Nurses' perceptions of surgical client preparation: contributions to structuring a preoperative consultation

Authors

  • Marco Gonçalves Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, Porto, Portugal | Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal | Unidade de Investigação em Ciências da Saúde: Enfermagem (UICISA: E), Coimbra, Portugal https://orcid.org/0000-0001-7342-8145
  • Aurora Pereira Instituto Politécnico de Viana do Castelo, Escola Superior de Saúde, Viana do Castelo, Portugal https://orcid.org/0000-0002-1710-1663
  • Natália Machado Escola Superior de Enfermagem do Porto, Porto, Portugal https://orcid.org/0000-0002-0818-0777

DOI:

https://doi.org/10.29352/mill0225.36971

Keywords:

nursing; preoperative care; general surgery; qualitative research; office nursing

Abstract

Introduction: The implementation of a preoperative nursing consultation should be seen as an intervention strategy that gives visibility to nurses’ autonomous interventions. Its structure and operationalization should take into account the opinion of the nurses who will be involved in its implementation.

Objective: To determine nurses' opinions on the structure and operationalization of the preoperative nursing consultation.

Methods: Descriptive and exploratory study with a qualitative approach. Twenty-three interviews were conducted with operating room or general surgery inpatient nurses in a Portuguese hospital in January 2021. Data were analyzed according to Bardin’s assumptions.

Results: Two thematic units emerged: Contributions of the preoperative nursing consultation and Aspects to consider when organizing the consultation, which includes several categories and subcategories. The contributions of the preoperative nursing consultation focused on the patient, the organization, and nursing care. The aspects to consider when organizing the consultation should focus on the patient, the conditions for quality care, and some organizational procedures.

Conclusion: The implementation of a preoperative nursing consultation will help give visibility to nurses’ autonomous interventions during this period. The nurse's interaction with the patient before surgery can reduce their anxiety and fears and meet their information needs.

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References

Akhlaghi, E., Babaei, S., Mardani, A., & Eskandari, F. (2021). The Effect of the Neuman Systems Model on Anxiety in Patients Undergoing Coronary Artery Bypass Graft: A Randomized Controlled Trial. The Journal of Nursing Research, 29(4), Article e162. https://doi.org/10.1097/jnr.0000000000000436

Arakelian, E., Laurssen, E., & Öster, C. (2018). Older Patients’ Worries in Connection With General Anesthesia and Surgery-A Qualitative Study. Journal of Perianesthesia Nursing, 33(6), 822–833. https://doi.org/10.1016/j.jopan.2018.01.005

Ataro, B.A., Geta, T., Endirias, E.E., Gadabo, C. K., & Bolado, G.N. (2024). Patient satisfaction with preoperative nursing care and its associated factors in surgical procedures, 2023: a cross-sectional study. BMC Nurs, 23(235). https://doi.org/10.1186/s12912-024-01881-5

Bagheri, H., Ebrahimi, H., Abbasi, A., Atashsokhan, G., Salmani, Z., & Zamani, M. (2018). Effectiveness of Preoperative Visitation on Postanesthesia Complications. Journal of Perianesthesia Nursing, 33(5), 651–657. https://doi.org/10.1016/j.jopan.2017.05.009

Bardin, L. (2018). Análise de Conteúdo. Edições 70.

Barros, L. M., Frota, N. M., de Araújo, T. M., Tellez, M., Ciqueto, H. H. P., & Caetano, J. Á. (2019). Analysis of Portuguese language blogs about bariatric surgery: key doubts of internauts regarding the postoperative period. Eating and Weight Disorders, 24(6), 1113–1120. https://doi.org/10.1007/s40519-017-0465-y

Breda, L. (2020). Influência da consulta pré-operatória de enfermagem na satisfação das necessidades informativas do doente [Master’s dissertation]. Escola Superior de Enfermagem de Coimbra.

Breda, L. F. T. F., & Cerejo, M. da N. R. (2021). The influence of the preoperative nursing consultation on meeting patients’ information needs. Revista de Enfermagem Referencia, 2021(5), 1–8. https://doi.org/10.12707/rv20088

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

Gao, L. M., Chen, W. M., Qin, S. M., & Yang, X. M. (2024). The impact of preoperative interview and prospective nursing on perioperative psychological stress and postoperative complications in patients undergoing TACE intervention for hepatocellular carcinoma. Medicine, 103(2), e35929. https://doi.org/10.1097/MD.0000000000035929

Gonçalves, M. A. R., Pereira, M. A. G., & Machado, N. de J. B. (2023). Preparación preoperatoria: la percepción de la persona que se somete a una cirugía programada. Index de Enfermería Digital, e14318. https://doi.org/10.58807/indexenferm20235773

Gonçalves, M., Pereira, M.A., & Machado, N. (2024). As dificuldades percecionadas pelos enfermeiros na preparação do cliente cirúrgico: um estudo qualitativo. Millenium - Journal of Education, Technologies, and Health, 2(23), e33779. https://doi.org/10.29352/mill0223.33779

Heit, M., Carpenter, J. S., Chen, C. X., Stewart, R., Hamner, J., & Rand, K. L. (2020). Predictors of Postdischarge Surgical Recovery Following Laparoscopic Sacrocolpopexy: A Prospective Cohort Study. Female Pelvic Medicine & Reconstructive Surgery, 26(5), 320–326. https://doi.org/10.1097/SPV.0000000000000599

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

Regulamento n.º 429/2018 de 16 de julho (2018). Regulamento de competências específicas do enfermeiro especialista em Enfermagem Médico-Cirúrgica na Área de Enfermagem à Pessoa em Situação Crítica, na área de enfermagem à pessoa em situação paliativa, na área de enfermagem à pessoa em situação perioperatória e na área de enfermagem à pessoa em situação crónica. Em Diário da República: 2ª Série, n.º 135, 19359-19370. https://diariodarepublica.pt/dr/detalhe/regulamento/429-2018-115698617

Schulz, R., Santana, R. F., Dos Santos, C. T. B., Faleiro, T. B., Do Amaral Passarelles, D. M., Hercules, A. B. S., & Do Carmo, T. G. (2020). Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study. BMC Nursing, 19(1), 1–10. https://doi.org/10.1186/s12912-020-00432-y

Sisak, K., Darch, R., Burgess, L. C., Middleton, R. G., & Wainwright, T. W. (2019). A preoperative education class reduces length of stay for total knee replacement patients identified at risk of an extended length of stay. Journal of rehabilitation medicine, 51(10), 788–796. https://doi.org/10.2340/16501977-2602

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

Published

2024-11-08

How to Cite

Gonçalves, M., Pereira, A., & Machado, N. (2024). Nurses’ perceptions of surgical client preparation: contributions to structuring a preoperative consultation. Millenium - Journal of Education, Technologies, and Health, 2(25), e36971. https://doi.org/10.29352/mill0225.36971

Issue

Section

Life and Healthcare Sciences