Indicators and predictors modifiable by the nursing department during the preoperative period: A scoping review

Abstract

Background: Due to rapid sociodemographic and technological change, the global demand for surgical attention is rising exponentially, requiring new strategies for optimisation and sustainability in perioperative care. Design: We conduced the scoping review using the methodology recommended by the Joanna Briggs Institute supported with The PAGER framework and guided by the PRISMA-ScR Checklist. Methods: Four databases (CINAHL, MEDLINE, SCOPUS and PUBMED) were examined to extract relevant published results for elective surgery on adult patients during the period 2011-2021. This process identified 609 records. Exclusion criteria were applied, and the sample was then evaluated with the Quality Assessment Tool for Studies with Diverse Designs (QATSDD), after which 15 studies remained. Results: The following preoperative indicators and/or predictors were considered: (1) Anxiety; (2) Pain; (3) Health education, knowledge and training; (4) Satisfaction; (5) Management/organisation (including costs, resources used/available, organisational issues, hospital stay (preoperative), standardisation and protocolisation. Conclusion: The identification of five indicators and/or predictors of complications or inefficiencies in the surgical process, which can be modified by nursing, allows the effective application of interventions in the preoperative phase, optimising care and improving health outcomes.Relevance to clinical practice: The development and implementation of specific nursing skills in the preoperative phase are essential to optimise the surgical process.

Nursing Interventions in the Perioperative Pathway of the Patient with Breast Cancer: A Scoping Review

“…In the perioperative context, it is essential to have a preoperative nursing consultation aimed at women with breast cancer, oriented towards the main differences in the staging and treatment options, with knowledge of the main complications and the skills to identify the desired health outcomes; to be able to welcome the patient to the operating room in a humanised and personal environment, meeting the emotional, psychological, and spiritual needs of this person; and to hold a post-operative consultation sensitive to the pathway travelled, aiming for the satisfaction of the patient and her family, the reduction of their anxiety, and efficiently identifying and promptly resolving problems. Preoperative health education, accomplished through nursing consultations (in person or over the phone), focusing on the patient, adjusting the nurse’s attention to the patient’s individual needs, promoting bidirectional communication, encouraging shared decision-making, and ensuring adequate training of nurses in communication skills and techniques are some of the key factors for optimising perioperative practises [ 28 ].…”

Psychometric Properties of the Persian Version Fear of Hospitalization Scale in Patients Undergoing Emergency Surgery

“…Hospital anxiety among surgical patients is exacerbated by fear of anesthesia and concern over surgical mishaps (Chen et al, 2022). Fear impairs patients' capacity to adapt, intensifies postoperative discomfort, lengthens hospital stays, and reduces quality of life (Abedini, Pourfathi, Sakha, Towfighi, & Parish, 2018;Eloísa Fernández Fernández et al;E. Fernández Fernández et al, 2022).…”