A Multidisciplinary Preoperative Teaching Session for Women Awaiting Breast Cancer Surgery: A Quality Improvement Initiative

Abstract

Most of the breast cancer diagnoses are recommended for breast surgery. Unfortunately, many patients report preoperative anxiety, which can affect postoperative recovery. Preoperative teaching sessions have been shown to reduce anxiety and improve recovery for the patients with breast cancer. To better support the patients at our cancer center, a multidisciplinary preoperative teaching session was developed and delivered as a quality improvement initiative. MeThodS: Participants scheduled for breast surgery were invited to attend a group-delivered preoperative teaching session, either for breast-conserving surgery or mastectomy. The sessions were presented by a nurse, occupational therapist, and physiotherapist. Data were collected through a researcher-developed 2-item questionnaire administered before and after sessions to compare self-reported anxiety and knowledge levels, along with qualitative feedback. ReSulTS: A total of 94 participants attended the preoperative sessions, piloted over a year. The majority were scheduled for breast-conserving surgery. Wilcoxon signed rank tests showed that after session, self-reported levels of anxiety decreased, whereas levels of knowledge increased. Most participants found the session to be very helpful and would recommend it to other patients/families awaiting surgery. ConCluSIonS: Patients awaiting surgery for breast cancer may be better supported through a multidisciplinary group teaching session by decreasing anxiety and improving knowledge related to the procedure. Future directions could explore the effect of specific session elements on anxiety, knowledge, and postoperative complications using psychometrically sound instruments and additional time points. IMPlICATIonS foR CAnCeR SuRvIvoRS: Standardization of these preoperative teaching sessions may enhance breast cancer care, reduce postoperative complications, and improve patient recovery.

Differences in Preoperative Health-Related Quality of Life between Women Receiving Mastectomy or Breast Conserving Surgery in a Prospectively Recruited Cohort of Breast Cancer Patients

“…This finding may also illuminate which patients may need additional support before their breast cancer surgery, especially since breast cancer patients reporting poor health symptoms before surgery may be at risk for reporting worse postoperative health outcomes [35]. Some studies have shown that increasing education and knowledge in distressed breast cancer patients before their surgery can significantly decrease their anxiety levels before their surgery [36]. This study's observation between younger age and worse mental health could be observed for a variety of reasons.…”

Bone fragility related to breast cancer treatment: The pivotal role of nurses in bone health program development, implementation, and testing

“…These changes were statistically significant (p < 0.01), as indicated by Wilcoxon Signed-ranks tests. Similarly, following a group information session by the program physiotherapist, self-reported knowledge on bca rehabilitation-related content increased significantly (Ibrahim et al, 2018).…”

Fragilité osseuse due au traitement du cancer du sein : rôle essentiel des infirmières dans l’élaboration, la mise en œuvre et l’évaluation d’un programme pour la santé des os

“…Il s'agit là de changements statistiquement significatifs (p < .01), comme en témoignent les tests de rangs signés de Wilcoxon. De même, après une séance d'information de groupe organisée par la physiothérapeute du programme, les connaissances des femmes sur la réadaptation et le cancer du sein ont augmenté de manière appréciable (Ibrahim et al, 2018).…”