Nurses' perceived difficulties in preoperative patient preparation: a qualitative study
DOI:
https://doi.org/10.29352/mill0223.33779Keywords:
nursing; preoperative care; general surgery; qualitative researchAbstract
Introduction: The role of the nurse in the preoperative period involves identifying the client's needs and the risk factors related to the entire perioperative period. This preoperative preparation is not always a straightforward process and has some challenges that are important to explore in order to highlight the autonomous intervention of nurses during this period.
Objective: To explore the difficulties perceived by nurses in the preoperative preparation of clients undergoing scheduled general surgery.
Methods: An exploratory, qualitative study was carried out. To collect data, 23 semi-structured interviews were carried out with nurses who had been working in operating theatres or general surgery departments for more than 5 years. The data was analyzed using Bardin's content analysis technique.
Results: Three thematic units emerged from the content analysis: difficulties experienced, contributions of the preoperative nursing consultation, and aspects to be taken into account when organizing the consultation. The difficulties mentioned by the nurses centered on the preparation of the surgical client and the conditions for this preparation.
Conclusion: Identifying nurses' perceptions of the preoperative preparation that is currently carried out for clients undergoing scheduled general surgery made it possible to find out about the difficulties they experience. Preoperative preparation should be structured and take into account various dimensions such as physical, emotional, knowledge and logistical aspects. These results will contribute to improving the nursing care provided during the perioperative period.
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References
Associação dos Enfermeiros de Sala de Operações Portuguesas. (2012). Enfermagem perioperatória – da filosofia à prática de cuidados (2nd ed.). Lusodidacta
Bardin, L. (2018). Análise de conteúdo. Edições 70
Brown, J., Refeld, G., & Cooper, A. (2018). Timing and mode of breast care nurse consultation from the patient’s perspective. Oncology nursing forum, 45(3), 389-398. https://doi.org/10.1188/18.ONF.389-398
Fernández Fernández, E., Fernández-Ordoñez, E., García-Gamez, M., Guerra-Marmolejo, C., Iglesias-Parra, R., García-Agua Soler, N., & González-Cano-Caballero, M. (2023). Indicators and predictors modifiable by the nursing department during the preoperative period: A scoping review. Journal of Clinical Nursing, 32(11–12), 2339–2360. https://doi.org/10.1111/jocn.16287
Ferreira, A., Marques, F., Príncipe, F., Mota, L., Cardoso, M., & Vieira, R. (2022). Satisfação dos clientes da cirurgia de catarata com a consulta pré-operatória de enfermagem. Millenium - Journal of Education, Technologies, and Health, 2(19), 55–61. https://doi.org/10.29352/mill0219.25839
Filho, M. A. A., Batista, R. F., & Cruz, E. A. da. (2020). Percepção dos enfermeiros sobre a visita pré-operatória de enfermagem. Revista Eletrônica Acervo Saúde, 42, e2842. https://doi.org/10.25248/reas.e2842.2020
Gonçalves, M., Cerejo, N., and Martins, J. (2017). A influência da informação fornecida pelos enfermeiros sobre a ansiedade pré-operatória. Revista de Enfermagem Referência, IV(14), 17-26. https://doi.org/10.12707/RIV17023
Hinkle, J.L., & Cheever, K.H. (2020). Tratado de enfermagem médico-cirúrgica – Brunner & Suddarth (14.ª ed.). Guanabara Koogan.
Işık, I., Gümüşkaya, O., Şen, S., & Arslan Özkan, H. (2020). The elephant in the room: nurses’ views of communication failure and recommendations for improvement in perioperative care. AORN Journal, 111(1), e1–e15. https://doi.org/10.1002/aorn.12899
Koivisto, J.-M., Saarinen, I., Kaipia, A., Puukka, P., Kivinen, K., Laine, K.-M., & Haavisto, E. (2020). Patient education in relation to informational needs and postoperative complications in surgical patients. International Journal for Quality in Health Care, 32(1), 35–40. https://doi.org/10.1093/intqhc/mzz032
Krupic, F. (2019). Nurse anesthetists’ communication in brief preoperative meeting with orthopaedic patients-an interview study. Journal of Perianesthesia Nursing, 34(5), 946–955. https://doi.org/10.1016/j.jopan.2019.01.008
Longo, U. G., Salvatore, S. De, Rosati, C., Pisani, I., Ceccaroli, A., Rizzello, G., Marinis, M. G. De, & Denaro, V. (2023). The impact of preoperative education on knee and hip replacement: a systematic review. Osteology, 3(3), 94–112. https://doi.org/10.3390/osteology3030010
Marsh, V., Kalisch, B., McLaughlin, M., & Nguyen, L. (2020). Nurses’ perceptions of the extent and type of missed perioperative nursing care. AORN Journal, 112(3), 237–247. https://doi.org/10.1002/aorn.13146
Mendes, D., Ferrito, C, & Gonçalves, M. (2020). A informação transmitida na consulta de enfermagem pré-operatória: perceção do cliente. Cadernos de Saúde, 12(1), 47-53. https://doi.org/10.34632/cadernosdesaude.2020.7683
Nijkamp, N., & Foran, P. (2021). The effects of staffing practices on safety and quality of perioperative nursing care – an integrative review. Journal of Perioperative Nursing, 34(1). https://doi.org/10.26550/2209-1092.1117
Regulamento n.º 429/2018, de 16 de julho. Diário da República, 2.ª série – N.º 135. https://diariodarepublica.pt/dr/detalhe/regulamento/429-2018-115698617
Schiavon, I. C. A., Campos, I. C. M., Rodrigues, S. V., Silva, P. R. N, da Silva, T. P. F., & Costa, J. P. (2021). Levantamento de diagnósticos de enfermagem durante a visita pré-operatória: uma possibilidade de melhoria da assistência aos pacientes ortopédicos. Saberes Interdisciplinares, 13(26), 61–72. https://uniptan.emnuvens.com.br/SaberesInterdisciplinares/article/view/356/330
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042
Torres, G. C. S., Relf, M. V., & Tuazon, J. A. (2020). The mediating role of pre-operative patient readiness on surgical outcomes: A structural equation model analysis. Journal of Advanced Nursing, 76(6), 1371–1383. https://doi.org/10.1111/jan.14339
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