Preoperative assessmentcriteria and patient teaching for ambulatory surgery patients

Dunn, Debra

doi:10.1016/s1089-9472(98)80032-4

Cited by 28 publications

(14 citation statements)

References 28 publications

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“…Earlier studies indicate that information has an effect on anxiety when it is congruent with the patient's coping style. Problem‐focused patients want detailed information weeks before the procedure, whereas emotion‐focused patients want general, reassuring information, and relationship‐focused patients value interaction (Redeker, 1992; Mitchel, 1997; Dunn, 1998; Stewart et al . 2000).…”

Section: Social Support As a Methods For Alleviating Fear And Anxietymentioning

confidence: 99%

“…Surgical patients want more information about anaesthesia and life after surgery and about the surgical procedure itself (Breemhaar et al ., 1996). Patient education may also confuse the patient and increase the level of anxiety if it is inconsistent or incompatible with their educational needs (Leino‐Kilpi et al ., 1993; Dunn, 1998).…”

Section: Literature Reviewmentioning

confidence: 99%

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Social support and its relation to fear and anxiety in patients awaiting coronary artery bypass grafting

Koivula

Paunonen-Ilmonen

Tarkka

et al. 2002

Journal of Clinical Nursing

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The purpose of this study was to ascertain social support resources available for patients awaiting coronary artery bypass grafting (CABG) and the effect of social support on their fear and anxiety. A postal questionnaire was sent to 270 patients awaiting CABG in one hospital, 207 of whom responded. Norbeck's Social Support Questionnaire (NSSQ) was used. The quality of basic cardiac information (QBCI) and the social support wanted (WSS) by patients were measured with an instrument developed for this study. Fear was measured with the Bypass Grafting Fear Scale (BGFS) developed for this study. Anxiety was measured with Spielberger's State-Trait Anxiety Inventory (STAI). The results were analysed using frequency and percentage distributions, cross-tabulation, non-parametric tests and logistic regression. Heart patients' spouses provided the most emotional and tangible aid. Low emotional support from the social network was associated with high anxiety. Half the patients rated the quality of basic information as good or excellent. Those who perceived the quality of information to be excellent experienced mild fear. Those who displayed high fear wanted informational support from nurses more often than patients with lower fear. We conclude that the fear and anxiety of patients awaiting CABG are connected with their social support resources.

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Section: Social Support As a Methods For Alleviating Fear And Anxietymentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Social support and its relation to fear and anxiety in patients awaiting coronary artery bypass grafting

Koivula

Paunonen-Ilmonen

Tarkka

et al. 2002

Journal of Clinical Nursing

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“…Many elderly patients are limited by a decreased cognitive capacity 10 . A larger subset experience a gradual diminution in intellectual function.…”

Section: Psychologic and Intellectual Limitationsmentioning

confidence: 99%

“…These signs include confusion, slurred speech, headache, blurred vision, awkward gait, and extreme fatigue. Severe hypoglycemia may become present as disorientation, visual changes, seizures, or loss of consciousness 10 …”

Section: Physiologic Limitations and Preexisting Diseasementioning

confidence: 99%

Dermatologic Surgery in Geriatric Patients: Psychosocial Considerations and Perioperative Decision-Making

2002

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“…However, much of this work is dominated by medical protocols in order to guarantee medical fitness for surgery (22)(23)(24)(25)(26) . Although such tasks are vital, an unfortunate consequence of such a rapidly changing medical agenda is that evidence based 'nursing knowledge' has contributed very little to the success of day surgery (27) .…”

Section: A Y S U R G E R Y : a N E W E R A O F S U R G I C A L N U mentioning

confidence: 99%

Nursing knowledge and the expansion of day surgery in the United Kingdom

Mitchell

2006

Ambulatory Surgery

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For more information, including our policy and submission procedure, please contact the Repository Team at: usir@salford.ac.uk. N u r s i n g K n o w l e d g e a n d t h e E x p a n s i o n o f D a y S u r g e r y i n t h e U n i t e d K i n g d o m . AbstractBackground: The amount of surgery undertaken within United Kingdom Day Surgery Units has risen considerably over the past 15 -20 years. Throughout this pioneering era, nursing roles and responsibilities within the modern surgical environment have developed although have largely shadowed medical advances. Thereby, evidence based nursing knowledge appears to have contributed very little to the recent success of day surgery. This may be due, in part, to the lack of attention given to modern surgical practices within current preregistration nurse education programmes of study.Aim: The aim of this educational audit was to evaluate the consideration given to modern surgical practices in the programmes of study of recently qualified staff nurses employed within Day Surgery Units in the United Kingdom in order to gauge the extent of the challenge.Method: A postal audit was designed and sent to n=247 Day Surgery Units. The audit was intended to elicit information from the Staff Nurses regarding their experiences of modern, elective day surgery during their nurse education programmes of study.Results: Two hundred and seventy seven staff nurses responded revealing that the level of attention to day surgery practices within pre-registration programmes was extremely low. The Professions' actual and potential theoretical contribution to modern surgical practices was virtually nil. Their experience of pre-operative nursing intervention appeared mainly to involve the teaching of traditional surgical in-patients nursing skills. Additionally, the inclusion of modern surgical practices into the theoretical assignments within the programmes of study was very limited. Moreover, once qualified, the vast majority of staff nurses experienced no additional formal education for their new role. Conclusions:The results are discussed in relation to the re-focusing of pre-registration nurse education, changing clinical roles and the future of nursing within the modern surgical arena. D a y S u r g e r y : A N e w E r a o f S u r g i c a l N u r s i n g I n t e r v e n t i o n .

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Preoperative assessmentcriteria and patient teaching for ambulatory surgery patients

Cited by 28 publications

References 28 publications

Social support and its relation to fear and anxiety in patients awaiting coronary artery bypass grafting

Social support and its relation to fear and anxiety in patients awaiting coronary artery bypass grafting

Dermatologic Surgery in Geriatric Patients: Psychosocial Considerations and Perioperative Decision-Making

Nursing knowledge and the expansion of day surgery in the United Kingdom

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