Clinical Practice and Routines for Day Surgery in Sweden: Implications for Improvement in Nursing Interventions

Quality of counselling for knee and shoulder arthroscopy patients during day surgery

“…In day surgery, patients also need counselling on the use of analgesics and pain assessment (Rhodes et al, 2006, Stomberg et al, 2008 counselling as well as on rehabilitation, such as knee extension and flexion, and in how to use mobility aids (such as crutches) and for how long (Pieper et al, 2006, Gilmartin, 2007 Patients also want to know about the possible complications (Gilmartin & Wright, 2008), nutrition (Rhodes et al, 2006, Fredericks et al, 2010 and what health changes are normal or not after surgery (Fagermoen & Hamilton, 2006). Having an opportunity to meet with healthcare staff after day surgery is important to patients (Rhodes et al, 2006, Gilmartin, 2007, Stomberg et al, 2008, Knier et al, 2015. Day surgery leads to emotional stress, such as anxiety and fear, counselling meaning that emotional counselling is also necessary (Hagberth, 2008, Stomberg et al, 2008, Gardiner et al, 2009).…”

“…Having an opportunity to meet with healthcare staff after day surgery is important to patients (Rhodes et al, 2006, Gilmartin, 2007, Stomberg et al, 2008, Knier et al, 2015. Day surgery leads to emotional stress, such as anxiety and fear, counselling meaning that emotional counselling is also necessary (Hagberth, 2008, Stomberg et al, 2008, Gardiner et al, 2009). Prior to discharge, the content of counselling should include information about nausea, fatigue and possible urinary problems (Susilahti et al, 2004).…”

“…To achieve the counselling goals, the appropriate counselling methods should be used. Oral counselling is mostly common (Nagelkerk et al, 2006, Gilmartin, 2007, Stomberg, 2008, Tse & So, 2008 in conjunction with written materials (Kyngäs et al, 2004, Lipponen et al, 2006, Kääriäinen et al 2011. Technology is rarely used during counselling (Gladfelter, 2006).…”

“…Patient-centered counselling means that patients' previous knowledge is taken into account (Stomberg et al, 2008) and it is based on their individual counselling needs (Kaakinen et al, 2012a, Raitanen et al, 2015. Patient-centered counselling also takes account patients' previous knowledge of their disease and its treatment as well as their lifestyle and emotions.…”

“…If the time given to counselling is too brief, it is a challenge for staff to motivate the patient towards self-care (Burden, 2007, Knottenbelt et al, 2007, Flanagan, 2009, Kivelä et al, 2014. Adequate counselling about treatment before the surgery and in relation to home care afterwards is important for day surgery patients (Stomberg et al, 2008, Flanagan, 2009, Knier et al, 2015.…”