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Psychological care of patients undergoing elective surgery
Abstract
The amount of time patients spend in hospital preparing for and recovering from elective surgery has reduced significantly in recent years. Nursing interventions associated with lengthy hospital admissions are no longer appropriate for patients who may only stay in hospital for hours rather than days, and therefore psychological and educational interventions are becoming more important. This article examines the psychoeducational management of patients undergoing elective surgery.
... Forskning visar att preoperativ information kan leda till bättre vård och återhämtning efter kirurgi (Kruzik 2009). En del patienter behöver mindre information än andra, för mycket information skulle kunna öka stressnivå inför en stressande situation såsom en operation (Mitchell 2007). ...
... Det var betydelsefullt att informationen ägde rum en vecka innan operation då det upplevdes vara mycket information som skulle bearbetas, detta överensstämmer med vad andra studier också funnit (Mitchell 2007). Informanterna upplevde det värdefullt att se lokalerna och personalen innan. ...
... Patienterna har skiftande grad av oro och behöver därmed individuell information. Mitchell (2007) skriver i sin studie att patienter som ska opereras har fokus på det som ska komma, snarare än den information som ges. Informanter utan vårderfarenhet har svårt att veta vad de ska fråga om då allt är nytt för dem. ...
... Due to the limited time available during a short hospital stay it is a challenge for health care staff to interact and help patients manage their anxiety (Mitchell 2003, Pritchard 2009). As a consequence of brief meetings, there is a risk that a patient's preoperative state of mind may not be recognised and addressed (Gilmartin 2004, Mitchell 2007, 2010, Pritchard 2009). Aspects of psychosocial care frequently become marginalised as aspects of bio-medical intervention dominate (Bundgaard et al. 2014). ...
... Health care staffs play important roles in reducing patient anxiety (Yilmaz et al. 2012, Lee et al. 2015 and need to be prepared to provide care that enables patients to come to terms with their state of mind (Pritchard 2009). Improvements in reducing preoperative anxiety is needed not least because of the negative effects (Mitchell 2007, Pritchard 2009, Fraczyk & Godfrey 2010, Yilmaz et al. 2012. Addressing different psychosocial needs may improve patient compliance, satisfaction, and medical outcome (Kindler et al. 2005). ...
Aims and objectives. The aim was to describe the moods experienced by people
waiting for day surgery.
Background. Except for anxiety, there is a lack of knowledge about the moods
experienced by patients while waiting for day surgery, as well as the impact of
mood during the perioperative period. Preoperative anxiety is common and has
multiple negative effects. A deeper knowledge of preoperative moods and how they
are experienced is needed and may be useful for improving perioperative care.
Design. Qualitative descriptive design.
Methods. Qualitative semi-structured interviews (n = 20) with adults waiting for
day surgery in a Swedish university hospital. Data were analysed with inductive
content analysis.
Results. The informants described a variety of moods and mood-influencing reasons.
The main category that emerged was, ‘feeling hope about regaining health as a help to
balance mood’ regardless of mood. This category was abstracted from the generic
categories ‘experiencing a harmonious mood’ and ‘experiencing a shifting mood’. The
subcategories were ‘feeling calm and at ease despite concerns and fear,’ ‘experiencing
expectation,’ ‘feeling trust and confidence,’ ‘shifting between expectancy and anxiety,’
‘feeling vulnerable and exposed, and ‘feeling uncertainty’.
Conclusions. The findings contribute to the knowledge about that regardless of
mood, feeling hope about regaining health may help patients to balance their
mood during the waiting period.
Relevance to clinical practice. The results can have implications with respect to
developing and improving preoperative care, such as having clinicians extend
offers of individual assistance and information during the waiting period to
patients experiencing shifting mood. Instilling hopefulness in patients who are
waiting for day surgery by means of clinical staff attitudes and interactions may
help patients to develop healthy coping strategies and thereby improve their physical
and emotional well-being.
... Dock framkom även i vår studies reslutat att en del patienter upplevde den givna informationen som skrämmande (Ghulam et al. 2006;Worster & Holmes, 2008). För mycket information kan utlösa oro hos en del patienter, det är därför komplicerat att avgöra vad som är rätt mängd information i samband med kirurgiskt ingrepp (Mitchell, 2007). Hur kan man som sjuksköterska tillgodse varje enskild patients behov av rätt mängd information och hur kan man veta vad den enskilde önskar? ...
... En möjlig tolkning av patienternas upplevelser och Travelbee´s omvårdnadsteori är att det är av betydelse att som sjuksköterska finnas tillgänglig för patienterna. Andra omvårdnadsåtgärder som kan användas för att minska patienters lidande, känsla av oro och ensamhet kan vara bland annat musik (Mitchell, 2007). Genom att lyssna på musik kan ångest och oro reduceras. ...
... The outcomes of these surveys suggested that patients generally were satisfied with same-day outpatient surgery and found the process to be efficient. 1,[6][7][8] Because of further cost-containment measures in the mid 1990s, postoperative telephone calls made routinely by nurses were eliminated in many same-day outpatient surgical programs, resulting in a further-diminished role for nurses in the perioperative setting. 6 By the mid 1990s, some studies by nurses suggested that same-day outpatient surgical patients did experience symptom distress and changes in functional status, which was determined during postoperative telephone calls. ...
... 11,15 Specifically citing nurses as key care providers, patients wanted more instruction preoperatively and guidance postoperatively to assist in the management of symptoms. 2,4,7 Telephone intervention by nurses may be a cost-effective strategy to assist patients postoperatively, and there is some evidence to support the use of this intervention strategy. 16 the preoperative preparation and postoperative guidance of patients. ...
Having nurses contact same‐day surgical patients by telephone early in the patients' recovery process may help guide recovery, but there are no guidelines as to the best time to make these calls.
A convenience sample of 77 patients undergoing same‐day knee arthroscopy surgery at a large health care center in the northeastern United States was recruited to examine the best time for telephone follow‐up by a nurse. Overall patient experiences and teaching‐learning needs also were investigated through open‐ended questions.
Findings suggest that continuous contact by nurses in the recovery period helped patients discuss and process the surgical experience. Telephone calls may be the most helpful to patients between 12 and 24 hours after surgery. AORN J 90 (July 2009) 41–51. © AORN, Inc, 2009.
... Surgical nurses find it challenging to allocate sufficient time and care to address patient's psychological needs. 10 However these phenomena signify a need for change in the mind-set and attitude among surgical nurses. They must embrace their role as patient educator and carry out their responsibility. ...
... Patients should stay in recovery room for about an hour or until their condition become stable. The nurse looking after the patient needs to monitor vital signs, pain, the level of post-operative nausea and vomiting (PONV), wound sites and the wound drain ( Mitchell ,2007). It is vital before discharge patients are provided with information about their analgesic regimen, wound care, returning to daily activities and dietary advice. ...
... ansiedade diante do acontecimento (15) . (16) . ...
Os procedimentos cirúrgicos aliados à hospitalização representam uma ameaça ao doente e sua família, devido às alterações físicas, reações psicológicas e sociais. Este estudo foi realizado com o objetivo de avaliar a presença de sinais e sintomas de ansiedade e depressão e verificar associações das patologias com as variáveis sexo e idade, em pacientes no pré-operatório de cirurgias eletivas.Os dados foram coletados em um Hospital Universitário de Ribeirão Preto e a amostra foi composta por 100 sujeitos que responderam a Escala de Ansiedade e Depressão Hospitalar (HADS) e a um instrumento de dadossociodemográficos e clínicos, e informações relativas às condições do período perioperatório. Na avaliação de ansiedade e depressão, 40% dos indivíduos foram considerados casos de ansiedade e 22% dos indivíduos foram considerados casos de depressão.Encontrou-se relação estatisticamente significante dos níveis dessas patologias com as variáveis sexo masculino (p=0,001), feminino (p=0,000) e idade até 45 anos (p=0,000).
... Recent reports have shown limited patient preparation for ambulatory surgery, decreased ability to access healthcare information or providers during the postoperative experience (Gilmartin, 2007), increased patient and family anxiety (Gilmartin & Wright, 2007;Mitchell, 2007bMitchell, , 2010b, and increased patient suffering and sense of abandonment (Flanagan, 2009). ...
Emerging data suggest limited patient preparation for ambulatory surgery, decreased access to healthcare providers postoperatively, increased patient and family anxiety, and increased patient suffering. Thus, there is a need for nursing interventions to improve the postoperative experience for patients and families.
The purpose of this study was to test the hypothesis that ambulatory arthroscopic surgery patients who receive a nurse-coached telephone intervention will have significantly less symptom distress and better functional health status than a comparable group who receive usual practice.
The study sample in this randomized clinical trial with repeated measures was 102 participants (52 in the intervention group and 50 in the usual practice group) drawn from a large academic medical center in the Northeast United States. Symptom distress was measured using the Symptom Distress Scale, and functional health was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey General Health Perceptions and Mental Health subscales.
Multivariate analysis of covariance, with three repeated measures of the Symptom Distress Scale (baseline, 72 hours postsurgery, and 1 week postsurgery) and five covariates, was used to test the hypothesis. After removal of the covariate influence, intervention participants had significantly less symptom distress at 72 hours and 1 week postsurgery and significantly better overall physical and mental health at 1 week postsurgery than those who received usual practice.
The findings suggest that telephone calls from nurses during the immediate postoperative period resulted in improved patient outcomes, namely, less symptom distress and better physical and mental health states. In future research, the study sample should be expanded to older and more diverse patients.
... The questionnaire was compiled based on the literature, together with previously undertaken studies in this field (Mitchell 1997(Mitchell , 2000(Mitchell , 2007b. It had clear content validity (all items related to preoperative anxiety and had been confirmed by experts in this field) ( Table 1). ...
This paper is a report of a study carried out to uncover the most anxiety-provoking aspects of general anaesthesia and determine what interventions may help to alleviate such anxiety.
General anaesthesia has proved to be highly anxiety-provoking. With the rise in elective day surgery, this aspect of patients' experience has become a prominent issue. Indeed, with brief hospital stays, limited contact with healthcare professionals, restricted formal anxiety management and the acute psychological impact of day surgery, such anxiety may be increasing.
As part of a larger study, a questionnaire was given on the day of surgery to 1250 adult patients undergoing surgery with general anaesthesia over a two year period from 2005-2007. The issue examined was anxiety in relation to the environment, hospital personnel and general anaesthesia. Participants were requested to return the questionnaire by mail 24-48 hours following surgery, and 460 completed questionnaires were returned.
A total of 85% of respondents experienced some anxiety on the day of surgery. Immediate preoperative experiences and concerns about unconsciousness were highly anxiety-provoking. Using factor analysis Preoperative Anaesthetic Information, Anaesthetic Catastrophising, Final Support, Personal Support, Imminence of Surgery, Possible Adverse Events and Final Preoperative Experiences were identified as central features. Multiple regression demonstrated Preoperative Anaesthetic Information, Anaesthetic Catastrophising and Imminence of Surgery were statistically significantly associated with an overall increased level of anxiety.
Focusing on the timely, formal delivery of information about anaesthesia management, emphasizing the notion of 'controlled unconsciousness' and dispelling misconceptions associated with general anaesthesia may help to limit patient anxiety.
... 5,6 Patient anxiety can be caused by uncertainties about anesthesia, the operation, pain and discomfort, unconsciousness, and the wait time before surgery. 7 Thus, nurses that pay attention to this presurgical anxiety can likely assist to reduce it. ...
Wait times in same day surgery can create added stress to patients who are already anxious. Perianesthesia nurses understand the importance of patient satisfaction as they continually return to the bedside, answer questions, and meet patients' needs. Nursing interventions to involve the patient and family can help decrease stress and dissatisfaction that occur when the patient is not updated about time changes. Defining quality care can be difficult when consumers and providers view things differently. Frequently, patients associate hospital stay satisfaction with the respect nurses demonstrate for their needs. Timeliness regarding surgical times is an important aspect when meeting consumers' care expectations. The purpose of this paper is to describe the problems patients might have with surgical wait times and to suggest ways to enhance patient satisfaction.
Environmental pollution effects on public health. It is aimed to found out the relationship
between Environmental Pollution and Different Diseases. Method was cross-sectional survey
from different hospital and polyclinic in Derna city. Results show the young ages (> 1 year -
10 years ) have high frequency and percent 146 (48.7%) in infected by different diseases,
followed by )21 year – 30 year (by 66(22.0 %), S.D(1.24), Mean(2.10), The percent of infectedmale was 200 (66.7 %) higher than females 100(33.3 %), SD was (0.472), Mean(1.33), the
percent of West Accumulation 262(87%), SD(0.33315), mean (1.1267). As for the Insect
distribution was 261 (87.0%), the water source the highest percent was for Center Of City by
61(20.3%), followed by plastic tanks 48(16.0%), Metal tanks 46(15.3%), Well 53(17.7%),
Mean, (3.3167) SD(1.45031). the tuburcoloisus was have a high percent by 83(27.7%),
followed by lice 49(16.3 %), followed by Hepatitis A infection by 48(16%) Chronic
Granulomatous Disease (CGD) 34 (11.3 %), Rabbis, 32(10.7 %) ,Typhus 13( 4.3 %), and (
Hepatitis B , 7(2.3%) , Hepatitis C,6 ( 2.0%), the Std. Deviation was(3.178 ), Mean (7.87), The
percent of infected Libyan 267(89.0%) was higher than other nationality by 28( 12.7 %), Std.
Deviation was (0.315), Mean (1.11 ). P-Value for Living Place, Water Source, west
Accumulation and Insect Distribution was < 0.000. The results confirmed that the prevalence
of different diseases is closely related with the current environmental situation and The
Relationship between Diseases and Living Place, Water Source, and Waste Accumulation &
Insect Distribution.
A hospitalização é um evento angustiante para as crianças, pois estas se deparam com um ambiente desconhecido, onde vivenciam procedimentos dolorosos e lidam com quebras de rotina e modificações de relações familiares. Portanto, é possível que o sofrimento advindo da hospitalização ocasione alterações nas emoções, pensamentos e comportamentos das crianças. Diante deste cenário, a utilização de recursos lúdicos contribui significativamente no processo de enfrentamento pré-cirúrgico da criança. O presente estudo tem o intuito de apresentar os sentimentos das crianças internadas em relação à situação pré-cirúrgica, bem como as mudanças nos pensamentos, comportamentos e cotidiano das crianças frente à hospitalização, e discutir a contribuição de recursos lúdicos específicos para este cenário. Através da coleta de dados por entrevista semiestruturada e o jogo Baralho Infantil da Hospitalização, concluiu-se que as crianças indicaram inicialmente sentimentos negativos durante a entrevista, entretanto, quando posteriormente se expressaram por meio do recurso lúdico, denotaram emoções e pensamentos positivos. Tal perspectiva só foi possível através do recurso lúdico que possibilitou a expressão da criança em relação ao que sente no hospital, bem como a ressignificação de sentimentos e melhora do bem-estar do paciente para enfrentar o procedimento cirúrgico.
Environmental pollution effects on public health. It is aimed to found out the relationship
between Environmental Pollution and Different Diseases. Method was cross-sectional survey
from different hospital and polyclinic in Derna city. Results show the young ages (> 1 year -
10 years ) have high frequency and percent 146 (48.7%) in infected by different diseases,
followed by )21 year – 30 year (by 66(22.0 %), S.D(1.24), Mean(2.10), The percent of infectedmale was 200 (66.7 %) higher than females 100(33.3 %), SD was (0.472), Mean(1.33), the
percent of West Accumulation 262(87%), SD(0.33315), mean (1.1267). As for the Insect
distribution was 261 (87.0%), the water source the highest percent was for Center Of City by
61(20.3%), followed by plastic tanks 48(16.0%), Metal tanks 46(15.3%), Well 53(17.7%),
Mean, (3.3167) SD(1.45031). the tuburcoloisus was have a high percent by 83(27.7%),
followed by lice 49(16.3 %), followed by Hepatitis A infection by 48(16%) Chronic
Granulomatous Disease (CGD) 34 (11.3 %), Rabbis, 32(10.7 %) ,Typhus 13( 4.3 %), and (
Hepatitis B , 7(2.3%) , Hepatitis C,6 ( 2.0%), the Std. Deviation was(3.178 ), Mean (7.87), The
percent of infected Libyan 267(89.0%) was higher than other nationality by 28( 12.7 %), Std.
Deviation was (0.315), Mean (1.11 ). P-Value for Living Place, Water Source, west
Accumulation and Insect Distribution was < 0.000. The results confirmed that the prevalence
of different diseases is closely related with the current environmental situation and The
Relationship between Diseases and Living Place, Water Source, and Waste Accumulation &
Insect Distribution.
The purpose of this article is to point out the different aspects of the emotional impact that surgery can have, as well as those that are typically experienced. The article also suggests an alternative way to minimize these impacts. The strategy is to inform patients as a way of psychological preparation before surgery so that patients may be prepared to better face the surgical event
Surgical procedures associated with hospitalization represent a threat to the patient and his/her family, due to physical alterations and psychological and social reactions. This study aimed at assessing the presence of signs and symptoms of anxiety and depression and at verifying associations of the pathologies with the variables gender and age in postoperative patients undergoing elective surgeries.Data were collected in a teaching hospital of Ribeirão Preto and the sample was comprised of 100 participants who completed the Hospital Anxiety and Depression Scale (HADS) and an instrument designed to collect clinical and sociodemographic data, as well as information regarding the particpants'conditions in the postoperative period. In the assessment of anxiety and depression, 40% of the subjects were considered to have anxiety and 22% of the subjects were considered to be suffering from depression. A statistically significant relationship was found between the levels of the pathologies and the variables male (p=0.001), female (p=0.000) and age younger than 45 years (p=0.000).
The study aimed to explore perioperative practitioners’ knowledge, awareness and experiences of perioperative vulnerability in clinical practice. A qualitative descriptive design was used; data was obtained by conducting semi-structured interviews with ten perioperative practitioners over a two week period in July 2014. The study found that perioperative practitioners were aware of the concept of perioperative vulnerability and had varied experience of it in practice. Data analysis identified three main themes in relation to vulnerability: labels, recognition and management. We conclude that the concept of perioperative vulnerability exists in practice and that perioperative practitioners manage the concept effectively using strategies that promote positive outcomes.
Please note: the term ‘practitioner’ and ‘nurse’ are used interchangeably and denote a professional who provides care in the perioperative clinical situation.
This text aims to be useful and relevant for student nurses from all backgrounds with a range of professional aspirations. It demonstrates the importance of psychology in both the nursing role and in health care in general.
To identify and describe patients' experiences of a preoperative information session with a nurse, as part of the enhanced recovery after surgery (ERAS) concept, and its impact on patient participation in their own care.
Enhanced recovery after surgery is a standardised, multimodal treatment programme for elective colorectal surgery, leading to faster recovery and shorter hospital stays via interprofessional collaboration. The ERAS concept is initiated for patients a week before surgery when the patient receives detailed information about the care process during a meeting with a nurse.
The study is a qualitative interpretive study based on interviews.
Twelve patients, nine men and three women, were interviewed. The interviews were transcribed verbatim and analysed using interpretive phenomenological analysis (IPA).
The analysis identified and formulated five themes: being seen, security, trust, responsibility and participation. All themes are closely related and illustrate positive and negative sides of the patient's experience. They hang together and form a complete set of experiences: ERAS conversation and its impact on patients' participation.
The results show that patients feel confirmed in the ERAS conversation. Healthcare professionals need to be bonding more information call during hospitalisation. It is important to confirm the patient in order for them to participate and take responsibility. Reliance on caregivers is important for patients to feel safe and to participate in their own care. This study shows that the ERAS conversation was experienced as being structured and individually tailored, but the information must apply to the patients throughout the period of care.
Some shortcomings have been revealed, which should enable improvement in the care of patients. Healthcare professionals need to raise awareness of patients' responsibilities for participation in their own recovery and care. Healthcare professionals and patients need to be aware of each other's responsibilities.
Purpose:
The study objective was to survey general health and coping in women undergoing ovarian cancer surgery, and subsequently to develop and test a supportive care intervention.
Methods/materials:
Women who underwent surgery on the suspicion of ovarian cancer participated in a follow-up questionnaire study in which the Short Form-36 Questionnaire was used to survey general health twice during the perioperative period and the Life Orientation Questionnaire (SOC) was used once to define the postoperative coping capacity. An evidence-based, preoperative supportive care programme was subsequently developed and tested. This consisted of lean methodology applied to clinical pathways, preoperative optimisation, and psychosocial care and support.
Results:
From 294 women allocated to three study groups, a total of 546 Short Form-36 questionnaires and 253 SOC questionnaires were available for analysis. The overall response rate was 86 %. The presence of ascites, a pelvic mass, and a Risk of Malignancy Index >200 proved to be appropriate clinical markers for intensified preoperative care. Concerning physical health, levels were low throughout the perioperative period; the majority however stayed within standard levels. Concerning mental health, levels were below standard during the entire period, but did improve with time, also in women in whom the potential cancer diagnosis was refuted. The preoperative differences between these groups leveled out postoperatively in terms of physical health. At the end of the perioperative period, the coping capacity was close to normal.
Conclusions:
A need for supportive care during the perioperative period was identified. This should be adjusted to the nature of the disease and the extent of the treatment. Participation in a preoperative supportive programme supported physical health during the perioperative period; however, further support of mental health seemed required.
Safe surgery is a world-wide recognised issue. The World Health Organization statistics show that the occurrence of major complications is between 3 and 16%, and the occurrence of disability and death is between 0.4 and 0.8% (WHO 2009).
According to Vijayasekar and Steele (2009) 234 million major surgical procedures are undertaken globally each year. The National Patient Safety Agency (NPSA) has collated over 1 million reports of surgical incidences in England and Wales between October 2006 and September 2007. Weiser et al (2008) quote a world-wide figure of 7 million individuals affected with a disabling complication, and a death rate of 1 million.
The drive to improve clinical care and productivity in the NHS has required an innovative approach in the use of the resources and skills of the workforce. With rapidly evolving technology, surgical and anaesthetic techniques, concentration is increasingly being placed on improving patient focused pathways, aiming to return patients back to normal activities as soon as possible. The article highlights the exciting new perioperative role developed at University Hospitals Coventry and Warwickshire (UHCW) NHS Trust in the care of patients undergoing laparoscopic cholecystectomy. It includes the history and development of the post and its current impact in improving the care of patients.
Women undergoing minimally invasive robotic-assisted surgery for a gynecologic malignancy have many questions and concerns related to the cancer diagnosis and surgery. The provision of information enhances coping with such illness-related challenges. A lack of print materials for these patients prompted the creation of a written teaching tool to improve informational support. A booklet was developed using guidelines for the design of effective patient education materials, including an iterative process of collaboration with healthcare providers and women who had undergone robotic-assisted surgery, as well as attention to readability. The 52-page booklet covers the trajectory of the woman's experience and includes the physical, psychosocial, and sexual aspects of recovery.
McIntosh S, Adams J. International Journal of Nursing Practice 2011; 17: 85–92
Anxiety and quality of recovery in day surgery: A questionnaire study using HADS and QoR40
The aims of this study were (i) to examine the association between preoperative and postoperative anxiety, and (ii) to examine the association between preoperative anxiety and postoperative recovery, following day surgery under general anaesthesia. Day surgery has become more commonplace owing to advances in pharmacology, anaesthetic and surgical techniques, as it has recognized benefits, such as lower costs and reduced incidence of infection. Recent years have seen increased complexity of day surgery undertaken on a broader range of patients, but with reduced pre-surgery contact with the hospital environment. These recent service changes might have had an effect on the preparation of patients for day surgery, and this in turn might have affected their postoperative recovery. This pilot study used survey methods to examine potential associations between preoperative and postoperative anxiety, and between preoperative anxiety and postoperative recovery. Data were collected in 2008 from a convenience sample of 54 day surgery patients. The instruments used were the Hospital Anxiety and Depression Scale (HADS) and the Quality of Recovery Score (QoR-40). There was a statistically significant relationship between preoperative and postoperative anxiety (χ2 = 11.899, d.f. = 1, P = 0.001). The T-test showed a statistically significant difference in the mean scores for QoR-40 score for gender, and for the postoperative anxiety and QoR-40. A relationship between preoperative anxiety and postoperative recovery was not shown. Although challenging to implement in view of restricted timescales, appraisal and revision of pre-assessment processes to incorporate an anxiety measurement tool, such as the HADS, should be considered.
The pursuit of greater efficiency in modern day surgery has led to the adoption and development of many new and extended nursing roles. Such roles often focus on physiological measurement to ensure patient safety before and during surgery. However, studies suggest that patients require considerable care in relation to the social and psychological effect of hospital admission, general anaesthesia, surgery and discharge. This article discusses the effect of modern day surgery on nurses' practice and concludes by outlining the psychological care need of patients undergoing elective day and short stay surgery.
The purpose of this study was to determine the acceptability and feasibility of two screening tools at 12 and 72 hr postoperatively, and to determine the high-frequency, high-risk nursing diagnoses encountered by patients at 12 and 72 hr postoperatively following a same-day outpatient arthroscopy.
This study utilized a nonexperimental descriptive correlational design with pre- and posttest measures.
High-frequency problems were identified on the evening of surgery and at 72 hr postoperatively.
Findings suggest that the screening tools were feasible and acceptable ways to determine high-frequency problems in this population.
There is a continued need for nursing contact and support by telephone post same-day surgery to guide individuals through the process of healing.
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