Dissertation
Implementation of a new practice plan for preoperative communication in a preoperative testing unit
Doctor of Nursing Practice (D.N.P.), Drexel University
2018
DOI:
https://doi.org/10.17918/D88S97
Abstract
Preoperative patient education is an essential component of patient safety and satisfaction in today's healthcare arena. Kruzick (2009) suggested that changes in preoperative patient education, particularly in a preadmission assessment testing unit (PATs), is an excellent starting point for an improvement in patient safety and for the increase in satisfaction ratings. Miscommunication, anxiety and poor patient satisfaction were common occurrences at this university teaching hospital in Philadelphia, PA. Patients presenting to this PAT unit were targeted by this new preoperative educational intervention using the World Health Organization's (WHO) 2014 "Before Surgery" patient communication guidelines. These 2014 guidelines were used to query patients verbally and then were compared to the current rudimentary and non-standardized educational assessments over a 6-week period. Outcomes assessed were the nurse practitioners (NP) thoughts on patient satisfaction and perioperative communication levels, measurable with a qualitative focus-group survey. A surprising discovery found during this clinical research was the disconnect between a patient's self-reported medical history and their present health state. In researching this PAT unit, a great deal was learned about the vital role an NP has in this clinical setting. The theory of Ida Jean Orlando's (1987) "Nursing Process Discipline Theory" guided this project. Lowest costs were maintained by using existing equipment and the freely accessible WHO (2014) guide. Implementation was guided by a desire to address healthcare disparities in this hospital's most medically and socially vulnerable population. The outcome measures show that some improvement was visible and recommendations for a revamp of this Philadelphia, PA hospital's PAT department would be warranted.
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Details
- Title
- Implementation of a new practice plan for preoperative communication in a preoperative testing unit
- Creators
- Mark S. Mattingly - DU
- Contributors
- Al Rundio (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 69 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 7903; 991014632658004721