1
|
Nabovati E, Farzandipour M, Vahedpoor Z, Akbari H, Anvari S, Sharif R, Fatehi F. Pregnant women's use and attitude toward Mobile phone features for self-management. BMC Med Inform Decis Mak 2023; 23:77. [PMID: 37101302 PMCID: PMC10134552 DOI: 10.1186/s12911-023-02172-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 04/06/2023] [Indexed: 04/28/2023] Open
Abstract
BACKGROUND This study aimed to examine the current use of mobile phones by pregnant women and their attitudes towards the use of a variety of prenatal care services through mHealth. METHODS This descriptive cross-sectional study was conducted in Iran in 2021. The study population included 168 pregnant women who referred to specialist obstetrics and gynecology clinic. The data collection tool was a questionnaire that included the demographics of the participants, their current mobile phone usage, and their attitudes toward mobile phone use for prenatal care services. The data were analyzed in SPSS with descriptive and analytical statistics. RESULTS The majority of participants (84.2%) had a smartphone and access to mobile internet. More than half of the respondents (58.9%) used their mobile phone for (only) phone calls, and 36.7% occasionally used mobile internet to access prenatal care services. To get information about the pregnancy and to communicate with other pregnant women, the participants mainly used social media, and to get reminders, they preferred phone calls. CONCLUSIONS In this study, pregnant women have a positive attitude towards using mobile phones for obtaining health services and prefer social media to seek prenatal care services. There seems to be a need for pregnant women to have high levels of digital health literacy and be advised by healthcare providers on using this technology to access prenatal care services.
Collapse
Affiliation(s)
- Ehsan Nabovati
- Health Information Management Research Centre, Department of Health Information Management & Technology, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran
| | - Mehrdad Farzandipour
- Health Information Management Research Centre, Department of Health Information Management & Technology, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran
| | - Zahra Vahedpoor
- Department of Gynecology and Obstetrics, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
| | - Hossein Akbari
- Department of Biostatistics and Epidemiology, School of Health, Kashan University of Medical Sciences, Kashan, Iran
| | - Shima Anvari
- Health Information Management Research Centre, Department of Health Information Management & Technology, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran.
| | - Reihane Sharif
- Health Information Management Research Centre, Department of Health Information Management & Technology, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran
| | - Farhad Fatehi
- Centre for Health Services Research, the University of Queensland, Brisbane, Australia
| |
Collapse
|
2
|
Faessen JL, van Vugt R, Veldhuizen R, Stoot JHMB. Using an E-Health Application for Post-operative Monitoring After Inguinal Hernia Repair: A Feasibility Study. World J Surg 2023; 47:182-189. [PMID: 35604449 PMCID: PMC9125961 DOI: 10.1007/s00268-022-06590-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2022] [Indexed: 12/16/2022]
Abstract
BACKGROUND E-Health care is already well established in some (non-) surgical specialties and is considered as a means of improving patient-centred care. Considering the demand of remote health care changes, especially in the COVID-19 pandemic, it is essential to investigate the feasibility of e-Health care within one of the most performed surgery procedures: inguinal hernia repair. METHODS A total of 60 patients used the e-Health application in this study compliant. Primary objectives were to investigate the accuracy of the "deviating post-operative course" alerting by the e-Health application. Secondary objectives included patient perspective and e-Health costs analysis. RESULTS Forty-four patients reported no deviation in the post-operative course using the e-Health application of which 93.2% (n = 41) was in concordance with the findings during standard follow-up. Within 16 patients reporting a deviating post-operative course, a true complication was found in 25% (n = 4). Based on in-hospital costs, a hypothetical e-Health follow-up scenario was more expensive (€59.5 per patient) than current standard follow-up care (€28.2 per patient). Usage of the e-Health application showed a high perceived overall patient satisfaction: 4.2 (on a Likert-scale of 1-5). CONCLUSION An e-Health application is a promising tool for identifying patients who require in-person or phone follow-up assessment. Patients' perspectives surveys revealed high potential and willingness of using this application. A hypothetical e-Health follow-up scenario showed to be more expensive compared to current standard follow-up. If the identified (dis)advantages can be improved, e-Health follow-up care appears to be promising in terms of safety and feasibility. Future studies can leverage on this study and further investigate the use of e-Health within the field of general surgery.
Collapse
Affiliation(s)
- J L Faessen
- Department of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, Heerlen, The Netherlands.
| | - R van Vugt
- Department of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, Heerlen, The Netherlands
| | - R Veldhuizen
- Department of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, Heerlen, The Netherlands
| | - J H M B Stoot
- Department of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, Heerlen, The Netherlands
| |
Collapse
|
3
|
Sajnani J, Swan K, Wolff S, Drummond K. Discharge Instruction Reminders Via Text Messages After Benign Gynecologic Surgery: Quasi-Experimental Feasibility Study. JMIR Perioper Med 2021; 4:e22681. [PMID: 34904957 PMCID: PMC8715356 DOI: 10.2196/22681] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 11/13/2020] [Accepted: 11/03/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND With the implementation of enhanced recovery after surgery protocols and same-day hospital discharge, patients are required to take on increasing responsibility for their postoperative care. Various approaches to patient information delivery have been investigated and have demonstrated improvement in patient retention of instructions and patient satisfaction. OBJECTIVE This study aimed to evaluate the feasibility of implementing a postoperative text messaging service in the benign gynecologic population. METHODS We used a quasi-experimental study design to evaluate patients undergoing outpatient laparoscopic surgery for benign disease with a minimally invasive gynecologist at an academic medical center between October 2017 and March 2018. In addition to routine postoperative instructions, 19 text messages were designed to provide education and support to postoperative gynecologic patients. Patients were contacted by telephone 3 weeks postoperatively and surveyed about their satisfaction and feelings of connectedness during their recovery experience. Demographic and operative information was gathered through chart review. The cost to implement text messages was US $2.85 per patient. RESULTS A total of 185 patients were eligible to be included in this study. Of the 100 intended intervention participants, 20 failed to receive text messages, leaving an 80% success in text delivery. No patients opted out of messaging. A total of 28 patients did not participate in the postrecovery survey, leaving 137 patients with outcome data (control, n=75; texting, n=62). Satisfaction, determined by a score ≥9 on a 10-point scale, was 74% (46/62) in the texting group and 63% (47/75) in the control group (P=.15). Connectedness (score ≥9) was reported by 64% (40/62) in the texting group compared with 44% (33/75) in the control group (P=.02). Overall, 65% (40/62) of those in the texting group found the texts valuable (score ≥9). CONCLUSIONS Postoperative text messages increased patients' perceptions of connection with their health care team and may also increase their satisfaction with their recovery process. Errors in message delivery were identified. Given the increasing emphasis on patient experience and cost effectiveness in health care, an adequately powered future study to determine statistically significant differences in patient experience and resource use would be appropriate.
Collapse
Affiliation(s)
- Jocelyn Sajnani
- University of Kansas School of Medicine, University of Kansas Medical Center, Kansas City, KS, United States.,Department of Obstetrics and Gynecology, University of California, Los Angeles, Los Angeles, CA, United States
| | - Kimberly Swan
- Department of Obstetrics and Gynecology, Overland Park Regional Medical Center, Overland Park, KS, United States
| | - Sharon Wolff
- Department of Population Health, University of Kansas Medical Center, Kansas City, KS, United States
| | - Kelsi Drummond
- Department of Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, KS, United States
| |
Collapse
|
4
|
Goehner D, Kandregula S, Birk H, Carroll CP, Guthikonda B, Kosty JA. Improving patient care in neurosurgery through postoperative telephone calls: a systematic review and lessons from all surgical specialties. Neurosurg Focus 2021; 51:E5. [PMID: 34724638 DOI: 10.3171/2021.8.focus21410] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 08/25/2021] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Postoperative telephone calls are a simple intervention that can be used to improve communication with patients, potentially affecting patient safety and satisfaction. Few studies in the neurosurgical literature have examined the effect of a postoperative telephone call on patient outcomes, although several exist across all surgical specialties. The authors performed a systematic review and analyzed studies published since 2000 to assess the effect of a postoperative telephone call or text message on patient safety and satisfaction across all surgical specialties. METHODS A search of PubMed-indexed articles was performed on June 12, 2021, and was narrowed by the inclusion criteria of studies from surgical specialties with > 50 adult patients published after 1999, in which a postoperative telephone call was made and its effects on safety and satisfaction were assessed. Exclusion criteria included dental, medical, and pediatric specialties; systematic reviews; meta-analyses; and non-English-language articles. Dual review was utilized. RESULTS Overall, 24 articles met inclusion criteria. The majority reported an increase in patient satisfaction scores after a postoperative telephone call was implemented, and half of the studies demonstrated an improvement in safety or outcomes. CONCLUSIONS Taken together, these studies demonstrate that implementation of a postoperative telephone call in a neurosurgical practice is a feasible way to enhance patient care. The major limitations of this study were the heterogeneous group of studies and the limited neurosurgery-specific studies.
Collapse
Affiliation(s)
- Dylan Goehner
- 1University of Massachusetts Medical School, Department of General Surgery, Worcester, Massachusetts
| | - Sandeep Kandregula
- 2Louisiana State University Health Shreveport School of Medicine, Department of Neurosurgery, Shreveport, Louisiana
| | - Harjus Birk
- 2Louisiana State University Health Shreveport School of Medicine, Department of Neurosurgery, Shreveport, Louisiana
| | - Christopher P Carroll
- 3Department of Brain & Spine Surgery, Naval Medical Center, Portsmouth, Virginia; and.,4Department of Surgery, Division of Neurosurgery, Uniformed Services University, Bethesda, Maryland
| | - Bharat Guthikonda
- 2Louisiana State University Health Shreveport School of Medicine, Department of Neurosurgery, Shreveport, Louisiana
| | - Jennifer A Kosty
- 2Louisiana State University Health Shreveport School of Medicine, Department of Neurosurgery, Shreveport, Louisiana
| |
Collapse
|
5
|
Jernigan C, Johnson T, Varghese S, Fellman B. Evaluating the Feasibility of a Nurse-Driven Telephone Triage Intervention for Patients With Cancer in the Ambulatory Setting. Oncol Nurs Forum 2020; 47:E44-E54. [DOI: 10.1188/20.onf.e44-e54] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
6
|
Guven B, Ibrahimoglu O, Elbuken B. Learning Needs of Patients and Their Caregivers After Ambulatory Surgery. J Perianesth Nurs 2020; 35:283-287. [PMID: 32007390 DOI: 10.1016/j.jopan.2019.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 10/21/2019] [Accepted: 10/21/2019] [Indexed: 11/29/2022]
Abstract
PURPOSE The purpose of this study was to determine the learning needs of ambulatory surgery patients and their caregivers. DESIGN The study was a cross-sectional and descriptive survey. METHODS The study was conducted between July 2017 and March 2018 in the outpatient units of a training and research hospital in Istanbul, Turkey. The sample consisted of 117 patients and caregivers dyads. The instruments included a Patient Information Form and the Patient Learning Needs Scale (PLNS). FINDINGS The mean total PLNS scores of ambulatory surgery patients were 193.54 ± 35.46 and that of the patient's caregivers was 199.88 ± 31.84. The highest mean PLNS subscale for patients and caregivers was treatment and complications. As the PLNS scores of the patients increase, the scores of the caregivers also increase. CONCLUSIONS The learning needs of ambulatory surgery patients and their caregivers are high. Patients and caregivers must be well informed and well prepared to cope with possible problems at home.
Collapse
Affiliation(s)
- Betul Guven
- Demiroglu Bilim University, Florence Nightingale Hospital School of Nursing, Nursing Department, İstanbul, Turkey.
| | - Ozlem Ibrahimoglu
- Bilecik Seyh Edebali University, Faculty of Health Sciences, Nursing Department, Bilecik, Turkey
| | - Burcu Elbuken
- Istanbul Sultan Abdulhamid Han Sample Training and Research Hospital, Clinical Education Nurse, İstanbul, Turkey
| |
Collapse
|
7
|
Woods CE, Jones R, O’Shea E, Grist E, Wiggers J, Usher K. Nurse‐led postdischarge telephone follow‐up calls: A mixed study systematic review. J Clin Nurs 2019; 28:3386-3399. [DOI: 10.1111/jocn.14951] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Revised: 05/13/2019] [Accepted: 05/26/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Cindy E. Woods
- School of Health University of New England Armidale New South Wales Australia
| | - Rikki Jones
- School of Health University of New England Armidale New South Wales Australia
| | - Eilish O’Shea
- School of Health University of New England Armidale New South Wales Australia
| | - Elizabeth Grist
- Hunter New England Local Health District New Lambton New South Wales Australia
- School of Nursing and Midwifery University of Newcastle Newcastle New South Wales Australia
| | - John Wiggers
- Hunter New England Local Health District New Lambton New South Wales Australia
- School of Medicine and Public Health University of Newcastle Newcastle New South Wales Australia
- Hunter Medical Research Institute New Lambton New South Wales Australia
| | - Kim Usher
- School of Health University of New England Armidale New South Wales Australia
| |
Collapse
|
8
|
Mayo I, Lizarondo L, Stokan M. Experiences of adult patients in discharge and recovery from day surgery: a qualitative systematic review protocol. JBI DATABASE OF SYSTEMATIC REVIEWS AND IMPLEMENTATION REPORTS 2019; 17:164-169. [PMID: 30362968 DOI: 10.11124/jbisrir-2017-003581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
REVIEW QUESTION/OBJECTIVE The objective of this review is to critically appraise and synthesize the evidence on experiences of adult patients in discharge and recovery after day surgery.
Collapse
Affiliation(s)
- Irene Mayo
- Joanna Briggs Institute, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia
| | - Lucylynn Lizarondo
- Joanna Briggs Institute, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia
| | - Murray Stokan
- Anaesthetic Department, Westmead Private Hospital, Sydney, Australia
| |
Collapse
|
9
|
Dahlberg K, Jaensson M, Nilsson U. “Let the patient decide” – Person-centered postoperative follow-up contacts, initiated via a phone app after day surgery: Secondary analysis of a randomized controlled trial. Int J Surg 2019; 61:33-37. [DOI: 10.1016/j.ijsu.2018.11.022] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 11/16/2018] [Accepted: 11/19/2018] [Indexed: 11/28/2022]
|
10
|
Iwanoff C, Giannopoulos M, Salamon C. Follow-up postoperative calls to reduce common postoperative complaints among urogynecology patients. Int Urogynecol J 2018; 30:1667-1672. [PMID: 30413866 DOI: 10.1007/s00192-018-3809-x] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 10/25/2018] [Indexed: 11/28/2022]
Abstract
INTRODUCTION AND HYPOTHESIS The purpose of our study was to identify the most common reasons why postoperative urogynecology patients called their surgeon within the first 6 weeks of surgery. We hypothesize that implementing a follow-up postoperative call (FPC) policy would decrease the number of patient-initiated calls within this postoperative period. METHODS This is a prospective before-and-after cohort study that was conducted in two phases. The initial phase identified the most common reasons why patients call within 6 weeks of their inpatient or outpatient urogynecological surgery. In the second phase, an intervention was implemented where each postoperative patient was called within 48 to 72 h of discharge: the intervention group. The primary outcome was the number of phone calls initiated by patients during the 6-week postoperative period. RESULTS There were 226 patients in the control group and 233 patients in the intervention group. Significantly fewer calls were initiated by patients in the intervention group, both groups having a median of 1 call per person, range 0-8 in the control group and 0-10 in the intervention group (p = 0.04). The five most common complaints were as follows: pain (20.4%), medication management (17.4%), disability paperwork (15.5%), and laboratory results (11.5%). There was a significant reduction in calls concerning constipation, laboratory/pathology results, and disability insurance claims after implementing the FPC policy. CONCLUSIONS The implementation of the FPC policy resulted in fewer patient-initiated calls. As such, there were significant reductions in postoperative complaints of constipation, vaginal bleeding, incomplete bladder emptying, and inquiries into laboratory results and disability paperwork.
Collapse
Affiliation(s)
- Christopher Iwanoff
- FPMRS, Atlantic Health System, 435 South Street, Suite 370, Morristown, NJ, 07960, USA.
| | - Maria Giannopoulos
- Obstetrics and Gynecology, Atlantic Health System, 100 Madison Ave, Morristown, NJ, USA
| | - Charbel Salamon
- FPMRS, Atlantic Health System, 435 South Street, Suite 370, Morristown, NJ, 07960, USA
| |
Collapse
|
11
|
Mariani A, Peycelon M, Clermidi P, Bellon M, Skhiri A, Bonnard A. Safety Assessment for Thoracoscopic Day Case Surgery in Children with Congenital Pulmonary Malformation. J Laparoendosc Adv Surg Tech A 2018; 28:1129-1134. [DOI: 10.1089/lap.2017.0721] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Affiliation(s)
- Aurora Mariani
- Department of Pediatric Surgery, Robert Debré Hospital, AP-HP, Paris, France
| | - Matthieu Peycelon
- Department of Pediatric Surgery, Robert Debré Hospital, AP-HP, Paris, France
| | - Pauline Clermidi
- Department of Pediatric Surgery, Robert Debré Hospital, AP-HP, Paris, France
| | - Myriam Bellon
- Department of Anesthesiology, Robert Debré Hospital, AP-HP, Paris, France
| | - Alia Skhiri
- Department of Anesthesiology, Robert Debré Hospital, AP-HP, Paris, France
| | - Arnaud Bonnard
- Department of Pediatric Surgery, Robert Debré Hospital, AP-HP, Paris, France
| |
Collapse
|
12
|
Dahlberg K, Jaensson M, Nilsson U, Eriksson M, Odencrants S. Holding It Together-Patients' Perspectives on Postoperative Recovery When Using an e-Assessed Follow-Up: Qualitative Study. JMIR Mhealth Uhealth 2018; 6:e10387. [PMID: 29802094 PMCID: PMC5993971 DOI: 10.2196/10387] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 04/06/2018] [Accepted: 04/08/2018] [Indexed: 01/29/2023] Open
Abstract
Background There is an emerging trend to perform surgeries as day surgery. After a day surgery, most of the recovery period takes place at home, and patients are responsible for their own recovery. It has been suggested that electronic health (eHealth) technologies can support patients in this process. A mobile app has recently been developed to assess and follow up on postoperative recovery after a day surgery. Objective The aim of this study was to explore experiences associated with postoperative recovery after a day surgery in patients using a mobile app to assess the quality of their recovery. Methods This is a qualitative interview study with an explorative and descriptive design. Participants were recruited from 4 different day surgery units in different parts of Sweden. The study included 18 participants aged >17 years who had undergone day surgery and used the Recovery Assessment by Phone Points, a mobile app for follow-up on postoperative recovery after day surgery. Participants were purposively selected to ensure maximum variation. Semistructured individual interviews were conducted. Data were analyzed using thematic analysis. Results A total of two themes and six subthemes emerged from the data: (1) the theme Give it all you’ve got with the subthemes Believing in own capacity, Being prepared, and Taking action, where participants described their possibilities of participating and themselves contributing to improving their postoperative recovery; and (2) the theme The importance of feeling safe and sound with the subthemes Feeling safe and reassured, Not being acknowledged, and Not being left alone, which describe the importance of support from health care professionals and next of kin. Conclusions It is important that patients feel safe, reassured, and acknowledged during their postoperative recovery. They can achieve this themselves with sufficient support and information from the health care organization and their next of kin. Using a mobile app, both for assessment and to enable contact with the day surgery unit during the postoperative recovery period, can improve care and create a feeling of not being alone after surgery. We propose that postoperative recovery starts in the prerecovery phase when patients prepare for their recovery to get the best possible outcome from their surgery.
Collapse
Affiliation(s)
- Karuna Dahlberg
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Maria Jaensson
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Ulrica Nilsson
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Mats Eriksson
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Sigrid Odencrants
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| |
Collapse
|
13
|
Nurses' Perceptions of Patient Care Continuity in Day Surgery. J Perianesth Nurs 2017; 32:609-618. [PMID: 29157767 DOI: 10.1016/j.jopan.2015.08.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2015] [Revised: 07/30/2015] [Accepted: 08/08/2015] [Indexed: 11/19/2022]
Abstract
PURPOSE The increase in day surgery has brought about a significant change in patient care and care continuity. The purpose of this study was to analyze nurses' perceptions of the realization of continuity of care in day surgery. Continuity of care is examined from the perspectives of time, flow, co-ordination flow, caring relationship flow, and information flow. DESIGN Descriptive study. METHODS A questionnaire including demographics and questions about continuity of care was completed by 83 of the 120 eligible nurses (response rate, 69%) in one hospital district in Finland. FINDINGS According to the nurses, continuity of patient care is mostly well realized. On the day of surgery, information flow was the domain that was best realized. In the opinion of the nurses, continuity of care was least realized at home before surgery and at home during the period after surgery. CONCLUSIONS Based on nurses' perceptions, continuity of care was relatively well realized.
Collapse
|
14
|
Chua ME, Ming JM, Sauders MA, Fernandez N, Hannick JH, Abu Awazayed I, Odeh RI, Bagli DJ, Koyle MA, Farhat WA. Utilization of Postpenile Surgery Illustrated Healing Atlas: A Comparative Study. Urology 2017; 112:151-154. [PMID: 29031839 DOI: 10.1016/j.urology.2017.10.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Revised: 09/13/2017] [Accepted: 10/03/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To determine the effect of the postpenile surgery illustrated healing atlas on caregivers' anxiety levels pre- and postoperatively, the frequency of family's postoperative communication with the urology care team, and the number of unplanned emergency room (ER) return for wound checks. METHODS A prospective cohort enrolled children who underwent penile surgeries (distal hypospadias repair and phalloplasty) with no concomitant procedures from December 2016 to June 2017. A 6-item short-form Spielberger State-Trait Anxiety Inventory (STAI) was used to determine baseline and postoperative anxiety levels of the caregivers. Two groups were created: caregivers who did not view the illustrated atlas vs caregivers who were shown the atlas. Baseline characteristics and demographics were compared, along with caregiver's pre- to postoperative anxiety level difference, frequency of postoperative communication, and number of unplanned ER return for wound checks. RESULTS Fifty-four patients were enrolled with 27 families in each group. Baseline characteristics and demographics were comparable with no significant differences. The assessment of the pre- to postoperative anxiety levels in both groups showed no significant differences (median difference -5 [interquartile range -8 to -5] vs -5 [interquartile range -8 to -4], P = .94). Although no differences were noted for ER-return rates between the groups (18% vs 11.1%, P = .704), significantly less postoperative calls and e-mails were noted among families who received or viewed the postpenile surgery illustrated healing atlas (51.9% vs 11.1%, P = .003). CONCLUSION The utilization of a postpenile surgery illustrated healing atlas as part of the postoperative support provided to families was able to decrease postoperative calls and e-mails.
Collapse
Affiliation(s)
- Michael E Chua
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada.
| | - Jessica M Ming
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada
| | - Megan A Sauders
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada
| | - Nicolas Fernandez
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada
| | - Jessica H Hannick
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada
| | | | - Rakan I Odeh
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada
| | - Darius J Bagli
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada
| | - Martin A Koyle
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada
| | - Walid A Farhat
- Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada
| |
Collapse
|
15
|
Sawhney M, Watt-Watson J, McGillion M. A Pain Education Intervention for Patients Undergoing Ambulatory Inguinal Hernia Repair. Can J Nurs Res 2017; 49:108-117. [DOI: 10.1177/0844562117714704] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Background Inguinal hernia repair is a common ambulatory surgery after which many patients experience moderate to severe post-operative pain. Limited research has examined the effect of education interventions to reduce pain after ambulatory surgery. Purpose This trial evaluated the effectiveness of an individualized Hernia Repair Education Intervention (HREI) for patients following inguinal hernia repair. Method Pre-operatively, participants (N = 82) were randomized to either the intervention (HREI) or the usual care group. The HREI included written and verbal information regarding managing pain and two telephone support calls (before and after surgery). The primary outcome was WORST 24-h pain intensity on movement on post-operative day 2. Secondary outcomes included pain intensity at rest and movement, pain-related interference with activities, pain quality, analgesics consumed, and adverse effects at post-operative days 2 and 7. Results At day 2, the intervention group reported significantly lower scores across pain intensity outcomes, including WORST 24-h pain on movement and at rest (p < 0.001), and pain NOW on movement and at rest (p = 0.001). Conclusion These findings suggest that the HREI may improve patients’ pain and function following ambulatory inguinal hernia repair. Further research should examine the effectiveness of an education intervention over a longer period of time.
Collapse
Affiliation(s)
- Monakshi Sawhney
- Faculty of Health Sciences, School of Nursing, Queen's University, ON, Canada
| | - Judy Watt-Watson
- Lawrence Bloomberg Faculty of Nursing, University of Toronto, ON, Canada
| | | |
Collapse
|
16
|
Anderson ME, Brancazio B, Mehta DK, Georg M, Choi SS, Jabbour N. Preferred parental method of post-operative tonsillectomy and adenoidectomy follow-up (phone call vs. clinic visit). Int J Pediatr Otorhinolaryngol 2017; 92:181-185. [PMID: 28012526 DOI: 10.1016/j.ijporl.2016.11.025] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2016] [Revised: 11/23/2016] [Accepted: 11/24/2016] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Tonsillectomy is the second most common procedure performed in the United States. Over 530,000 tonsillectomies are performed on children under 15 years of age in the United States, accounting for 16% of surgeries in this age group, resulting in missed school for patients of school-age and also resulting in missed work for caregivers. This study compared parent preferences for in-clinic follow-up (CFU) to telephone interview follow-up (TFU) after tonsillectomy. MATERIALS AND METHODS One hundred twenty-one parents of children who underwent a tonsillectomy and/or adenoidectomy were recruited to complete a survey about their child's post-operative visit. RESULTS Statistical analyses were performed using t-test, Wilcoxon rank-sum, and Fischer's exact tests where appropriate. 60.3% of the surveys were completed as a TFU and the remainder were completed as a CFU. There were no statistical differences in the children's age, the time to follow-up, satisfaction with their follow-up, or the frequency of unresolved symptoms. Of parents receiving TFU, 91.8% disagreed they would have preferred a CFU, with 86.3% strongly disagreeing, and only 5.5% expressing that they would have preferred a CFU. Of the parents with CFU, 47.9% expressed a preference for a TFU. For CFU, 43.9% of parents missed work and 58.1% of their school-age children missed school. CONCLUSION Our study results indicate that parents receiving phone follow-up strongly preferred this method to an in-clinic follow-up, and that nearly half of all parents receiving in-clinic follow-up would have preferred a telephone follow-up. In select patients, telephone follow-up after tonsillectomy may increase patient satisfaction and decrease days of missed work and school.
Collapse
Affiliation(s)
- Martin E Anderson
- Children's Hospital of Pittsburgh, Pediatric Otolaryngology, Pittsburgh, PA, USA
| | - Brianna Brancazio
- Children's Hospital of Pittsburgh, Pediatric Otolaryngology, Pittsburgh, PA, USA
| | - Deepak K Mehta
- Baylor College of Medicine, Pediatric Otolaryngology, Houston, TX, USA
| | - Matthew Georg
- Children's Hospital of Pittsburgh, Pediatric Otolaryngology, Pittsburgh, PA, USA
| | - Sukgi S Choi
- Children's Hospital of Pittsburgh, Pediatric Otolaryngology, Pittsburgh, PA, USA
| | - Noel Jabbour
- Children's Hospital of Pittsburgh, Pediatric Otolaryngology, Pittsburgh, PA, USA.
| |
Collapse
|
17
|
Özalp Gerçeker G, Karayağız Muslu G, Yardimci F. Children's postoperative symptoms at home through nurse-led telephone counseling and its effects on parents' anxiety: A randomized controlled trial. J SPEC PEDIATR NURS 2016; 21:189-199. [PMID: 27596004 DOI: 10.1111/jspn.12155] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Revised: 07/11/2016] [Accepted: 07/14/2016] [Indexed: 01/27/2023]
Abstract
PURPOSE The objective of this study was to evaluate children's postoperative symptoms at home after outpatient surgery through nurse-led telephone counseling and the effects of the nurse-led telephone counseling on parents' state-trait anxiety scores. DESIGN AND METHODS In this prospective randomized controlled study, nurse-led telephone counseling was provided every day to parents in the intervention group until they came for the follow-up visit. Parents of children (n = 54) ages 3-17 years who had undergone outpatient surgery for appendicitis, cholecystectomy, or ovarian cysts were eligible to participate in the study. On the first postoperative day and at the follow-up visit, the Spielberger State-Trait-Anxiety Inventory (STAI) was administered to parents who were randomly allocated to the intervention (n = 24) and control groups (n = 30). RESULTS The parents reported on postoperative symptoms such as pain, activity levels, excretion, sleep, nutrition, and wound infection. While there was no difference in STAI scores for parents between the groups at the first postoperative day, there was a significant decrease in STAI scores in the intervention group versus the control group, with parents in the intervention group reporting lower anxiety scores. PRACTICE IMPLICATIONS Our results suggest that nurse-led telephone counseling is effective at reducing anxiety in parents of children after outpatient surgery.
Collapse
Affiliation(s)
| | - Gonca Karayağız Muslu
- Assistant Professor, Muğla Sıtkı Koçman University Fethiye Health School, Muğla, Turkey
| | - Figen Yardimci
- Assistant Professor, Ege University Nursing Faculty, Bornova, Izmir, Turkey
| |
Collapse
|
18
|
Sherwood G, McNeill JA, Hernandez L, Penarrieta I, Petersen JM. A multinational study of pain management among Hispanics. J Res Nurs 2016. [DOI: 10.1177/174498710501000404] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
A multinational project involving pain research teams from three countries examined pain management outcomes in Hispanics. The limited research on pain management outcomes in Hispanics are primarily from the USA, lacking the distinct multinational cultural influences. This article compares the descriptive analysis of the post-operative pain experience of Hispanics in the USA, Puerto Rico and Mexico and tests the reliability of a new Spanish language instrument, the Cuestionario de Houston Sobre el Dolor (Houston Pain Outcome Instrument, HPOI). There were similarities in expectations related to pain relief, proportion of patients reporting worst pain, usual pain and pain-related interference with function. Significant differences were found on adequacy of pain management. Participants reported high use of non-pharmacologic approaches, particularly prayer and family support. The newly developed instrument indicated acceptable reliability in all settings, Chronbach’s Alpha > 0.75, with some variability by study site. Further cross-ethnic and multinational research are needed to provide culturally relevant evidence-based practice models to overcome barriers and reduce disparity.
Collapse
Affiliation(s)
| | | | | | - Isabel Penarrieta
- Universdad Autonoma de Tamaulipas, Faculty of Nursing Tampico, Mexico
| | | |
Collapse
|
19
|
Clari M, Frigerio S, Ricceri F, Pici A, Alvaro R, Dimonte V. Follow-up telephone calls to patients discharged after undergoing orthopaedic surgery: double-blind, randomised controlled trial of efficacy. J Clin Nurs 2015; 24:2736-44. [DOI: 10.1111/jocn.12795] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/14/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Marco Clari
- Department of Biomedicine and Prevention; University of Rome “Tor Vergata”; Rome Italy
| | - Simona Frigerio
- Department of Biomedicine and Prevention; University of Rome “Tor Vergata”; Rome Italy
| | - Fulvio Ricceri
- Unit of
Cancer and Epidemiology; Department of Medical Sciences; University of Turin; Turin Italy
- Città della Salute e della Scienza Hospital; Turin Italy
| | - Andrea Pici
- Città della Salute e della Scienza Hospital; Turin Italy
| | - Rosaria Alvaro
- Department of Biomedicine and Prevention; University of Rome “Tor Vergata”; Rome Italy
| | - Valerio Dimonte
- Department of Public Health and Pediatric Sciences; University of Turin; Turin Italy
| |
Collapse
|
20
|
Mitchell M. Home recovery following day surgery: a patient perspective. J Clin Nurs 2014; 24:415-27. [DOI: 10.1111/jocn.12615] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/24/2014] [Indexed: 12/17/2022]
Affiliation(s)
- Mark Mitchell
- Faculty of Health and Social Care; University of Salford; Salford UK
| |
Collapse
|
21
|
Suominen T, Turtiainen AM, Puukka P, Leino-Kilpi H. Continuity of care in day surgical care - perspective of patients. Scand J Caring Sci 2013; 28:706-15. [PMID: 24252087 DOI: 10.1111/scs.12099] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2013] [Accepted: 10/11/2013] [Indexed: 12/17/2022]
Abstract
BACKGROUND The realisation of continuity in day surgical care is analysed in this study. The term 'continuity of care' is used to refer to healthcare processes that take place in time (time flow) and require coordination (coordination flow), rapport (caring relationship flow) and information (information flow). Patients undergoing laparoscopic cholecystectomy or inguinal hernia day surgery are ideal candidates for studying the continuity of care, as the diseases are very common and the treatment protocol is mainly the same in different institutions, in addition to which the procedure is elective and most patients have a predictable clinical course. AIM The aim of the study was to describe, from the day surgery patients' own perspective, how continuity of care was realised at different phases of the treatment, prior to the day of surgery, on the day of surgery and after it. METHOD The study population consisted of 203 day surgical patients 10/2009-12/2010 (N = 350, response rate 58%). A questionnaire was developed for this study. RESULTS Based on the results, the continuity of care was well realised as a rule. Continuity is improved by the fact that patients know the nurse who will look after them in the hospital before the day of surgery and have a chance to meet the nurse even after the operation. Meeting the surgeon who performed the operation afterwards also improves patients' perception of continuation of care. CONCLUSIONS Continuity of care may be improved by ensuring that the patient meets caring staff prior to the day of operation and after the procedure. An important topic for further research would be how continuation of care is realised in the case of other patient groups (e.g. in internal medicine). On the other hand, realisation of continuation of care should also be studied from the viewpoint of those taking part in patient care in order to find similarities/differences between patients' perceptions and professionals' views. Studying interventions aimed to promote continuity of care, for example in patient guidance, would also be of great importance.
Collapse
Affiliation(s)
- Tarja Suominen
- University of Turku, Department of Nursing Science, Turku, Finland; University of Tampere, Tampere, Finland
| | | | | | | |
Collapse
|
22
|
Paquette J, Le May S, Lachance Fiola J, Villeneuve E, Lapointe A, Bourgault P. A randomized clinical trial of a nurse telephone follow-up on paediatric tonsillectomy pain management and complications. J Adv Nurs 2013; 69:2054-65. [PMID: 23311981 DOI: 10.1111/jan.12072] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2012] [Indexed: 11/28/2022]
Abstract
AIMS To determine the effect of a nurse telephone follow-up on paediatric post-tonsillectomy pain intensity, complications, and use of other healthcare services. BACKGROUND After tonsillectomy, children experience moderate-to-severe pain for days. Parents tend to give insufficient analgesia, with resulting increases in pain and postoperative complications. In adults, nurse telephone follow-up for ambulatory surgeries reduces postoperative pain. DESIGN The study design was a randomized clinical trial. METHODS In this trial, children aged 4-12 years undergoing elective tonsillectomy in June-October 2010 were assigned to a nurse telephone follow-up with parents on postoperative days 1, 3, 5 and 10, or standard care with no follow-up but data collection. Outcomes included pain intensity, analgesics administered, complications, and healthcare use. RESULTS Of 45 participants, the intervention group (n = 24) received more analgesics on postoperative days 1 and 3, increased their fluid intake at days 1 and 3, but had more constipation at day 3 than the control group (n = 21). There was no significant difference regarding pain intensity or use of healthcare resources. CONCLUSION Nurse telephone follow-up was beneficial for some pain management and prevention of complications, although better analgesic treatments are needed. The intervention was simple, safe, and appreciated by parents.
Collapse
|
23
|
Telephone follow-up for pediatric ambulatory surgery: parent and provider satisfaction. J Pediatr Nurs 2012; 27:715-24. [PMID: 22414540 DOI: 10.1016/j.pedn.2012.02.004] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2011] [Revised: 01/28/2012] [Accepted: 02/04/2012] [Indexed: 11/21/2022]
Abstract
Traditional 4- to 6-week clinic follow-up after pediatric ambulatory surgery does not rapidly identify complications and is often a burden for parents. Telephone follow-up offers support and is preferred in a variety of adult populations, but there is little research in pediatrics to support this practice. This article describes a practice change involving a standardized telephone follow-up protocol by a pediatric nurse practitioner to parents within 1 week of their child's ambulatory surgery. An interview survey method was used to evaluate parent satisfaction with telephone follow-up and desire for a clinic visit. Staff satisfaction and resource utilization are also described.
Collapse
|
24
|
Nelson CP, Rosoklija I, Grant R, Retik AB. Development and implementation of a photographic atlas for parental instruction and guidance after outpatient penile surgery. J Pediatr Urol 2012; 8:521-6. [PMID: 22018934 DOI: 10.1016/j.jpurol.2011.09.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2011] [Accepted: 09/27/2011] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To develop and evaluate a visual tool to assist parents in assessing healing after surgical circumcision or revision circumcision (SCRC). METHODS Among children undergoing SCRC, photographs were taken on postoperative days 0-1-2-3-5-7-10-14-21, and compiled into an atlas. Atlas utility was assessed during two 1-month periods. During the first period (M1) families received routine postoperative instructions only; during the second period (M2), families received the atlas in addition to routine instructions. Families were surveyed by phone and calls/contacts were tracked. RESULTS 33 families (among 83 SCRCs) were surveyed during M1, vs 39 families (among 77 SCRCs) during M2 (p = 0.17). Nearly all reported the atlas helpful (59% very helpful, 27% moderately helpful, 9% somewhat helpful). All but one family used the atlas. There was a trend toward families receiving the atlas being more comfortable (64% vs 82% very comfortable, p = 0.12). Survey scores were similar between M1 and M2 for total score, satisfaction, and the number whose expectations were met (58% vs 55%, p = 0.21). Phone contacts decreased between M1 and M2, both in absolute number (M1 = 24 calls vs M2 = 12 calls), and as a proportion of total cases performed (29% vs 16%, p = 0.04). CONCLUSIONS The circumcision atlas was well received by families and was associated with a significant decrease in post-surgical telephone calls. The atlas has been put into routine clinical use with excellent response.
Collapse
Affiliation(s)
- Caleb P Nelson
- Department of Urology, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.
| | | | | | | |
Collapse
|
25
|
Godden B. Postoperative phone calls: is there another way? J Perianesth Nurs 2011; 25:405-8. [PMID: 21126672 DOI: 10.1016/j.jopan.2010.09.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2010] [Accepted: 09/14/2010] [Indexed: 10/18/2022]
|
26
|
Randomized Clinical Trial Testing Efficacy of a Nurse-Coached Intervention in Arthroscopy Patients. Nurs Res 2011; 60:92-9. [DOI: 10.1097/nnr.0b013e3182002e46] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
|
27
|
Kumar S, McKewan GW. Six Sigma DMAIC Quality Study: Expanded Nurse Practitioner’s Role in Health Care During and Posthospitalization Within the United States. HOME HEALTH CARE MANAGEMENT AND PRACTICE 2011. [DOI: 10.1177/1084822310388385] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aim: The purpose of this study is to leverage application of Six Sigma DMAIC Cycle in examining the expanded role of nurses in the United States for delivering improved health care during and posthospitalization of patients. Method: This study makes use of the operations management service tools, such as service blueprints and poka-yokes (mistake-proofing), as well as the DMAIC (Define, Measure, Analyze, Improve, and Control) method of the Six Sigma (these concepts are explained in the article) to define the failures of the process, reduce variability, improve the care process, and propose solutions. Fifty-three nurses from hospitals and small medical clinics responded to survey for this study. Results: This study reveals that nurses feel that increasing the number of nurses in hospitals would improve the care of patients. Nurses feel they could take on certain tasks currently only performed by doctors after receiving proper training. This would reduce the workload of doctors. Conclusions: Analysis of the current open-ended health care process allowed determining failure points and how to prevent such failures. Recommended poka-yokes include greater involvement of nurses in education and counseling patients during hospitalization and posthospitalization. Structured home visits and nurses role in improving communication with patients to foster better understanding and self-care compliance would decrease the number of unplanned readmissions. Expanding the current education process in nursing schools and nursing roles is crucial to implement a closed-loop health care delivery system, which incorporates suggested poka-yokes.
Collapse
|
28
|
Wennström B, Stomberg MW, Modin M, Skullman S. Patient symptoms after colonic surgery in the era of enhanced recovery--a long-term follow-up. J Clin Nurs 2010; 19:666-72. [PMID: 20500308 DOI: 10.1111/j.1365-2702.2009.03099.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
AIMS The main purpose of this study was to analyse, prospectively, patient symptoms during the first four weeks following elective colon surgery. A secondary aim was to find areas to improve inpatient information and postoperative care. BACKGROUND Fast-track recovery following colon surgery has been proven beneficial to patients in the early postoperative phase. Less is known about the continuous recovery at home. DESIGN A prospective follow-up survey. METHODS Consecutive patients (n = 32) planned for elective colon surgery were evaluated. Both open and laparoscopic operations were included. All followed a fast-track protocol in hospital. Patient symptoms were recorded by validated quality of life questionnaires (EORTC QLQ-C 30, EORTC QLQ-CR 38 and Brief Pain Inventory). An interview was conducted five weeks and one year after surgery. RESULTS The hospital stay was six days, and 10% of patients were readmitted. The fast-track concept worked well. The main problems after discharge were fatigue, nausea and bowel disturbances. Pain was not a significant issue. Most symptoms had disappeared after four weeks. CONCLUSIONS The first period at home is troublesome, and better information about common symptoms is needed. A direct telephone line has been set up to answer questions and to lower patient anxiety. RELEVANCE TO CLINICAL PRACTICE Clinical guidelines for patient's discharge planning can be performed based on the results from this study. Further improvement regarding the epidural anaesthesia is needed to reduce minor side effects.
Collapse
Affiliation(s)
- Berith Wennström
- Department of Anaesthesia, Skaraborg hospital, Kärnsjukhuset, Skövde, Sweden
| | | | | | | |
Collapse
|
29
|
Sayin Y, Kanan N. Reasons for nursing telephone counseling from individuals discharged in the early postoperative period after breast surgery. Nurs Forum 2010; 45:87-96. [PMID: 20536757 DOI: 10.1111/j.1744-6198.2010.00169.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
UNLABELLED The aim of this study was to determine the rate of and causes of asking for telephone counseling in patients undergoing modified radical mastectomy (MRM) and breast-conserving surgery (BCS), and discharged one night after surgery. METHOD This is a randomized descriptive study. This study was conducted on surgery service of a university hospital in Istanbul, Turkey, with MRM and BCS patients. This study sample included 174 patients. Inclusion criteria were staying in hospital for one night and being discharged, ability to talk on the phone, and being a candidate for MRM or BCS. Data were collected on a form that was developed by the researcher after consultation with experts, reviewing THE related literature, and clinical observations. The patients were given two mobile telephone (for two of the researchers) and home telephone number (for two of the researchers) that had an answering machine and were encouraged to call or leave a message for health problems they experienced at home. RESULTS A higher rate of the patients undergoing mastectomy asked for telephone counseling. The rate of the women asking for telephone counseling was very high within the first 6 weeks of discharge. The leading causes of asking for telephone counseling were wound problems, arm exercises, and difficulties in adapting to daily living activities. The women also had a psychological problem: fear of inability to recover. CONCLUSIONS The study found that home follow-up of patients undergoing mastectomy was particularly important.
Collapse
Affiliation(s)
- Yazile Sayin
- Surgical Nursing Department, Cumhuriyet University, Nursing Division of Healthy Sciences Faculty, Sivas, Turkey.
| | | |
Collapse
|
30
|
Older CG, Carr EC, Layzell M. Making sense of patients’ use of analgesics following day case surgery. J Adv Nurs 2010; 66:511-21. [DOI: 10.1111/j.1365-2648.2009.05222.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
31
|
Modin M, Ramos T, Stomberg MW. Postoperative impact of daily life after primary treatment of proximal/distal tibiafracture with Ilizarov external fixation. J Clin Nurs 2009; 18:3498-506. [PMID: 19732246 DOI: 10.1111/j.1365-2702.2009.02859.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To describe patients' experience of the impact of their health-related life situation on their daily life two and four weeks after primary fracture treatment with Ilizarov external fixation. BACKGROUND A few studies have been conducted postoperatively focussing on fracture treatment with Ilizarov fixation. DESIGN A prospective descriptive research design. METHOD Patients who had been treated for a proximal/distal tibial fracture were invited to participate in the study. Data were collected with a semi-structured questionnaire where 20 patients described in their own words their situation at home two and four weeks postoperatively. The process used when analysing the data was similar to content analysis. RESULTS Four key themes were identified: 'limitations in the home environment', 'limitations outside the home', 'limitations to social relations' and 'experience of having an Ilizarov fixation'. The patient's life situation was strongly affected during the first postoperative month. This took the form of clear limitations on activities outside the home and a degree of limitation on coping with household chores and personal hygiene. These limitations became less severe after between 2-4 weeks and were very much a consequence of using crutches. CONCLUSION This study points to limitations in the patient's daily life situation in the home. The results from the study make it obvious that the information given to patients prior to discharge, concerning the value of putting weight on the leg, had not been clear or that the patients had not understood it. This had a negative impact on the patient's daily life after discharge. Further data are needed to uncover the extent of the issue to be able to optimise patient outcomes. RELEVANCE TO CLINICAL PRACTICE There is a need for clearer and more active information from the nurse before discharge but also a need to follow up how the information given is understood.
Collapse
Affiliation(s)
- Marina Modin
- Department of Surgery, Central Hospital, Skövde, Sweden.
| | | | | |
Collapse
|
32
|
Flanagan J. Postoperative Telephone Calls: Timing Is Everything. AORN J 2009; 90:41-51. [DOI: 10.1016/j.aorn.2009.04.001] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2008] [Revised: 03/30/2009] [Accepted: 04/09/2009] [Indexed: 11/24/2022]
|
33
|
Stomberg MW, Segerdahl M, Rawal N, Jakobsson J, Brattwall M. Clinical practice and routines for day surgery in Sweden: implications for improvement in nursing interventions. J Perianesth Nurs 2009; 23:311-20. [PMID: 18926477 DOI: 10.1016/j.jopan.2008.07.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2007] [Revised: 01/21/2008] [Accepted: 07/13/2008] [Indexed: 10/21/2022]
Abstract
The purpose of this study was to examine nursing practice in day surgery settings in Sweden. A questionnaire focusing on the routines of the day surgery process of patients in Sweden was administered. Based on these findings, appropriate nursing interventions are outlined and discussed. Day surgery routines were in accordance with general worldwide practice. The study revealed that nursing involvement was rare in the preoperative routine. In addition, the major part of the recovery process, including assessments of discharge eligibility and information about pain management, was managed by PACU nurses. The nurse follow-up revealed a number of subjective queries and symptoms that, in a seemingly easy way, could have been prevented by further perianesthesia/perioperative patient education. There is an obvious place for nursing interventions when the decision for day surgery is taken. These interventions should focus on providing the patient with information before surgery, preoperative patient health screening, and information/education at discharge. Furthermore, nursing interventions should include quality assurance, such as follow-up calls for the evaluation of care, as well as providing information and coaching for the patient at home.
Collapse
Affiliation(s)
- M Warrén Stomberg
- School of Life Sciences at the University of Skövde, Skövde, Sweden.
| | | | | | | | | |
Collapse
|
34
|
Hodgins MJ, Ouellet LL, Pond S, Knorr S, Geldart G. Effect of telephone follow-up on surgical orthopedic recovery. Appl Nurs Res 2008; 21:218-26. [DOI: 10.1016/j.apnr.2007.01.008] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2006] [Revised: 01/15/2007] [Accepted: 01/19/2007] [Indexed: 11/17/2022]
|
35
|
Heikkinen K, Leino-Kilpi H, Hiltunen A, Johansson K, Kaljonen A, Rankinen S, Virtanen H, Salanterä S. Ambulatory orthopaedic surgery patients’ knowledge expectations and perceptions of received knowledge. J Adv Nurs 2007; 60:270-8. [PMID: 17908124 DOI: 10.1111/j.1365-2648.2007.04408.x] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
AIM This paper is a report of a study to compare orthopaedic ambulatory surgery patients' knowledge expectations before admission and their perceptions of received knowledge 2 weeks after discharge. BACKGROUND Advances in technology and population ageing are driving up the number of ambulatory orthopaedic surgical procedures. Shorter hospital stays present a major challenge for patient education. METHODS A descriptive comparative cross-sectional study (pre- and post-test) design was adopted. The data were collected from 120 consecutive patients in 2004, using the Hospital Patient's Knowledge Expectations Scale and Hospital Patient's Received Knowledge Scale. All patients participated in a preoperative education session given by a nurse. RESULTS Patients expected more knowledge than they actually perceived that they received on all dimensions except the bio-physiological. They perceived that they received least knowledge about experiential, ethical, social and financial dimensions of knowledge. Knowledge expectations correlated with age and professional education. Perceptions of received knowledge correlated with earlier ambulatory surgery, and both expected knowledge and perceptions of received knowledge were related to the level of basic education. CONCLUSION Patients' knowledge expectations are greater than the knowledge they perceived that they receive, and they cannot become empowered if they lack important knowledge. Further research is needed to learn about meeting patients' knowledge expectations.
Collapse
Affiliation(s)
- Katja Heikkinen
- Department of Nursing Science, University of Turku, Turku, Finland.
| | | | | | | | | | | | | | | |
Collapse
|
36
|
Le T, Drolet J, Parayno E, Rosmus C, Castiglione S. Follow-up Phone Calls After Pediatric Ambulatory Surgery for Tonsillectomy: What Can We Learn From Families? J Perianesth Nurs 2007; 22:256-64. [PMID: 17666296 DOI: 10.1016/j.jopan.2007.05.004] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The purpose of this quality improvement study was to describe families' responses regarding the adequacy of the preoperative preparation provided in the Preoperative Assessment Clinic, and the necessity of two follow-up phone calls after pediatric ambulatory surgery for tonsillectomy with or without adenoidectomy (T+/-A). Using a questionnaire developed for the study, 90 families were contacted by phone on the first postoperative day and, of them, 73 were contacted a second time between the ninth and twelfth postoperative days. Families' responses were reported in four categories: (1) concerns, (2) use of resources, (3) adequacy of the preoperative teaching, and (4) necessity of the two postoperative phone calls. Results showed that, at the first phone call, a sore throat was reported as the most important concern followed by a decreased oral intake (ie, fluid, food, medicine), vomiting, and fever or "perceived fever." During the second phone call, a sore throat remained the most important concern followed by a decreased intake. Earache was the third highest concern and vomiting was then reported of concern by a minority of families. The most frequently consulted resource person for concerns was the physician on call for the otolaryngology service. Eighty-seven percent of families felt the preoperative preparation was adequate. For reasons of instructional and/or emotional support, 94% of families who responded reported that the first phone call was necessary and 68% reported that the second call was as well.
Collapse
Affiliation(s)
- Thao Le
- Preoperative Assessment Clinic, McGill University Health Centre-The Montreal Children's Hospital, Montreal, Quebec, Canada.
| | | | | | | | | |
Collapse
|
37
|
Chen CH, Ma HJ, Yen M, Li SF, Liu LC. Evaluation of a Telephone Call Service for Ambulatory Surgery Patients in Taiwan. J Nurs Care Qual 2007; 22:286-8. [PMID: 17563600 DOI: 10.1097/01.ncq.0000277788.37180.a0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The purpose of this study was to evaluate the outcomes of a telephone call service (TCS) for ambulatory surgery patients. Three outcomes were evaluated: patient satisfaction, patients' perceptions of the value of a TCS intervention, and nurses' perceptions of difficulties in implementing it. The results indicated that patients were satisfied with the TCS intervention and were positive about its value. Nurses indicated that the main difficulties in implementing the TCS were their lack of knowledge in answering patients' questions and time limitations.
Collapse
Affiliation(s)
- Ching-Huey Chen
- Department of Nursing & Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | | | | | | | | |
Collapse
|
38
|
Lindahl JB, Nydert P, Giesecke K, Persson PM, Movin T, Segerdahl M. Pre-packed take-home analgesics in ambulatory surgery. ACTA ACUST UNITED AC 2006. [DOI: 10.1016/j.acpain.2006.01.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
39
|
Abstract
Research can be defined as a process that systematically investigates a situation with the objective of expanding the existing knowledge of a profession. Research asks the question "Does what we do as nurses help or hinder?" The purpose of this article is to provide a brief history of nursing research and to review basic research methods. In addition, examples of potential research projects focused in the perianesthesia practice arena will be explored. Practical steps will be outlined to guide novice nurse researchers in their early endeavors.
Collapse
Affiliation(s)
- Gina Myers
- St. Joseph's Hospital Health Center, 301 Prospect Avenue, Syracuse, NY 13203, USA.
| | | |
Collapse
|