The development, piloting, and evaluation of evidence-based informed consent forms for total knee arthroplasty (TKA) and related anesthesia procedures will follow the UK MRC Framework for developing and evaluating complex interventions. Conducting different sub-studies, we will (I) qualitatively explore the information acquisition and decision-making processes, (II) develop and pilot test evidence-based informed consent forms on the example of TKA and related anesthesia procedures, (III) conduct a monocentric interrupted time series (ITS) pilot study to evaluate the effects of evidence-based informed consent forms in comparison with standard consent forms, and (IV) perform a process evaluation to identify barriers and facilitators to the implementation of the intervention and to analyze mechanisms of impact. Discussion The evidence-based and understandable presentation of risks in informed consent forms aims at avoiding distorted risk depiction and strengthening the patients’ competencies to correctly assess the risks of undergoing surgery. This might reduce negative expectations and anxiety of adverse events, which in turn might reduce the nocebo effect. At the same time, the practitioners’ acceptance of evidence-based informed consent forms meeting legal requirements could be increased. Trial registration ClinicalTrials.gov, NCT04669483. Registered 15 December 2020. German Clinical Trials Registry, DRKS00022571. Registered 15 December 2020

show abstract

Do patient information booklets increase perioperative anxiety?

Cited by 43 publications

References 7 publications

Assessment of the effect upon maternal knowledge of an information leaflet about pain relief in labour*

Assessment of the effect upon maternal knowledge of an information leaflet about pain relief in labour*

Conscious surgery: influence of the environment on patient anxiety

Development, piloting, and evaluation of an evidence-based informed consent form for total knee arthroplasty (EvAb-Pilot): a protocol for a mixed methods study

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