Effectiveness of discharge education for patients undergoing general surgery: A systematic review and meta-analysis

Gillespie, Brigid M.; Thalib, Lukman; Harbeck, Emma; Tobiano, Georgia; Kang, Evelyn; Tobiano, Steve; Tong, Mavis; Clark, Justin; Patel, Bhavik N.; Chaboyer, Wendy

doi:10.1016/j.ijnurstu.2023.104471

Cited by 2 publications

(1 citation statement)

References 48 publications

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“…While many risk factors for SSI occur in the intraoperative environment, such as exposure to organisms that can contaminate the surgical site and type of surgical technique used, it is increasingly recognised that SSI prevention measures need to occur across pre‐, intra‐ and postoperative care (Poggio, 2013). Although SSI prevention measures in the intraoperative area are more widely known, postoperative strategies such as dressing removal, incision care and discharge education are emerging and may be initiated by nurses (Gillespie et al., 2023; Gillespie, Walker, McInnes, et al., 2020). Thus investigating ways to reduce high rates of wound complications during the postoperative period for CR surgery patients is important, and could contribute to an integrative approach across the phases of surgery (Centers for Disease Control and Prevention (CDC) & National Healthcare Safety Network (NHSN), 2015).…”

Section: Introductionmentioning

confidence: 99%

Post‐operative nursing activities to prevent wound complications in patients undergoing colorectal surgeries: A scoping review

Tobiano,

Chaboyer,

Tong

et al. 2023

Journal of Clinical Nursing

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AimsTo identify postoperative interventions and quality improvement initiatives used to prevent wound complications in patients undergoing colorectal surgeries, the types of activities nurses undertake in these interventions/initiatives and how these activities align with nurses' scope of practice.DesignA scoping review.Data SourcesThree health databases were searched, and backward and forward citation searching occurred in April 2022. Research and quality improvement initiatives included focussed on adult patients undergoing colorectal surgery, from 2010 onwards. Data were extracted about study characteristics, nursing activities and outcomes. The ‘Dimensions of the scope of nursing practice’ framework was used to classify nursing activities and then the Patterns, Advances, Gaps, Evidence for practice and Research recommendations framework was used to synthesise the review findings.ResultsThirty‐seven studies were included. These studies often reported negative wound pressure therapy and surgical site infection bundle interventions/initiatives. Nurses' scope of practice was most frequently ‘Technical procedure and delegated medical care’ meaning nurses frequently acted under doctors' orders, with the most common delegated activity being dressing removal.ConclusionThe full extent of possible interventions nurses could undertake independently in the postoperative period requires further exploration to improve wound outcomes and capitalise on nurses' professional role.Impact Statement Nurses' role in preventing postoperative wound complications is unclear, which may inhibit their ability to influence postoperative outcomes. In the postoperative period, nurses undertake technical activities, under doctors' orders to prevent wound infections. For practice, nurses need to upkeep and audit their technical skills. New avenues for researchers include exploration of independent activities for postoperative nurses and the outcomes of these activities. Implications for the Profession and/or Patient CareThere may be opportunities to broaden nurses' scope of practice to act more autonomously to prevent wound complication.Reporting MethodScoping Reviews (PRISMA‐ScR) checklist.Patient or Public ContributionA health consumer interpreted the data and prepared the manuscript.

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Section: Introductionmentioning

confidence: 99%

Post‐operative nursing activities to prevent wound complications in patients undergoing colorectal surgeries: A scoping review

Tobiano,

Chaboyer,

Tong

et al. 2023

Journal of Clinical Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

Effectiveness of discharge education for patients undergoing general surgery: A systematic review and meta-analysis

Cited by 2 publications

References 48 publications

Post‐operative nursing activities to prevent wound complications in patients undergoing colorectal surgeries: A scoping review

Post‐operative nursing activities to prevent wound complications in patients undergoing colorectal surgeries: A scoping review

Successful diaphragm repair following radiofrequency ablation for renal cell carcinoma: A case report

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