Nurse-run preanaesthesia assessment clinics: an initiative towards improving the quality of perioperative care at the ambulatory care centre

Abstract

IntroductionNurse-run preanaesthesia assessment is well established in ambulatory surgery. However, in the Middle East the implementation of such a service is new and needed careful preparation. Aim of this audit is to assess the feasibility and the quality of preoperative assessments by the specially trained nurses, patient and nurse satisfaction and overall perioperative quality of recovery.MethodsThe nurses were selected and trained first in an accredited programme. Then an implementation period of 3 month was used for them to gain experience. Hereafter, we performed a four-step audit on the quality of preassessment, the patient’s satisfaction, the quality of recovery and adverse events if any. Finally, we also monitored the nurse’s satisfaction of their new advanced role.ResultsThe quality of preanaesthesia assessment was high as with 95% compliance to the accepted standards. In the patient satisfaction survey, all 152 patients were either highly satisfied or satisfied with the nurse-run service. The nurses were also highly satisfied and felt that they were either highly or moderately valued. All the patients who were operated at the ambulatory care services were followed up postoperatively by telephone calls which revealed that most of them were highly satisfied. No major or minor adverse events occurred.ConclusionOur specially trained nurses perform preoperative assessments on high standard without adverse events, while patient and staff satisfaction is very high. Future projects will focus on reducing the rate of cancellation of surgeries, investigating the cost-effectiveness of this approach as well as training the specialised nurses for paediatric preoperative anaesthesia assessments. This model of care could induce further nurse-run models of care in the Middle East.

Efficacy of High-Quality Nursing Service for the Patients during the Anesthesia Recovery Period: A Meta-Analysis

“…The characteristics of included studies are summarized in Table 1. Eight involving high-quality nursing services for the patients during the anesthesia recovery period were included [10][11][12][13][14][15][16][17]. All the experimental groups were treated with high-quality nursing [10][11][12][13][14][15][16][17].…”

“…Eight involving high-quality nursing services for the patients during the anesthesia recovery period were included [10][11][12][13][14][15][16][17]. All the experimental groups were treated with high-quality nursing [10][11][12][13][14][15][16][17]. The literature was reported from 1999 to 2021.…”

“…Meta-analysis identifies the risk of bias in randomized trials included in this study (Figure 2). We performed the randomization based on the computer-aided random list or using a randomly generated pattern of numbers within most of the trials [10][11][12][13][14][15][16][17]. The low risk of incomplete outcome data and selection of outcome reports were utilized to characterize the randomized trials taken in this research.…”

“…The low risk of incomplete outcome data and selection of outcome reports were utilized to characterize the randomized trials taken in this research. Eight studies [10][11][12][13][14][15][16][17] taken in this research were described with blinding of high-risk contributors and staff and assessing the outcome [10][11][12][13][14][15][16][17]. Furthermore, the randomized trials consider the uncertain risk of other biases.…”

“…Researches. The metaanalysis of 8 selected researches in this study [10][11][12][13][14][15][16][17] revealed that the efficiency of recovery time of spontaneous respiration was significantly improved in the experimental group (SMD = −1:48, 95%CI = ½−1:62,−1:34; Figure 3).…”